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      <body>The Federal Health Information Model (FHIM) is a Unified Modeling Language (UML) model that describes the health-related Information needed by the Federal Health Architecture (FHA) federal partner organizations. The FHIM is a Logical Information Model, suitable to guide the Enterprise Architecture of the federal partner organizations – in other words, each agency’s Enterprise Data Architecture would conceivably subset and specialize the FHIM models. The FHIM model is aligned with existing and emerging healthcare IT standards, such as those issued by HL7 and IHE, and those endorsed or profiled by HITSP and the ONC Standards and Interoperability Framework for incorporation into Meaningful Use regulations.&#xD;
&#xD;
One of the primary goals of the FHIM is to enable meaningful information exchange within the partner agencies and externally with the broader health community. Therefore, the FHIM provides a semantic information basis for information exchange, traceability, and alignment into industry information models and standards. FHIM classes and attributes are aligned to the HL7 V3 Reference Information Model (RIM).  This allows standards developers to transform the FHIM into a form that can be used to generate  industry-standard HL7 payloads and messaging. The FHIM currently supports transforms to HL7 V3, FHIR and NIEM, but other standards are envisioned, including HL7 version 2, ASC X12, Oracle, Java, etc.&#xD;
&#xD;
The FHIM is an integrated model, and each diagram shows only a portion of the model; otherwise it would become too unwieldy to navigate. When a class in a diagram comes from a different package, it will contain “(from &lt;package>)” beneath the class name, where &lt;package> is the name of the package containing that class. Whenever you see a class on a diagram that contains “(from &lt;package>)”, please view that package for more information on what other relationships that class may have.</body>
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        <body>This domain contains the concepts needed to produce and send a report concerning a Product Safety-related event to a jurisdictional entity (i.e., FDA or CDC).  In the future, we expect that this domain will be constrained such that specific reports such as the MedWatch 3500 can be specified.  See the package documentation for further details.</body>
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        <body>This domain contains the concepts needed to produce and send a report concerning a Product Safety-related event (which includes unexpected reactions to a medication) to a jurisdictional entity (i.e., FDA or CDC).  This domain is closely aligned with the HL7 Individual Case Safety Report (ICSR) standard.  ICSR models the superset of concepts needed for the FDA Medwatch and VAERS reports, but does not include non-drug products (such as medical devices, cosmetics, or food supplements) and does not deal with non-human applications (e.g., veterinary medicine).  We intend to add structures for these concepts at a later date.&#xD;
&#xD;
Adverse Event Reporting is considered a kind of Public Health Report, so we expect a hierarchy from Public Health Report to Product-Related Adverse Events to specific kinds of reports such as the Medwatch reports.  Other kinds of adverse events will likely also be reportable and will have other characteristics.  For now, we are concentrating on the Product-Related Adverse Events.&#xD;
&#xD;
Eventually, this domain will be constrained such that specific reports such as the MedWatch 3500 can be specified.  The effort to do so has been postponed while related work is being conducted within the Structured Data Initiative.  When that work is done, we expect to re-visit this domain.  At that time separate sub-packages will be created for various types of reports such as the MedWatch 3500 and the VAERS-1.</body>
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            <body>Was the operator or user of the device the patient themselves, or a lay person?  Medwatch 3500 form question E.5; Medwatch 3500A form question D.5; Medwatch 3500B form question C.5.</body>
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            <body>Was the operator or user of the device neither the patient nor a healthcare professional?  If yes, the other user text should be valued.  Medwatch 3500 form question E.5; Medwatch 3500A form question D.5; Medwatch 3500B form question C.5.</body>
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            <body>(Placeholder: Modeling is still in progress on this element)</body>
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          <body>Information for, and activity related to, the act of investigating and recording the results of the investigation. It is expected that additional classes such as observation are needed to capture all the data recorded for an investigation.  Note the Act class code INVSTG (Investigation) is defined as &quot;An official inquiry into the circumstances surrounding a particular unplanned event or potential event for the purposes of identifying possible causes and contributing factors for the event. This investigation could be conducted at a local institutional level or at the level of a local or national government.&quot; (adapted from HL7 V3 ICSR DAM)</body>
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        <ownedAttribute xmi:id="_YEW-QLC4EeGGPqUAHxbNLQ" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
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            <body>Implementation Guide for Electronic Transmission of ICSRs, element C.1.1: Sender’s (case) Safety Report Unique Identifier.</body>
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        <ownedAttribute xmi:id="_YEXlULC4EeGGPqUAHxbNLQ" name="dateReported" visibility="public" type="_420A62FD03B64244824602F5">
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            <body>Date when the adverse reaction or suspected reaction reported.&#xD;
Implementation Guide for Electronic Transmission of ICSRs, element C.1.2: Date of Creation</body>
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        <ownedAttribute xmi:id="_YEXlUrC4EeGGPqUAHxbNLQ" name="eventDateTime" visibility="public" type="_420A62FD03B64244824602F5">
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            <body>(Placeholder: Modeling is still in progress on this element)</body>
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            <body>(Placeholder: Modeling is still in progress on this element)</body>
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            <body>Implementation Guide for Electronic Transmission of ICSRs, element C.1.3: Type of Report.  Possible values include: Spontaneous report; Report from study; Other; Not available to sender (unknown).  See OID: 2.16.840.1.113883.3.989.2.1.1.2.</body>
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          <ownedComment xmi:id="_rbUy8bC4EeGGPqUAHxbNLQ" annotatedElement="_rbUy8LC4EeGGPqUAHxbNLQ">
            <body>A code specifying the state of the Intolerance Condition Observation record.  See HL7 V3 Act.statusCode.  When the StatusCode is set to 'Nullified' iindicates the allergy was entered in error.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rbUy87C4EeGGPqUAHxbNLQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rbUy8rC4EeGGPqUAHxbNLQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_jI2b4LC3EeGGPqUAHxbNLQ" name="patientSafetyInvestigation_primaryPerformer" memberEnd="_jJD3QLC3EeGGPqUAHxbNLQ _jJOPULC3EeGGPqUAHxbNLQ">
        <ownedEnd xmi:id="_jJOPULC3EeGGPqUAHxbNLQ" name="" visibility="public" type="_Tf-W4KtDEeGuzqo4y-0OoQ" association="_jI2b4LC3EeGGPqUAHxbNLQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_juSrQLC3EeGGPqUAHxbNLQ" name="patientSafetyInvestigation_author" memberEnd="_juXjwLC3EeGGPqUAHxbNLQ _judqYLC3EeGGPqUAHxbNLQ">
        <ownedEnd xmi:id="_judqYLC3EeGGPqUAHxbNLQ" name="" visibility="public" type="_Tf-W4KtDEeGuzqo4y-0OoQ" association="_juSrQLC3EeGGPqUAHxbNLQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_q294IKCUEeO-_tuxzOR0Jg" name="_parkinglot_ProductRelatedAdverseEventReport">
        <ownedComment xmi:id="_tKyZ0L5tEeOVVtQOY559MQ" annotatedElement="_q294IKCUEeO-_tuxzOR0Jg">
          <body>(Placeholder: Modeling is still in progress on this element)</body>
        </ownedComment>
        <ownedAttribute xmi:id="_W0YBrqCWEeO-_tuxzOR0Jg" name="dateOfEvent" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_W0YBr6CWEeO-_tuxzOR0Jg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_IclGkKCfEeO-_tuxzOR0Jg" annotatedElement="_W0YBrqCWEeO-_tuxzOR0Jg">
            <body>The date that the adverse event, product problem, or product use error occurred.  Medwatch 3500 form question B.3; Medwatch 3500A form question B.3; Medwatch 3500B form question A.3.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_W0YBuqCWEeO-_tuxzOR0Jg" name="zdidInitalReporterSendToFda" visibility="public">
          <ownedComment xmi:id="_cBg38KSTEeOi7v-AgUwKMQ" annotatedElement="_W0YBuqCWEeO-_tuxzOR0Jg">
            <body>Did the Intial Reporter also send a report to the FDA?  Medwatch 3500A form question E.4.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_iE7H0KChEeO-_tuxzOR0Jg" name="zAdverseEventOutcome" visibility="public">
          <ownedComment xmi:id="_TRcA4AFCEeS53tTqzkwERQ" annotatedElement="_iE7H0KChEeO-_tuxzOR0Jg">
            <body>(Placeholder: Modeling is still in progress on this element)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iE7u4KChEeO-_tuxzOR0Jg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iE7u4aChEeO-_tuxzOR0Jg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Package" xmi:id="_qoD_sKSVEeOi7v-AgUwKMQ" name="FDAMedwatch3500">
        <eAnnotations xmi:id="_qoD_saSVEeOi7v-AgUwKMQ" source="uml2.diagrams"/>
        <packagedElement xmi:type="uml:Enumeration" xmi:id="_0dUIgMygEeO7XY1kXX1jtw" name="enumProblemType">
          <ownedLiteral xmi:id="_6PjM4MygEeO7XY1kXX1jtw" name="adverseEvent"/>
          <ownedLiteral xmi:id="_-8UeAMygEeO7XY1kXX1jtw" name="productUseError"/>
          <ownedLiteral xmi:id="_AbGJIMyhEeO7XY1kXX1jtw" name="productQuality"/>
          <ownedLiteral xmi:id="_F6PSYMyhEeO7XY1kXX1jtw" name="switchingMfrs"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_DNXj0MyeEeO7XY1kXX1jtw" name="FDAMedwatch3500Report">
          <generalization xmi:id="_IUywoMyeEeO7XY1kXX1jtw" general="_bU0lMKYAEeOpGqPhI0EtmQ"/>
          <ownedAttribute xmi:id="_pCJFsMygEeO7XY1kXX1jtw" name="problemType" visibility="public" type="_0dUIgMygEeO7XY1kXX1jtw">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VTSgAMyhEeO7XY1kXX1jtw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VTSgAcyhEeO7XY1kXX1jtw" value="4"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_q-PzwMylEeO7XY1kXX1jtw" client="_DNXj0MyeEeO7XY1kXX1jtw" supplier="_0dUIgMygEeO7XY1kXX1jtw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_bU0lMKYAEeOpGqPhI0EtmQ" name="IndvidualCaseSafetyReport">
        <ownedComment xmi:id="_kE6acL5tEeOVVtQOY559MQ" annotatedElement="_bU0lMKYAEeOpGqPhI0EtmQ">
          <body>This class contains those properties required for the reporting of product safety-related information (to include product defects) to a regulatory agency. It contains the intersection of the information required for four specific reports: MedWatch 3500, MedWatch 3500A, MedWatch 3500B, and VAERS-1.  It is anticipated that subtypes will be created for these individual reports, which will add report-specific properties and constraints.&#xD;
&#xD;
This class is based in the Individual Case Safety Report (ICSR) series of standards.  An ICSR is a report of information describing adverse event(s) / reaction(s) experienced by an individual patient. The event(s) / reaction(s) can be related to the administration of one or more medicinal products at a particular point in time. The ICSR can also be used for exchange of other information, such as medication error(s) that do not involve adverse events(s)/reaction(s).</body>
        </ownedComment>
        <generalization xmi:id="_dhsFYKYAEeOpGqPhI0EtmQ" general="_O851ELC5EeGGPqUAHxbNLQ"/>
        <ownedAttribute xmi:id="_XroQYLaoEeOBQorrO5QC4Q" name="areAdditionalDocumentsAvailable" visibility="public">
          <ownedComment xmi:id="_gwFusLwzEeOJuZVb-etdNA" annotatedElement="_XroQYLaoEeOBQorrO5QC4Q">
            <body>&quot;When retransmitting information, the sender (retransmitter) indicates ‘true’ in this data element only if they have the documents available.&quot; - ICH E2B(R3), C.1.6.1</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3QpSwMAeEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3Qp50MAeEeOtTpsIhjiKCQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eyLKoMciEeOZtYCyLdZSXQ" name="caseSummary" visibility="public">
          <ownedComment xmi:id="_eyLKocciEeOZtYCyLdZSXQ" annotatedElement="_eyLKoMciEeOZtYCyLdZSXQ">
            <body>&quot;A focused, factual and clear description of the case, including the words or short phrases used by the reporter.&quot; - ICH E2B(R3), H.1.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eyLKo8ciEeOZtYCyLdZSXQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eyLKosciEeOZtYCyLdZSXQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8OfCMMcjEeOZtYCyLdZSXQ" name="caseSummaryInNativeLanguage" visibility="public">
          <ownedComment xmi:id="_8OfCMccjEeOZtYCyLdZSXQ" annotatedElement="_8OfCMMcjEeOZtYCyLdZSXQ">
            <body>&quot;Information on the clinical course of the case, therapeutic measures, outcome and other relevant information, as well as the reporter’s comments on the case in a language [other than English].  [Also used] to transmit the sender’s and receiver’s comments in a language other than English, as required in some countries and regions.&quot; - ICH E2B(R3), H.5.r.1a.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8OfCM8cjEeOZtYCyLdZSXQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8OfCMscjEeOZtYCyLdZSXQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8OgQUMcjEeOZtYCyLdZSXQ" name="caseSummaryLanguage" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_8OgQUccjEeOZtYCyLdZSXQ" annotatedElement="_8OgQUMcjEeOZtYCyLdZSXQ">
            <body>&quot;The language used in [caseSummaryInNativeLanguage]&quot; - ICH E2B(R3), H.5.r.1b.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8OgQU8cjEeOZtYCyLdZSXQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8OgQUscjEeOZtYCyLdZSXQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pNQwkLanEeOBQorrO5QC4Q" name="dateOfMostRecentInfo" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_pNQwkbanEeOBQorrO5QC4Q" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_OjYtsLwzEeOJuZVb-etdNA" annotatedElement="_pNQwkLanEeOBQorrO5QC4Q">
            <body>&quot;This data element captures the date each time follow-up information is received by the sender from a primary source.  However, if the case is amended for any other reason (e.g. after internal review by the sender) this date should not be changed....&quot; - ICH E2B(R3), C.1.5</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4R4GQMAeEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4R4tUMAeEeOtTpsIhjiKCQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cdTFELanEeOBQorrO5QC4Q" name="dateReportFirstReceived" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_cdTFEbanEeOBQorrO5QC4Q" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_AR2hwLwzEeOJuZVb-etdNA" annotatedElement="_cdTFELanEeOBQorrO5QC4Q">
            <body>&quot;For organisations transmitting an initial case, this data element should be the date when the information was received from the primary source.... When retransmitting information received from another regulatory agency or another company or any other secondary source, [this] should be the date the retransmitter first received the information.&quot; - ICH E2B(R3), C.1.4</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qkJo0KCfEeO-_tuxzOR0Jg" name="descriptionOfEvent" visibility="public">
          <ownedComment xmi:id="_qkJo0aCfEeO-_tuxzOR0Jg" annotatedElement="_qkJo0KCfEeO-_tuxzOR0Jg">
            <body>Description of the event, or problem.  Medwatch 3500 form question B.5; Medwatch 3500A form question B.5; Medwatch 3500B form question A.4; VAERS-1 form question 7.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HmZi4LwyEeOJuZVb-etdNA" name="icsrReportCategory" visibility="public">
          <ownedComment xmi:id="_HmZi4bwyEeOJuZVb-etdNA" annotatedElement="_HmZi4LwyEeOJuZVb-etdNA">
            <body>&quot;Captures the type of report independently of its source.&quot; - ICH E2B(R3), C.1.3.  Possible values include: Spontaneous report; Report from study; Other; Not available to sender (unknown).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5iaG4Lw1EeOJuZVb-etdNA" name="meetsExpeditedCriteria" visibility="public">
          <ownedComment xmi:id="_5iaG4bw1EeOJuZVb-etdNA" annotatedElement="_5iaG4Lw1EeOJuZVb-etdNA">
            <body>&quot;This data element should be used by the sender to indicate whether the case fulfils the local expedited requirements.&quot; - ICH E2B(R3), C.1.7&#xD;
Note that this property is included for compatibility to the ICH and the ICSR, but does not appear to be currently needed by U.S. Federal agencies, therefore, the cardinality of this property has been set to zero.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Bh9mYMyoEeO7XY1kXX1jtw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Bh-NcMyoEeO7XY1kXX1jtw"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_D6PBELxcEeOKUOXGtjETEg" name="nullificationOrAmendmentReason" visibility="public">
          <ownedComment xmi:id="_YN5ukLxcEeOKUOXGtjETEg" annotatedElement="_D6PBELxcEeOKUOXGtjETEg">
            <body>&quot;Indicate[s] the reason why a previously transmitted ICSR is either considered completely void (nullified)..., or amended&quot; - ICH E2B(R3), C.1.11.2.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Gqb30LxcEeOKUOXGtjETEg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Gqce4LxcEeOKUOXGtjETEg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zthpQLxYEeOKUOXGtjETEg" name="originalSenderCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_KUhrULxZEeOKUOXGtjETEg" annotatedElement="_zthpQLxYEeOKUOXGtjETEg">
            <body>&quot;Identifies the type of sender that created and transmitted the original electronic ICSR.&quot; - ICH E2B(R3), C.1.8.2.  Possible values include: Regulator; Other.&#xD;
Note that this property is included for compatibility to the ICH and the ICSR, but does not appear to be currently needed by U.S. Federal agencies, therefore, the cardinality of this property has been set to zero.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2eYAQLxYEeOKUOXGtjETEg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2eZOYLxYEeOKUOXGtjETEg"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_m6sIkLxbEeOKUOXGtjETEg" name="relatedReportId" visibility="public">
          <ownedComment xmi:id="_sVsYsLxbEeOKUOXGtjETEg" annotatedElement="_m6sIkLxbEeOKUOXGtjETEg">
            <body>&quot;Identifier of another report or case that warrants being evaluated together with this ICSR. This includes, but is not limited to, a mother/parent-child pair where both had events/reactions, siblings with common exposure, several reports involving the same patient, an ICSR previously sent via paper without a conformant E2B Worldwide Unique Case Identification Number, or several similar reports from same reporter (cluster).&quot; - ICH E2B(R3), C.1.10.r.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qxdl0LxbEeOKUOXGtjETEg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qxdl0bxbEeOKUOXGtjETEg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_m7pMIMciEeOZtYCyLdZSXQ" name="reportersComments" visibility="public">
          <ownedComment xmi:id="_m7pMIcciEeOZtYCyLdZSXQ" annotatedElement="_m7pMIMciEeOZtYCyLdZSXQ">
            <body>&quot;The reporter's comments on the diagnosis, causality assessment or other issues considered relevant.&quot; - ICH E2B(R3), H.2.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_m7pMI8ciEeOZtYCyLdZSXQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_m7pMIsciEeOZtYCyLdZSXQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pYY7YMciEeOZtYCyLdZSXQ" name="sendersComments" visibility="public">
          <ownedComment xmi:id="_pYY7YcciEeOZtYCyLdZSXQ" annotatedElement="_pYY7YMciEeOZtYCyLdZSXQ">
            <body>&quot;The sender's assessment of the case and can be used to describe disagreement with, and/or alternatives to the diagnoses given by the reporter(s). Also, in case of linkage of multiple ICSRs using C.1.10.r, the reason should be provided in these comments.&quot; - ICH E2B(R3), H.4.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pYY7Y8ciEeOZtYCyLdZSXQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pYY7YsciEeOZtYCyLdZSXQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eT1MUMcjEeOZtYCyLdZSXQ" name="sendersDiagnosis" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_eT1MUccjEeOZtYCyLdZSXQ" annotatedElement="_eT1MUMcjEeOZtYCyLdZSXQ">
            <body>&quot;This data element provides the sender with an opportunity to combine signs and symptoms that were reported into a succinct diagnosis. Supporting rationale for the term selection is included in Section H.4.A MedDRA LLT code should be used.&quot; - ICH E2B(R3), H.3.r.1a and H.3.r.1b.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eT1MU8cjEeOZtYCyLdZSXQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eT1MUscjEeOZtYCyLdZSXQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2tl3ILapEeOBQorrO5QC4Q" name="uniqueCaseId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_2tl3IbapEeOBQorrO5QC4Q" annotatedElement="_2tl3ILapEeOBQorrO5QC4Q">
            <body>A unique identifier that is assigned to the report by the author and that is globally unique. - ICH E2B(R3), C.1.8.1</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_agW8EMAPEeOtTpsIhjiKCQ" name="wasAutopsyPerformed" visibility="public">
          <ownedComment xmi:id="_agW8EcAPEeOtTpsIhjiKCQ" annotatedElement="_agW8EMAPEeOtTpsIhjiKCQ">
            <body>&quot;Indicates if an autopsy was done.&quot; - ICH E2B(R3), D.9.3.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_agW8E8APEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_agW8EsAPEeOtTpsIhjiKCQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_odfqALxZEeOKUOXGtjETEg" name="wereOtherCaseIdsUsed" visibility="public">
          <ownedComment xmi:id="_odfqAbxZEeOKUOXGtjETEg" annotatedElement="_odfqALxZEeOKUOXGtjETEg">
            <body>This property will be true in &quot;...the event that the ICSR either has been exchanged by the two parties in the past using a different identifier or that it is exchanged simultaneously with a different identifier....&quot; - ICH E2B(R3), C.1.9.1.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qcMyYLxZEeOKUOXGtjETEg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qcNZcLxZEeOKUOXGtjETEg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HtGgcLw1EeOJuZVb-etdNA" name="documentsHeldBySender" visibility="public" type="_0WUucLwzEeOJuZVb-etdNA" association="_HtC2ELw1EeOJuZVb-etdNA">
          <ownedComment xmi:id="_FjB_wL5dEeOVVtQOY559MQ" annotatedElement="_HtGgcLw1EeOJuZVb-etdNA">
            <body>Pinter to a description (and optionally the content) of any documents held by the sender relevant to this ICSR.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HtHukLw1EeOJuZVb-etdNA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HtHukbw1EeOJuZVb-etdNA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BS4vUL5UEeOVVtQOY559MQ" name="informationReporter" visibility="public" type="_omSSQLxcEeOKUOXGtjETEg" association="_BS1E8L5UEeOVVtQOY559MQ">
          <ownedComment xmi:id="_ULvyEL5cEeOVVtQOY559MQ" annotatedElement="_BS4vUL5UEeOVVtQOY559MQ">
            <body>Pointer to the primary source(s) of the facts about the ICSR.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BS59cL5UEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BS6kgL5UEeOVVtQOY559MQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2ienIL5bEeOVVtQOY559MQ" name="literatureReference" visibility="public" type="_NO7mYL5bEeOVVtQOY559MQ" association="_2idZAL5bEeOVVtQOY559MQ">
          <ownedComment xmi:id="_H1PvcL5cEeOVVtQOY559MQ" annotatedElement="_2ienIL5bEeOVVtQOY559MQ">
            <body>Pointer to literature article(s) that describe individual case(s), but not for articles used for data analysis.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2ifOML5bEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2ifOMb5bEeOVVtQOY559MQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4B5MALxZEeOKUOXGtjETEg" name="otherCaseIdentifier" visibility="public" type="_0ykJQLxZEeOKUOXGtjETEg" association="_4B1hoLxZEeOKUOXGtjETEg">
          <ownedComment xmi:id="_MumOkL5dEeOVVtQOY559MQ" annotatedElement="_4B5MALxZEeOKUOXGtjETEg">
            <body>Pointer to other case identifiers for this case used in ICH ICSR electronic transmissions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4B6aILxZEeOKUOXGtjETEg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4B6aIbxZEeOKUOXGtjETEg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-Se-gMZYEeO3A-bWZE-Gbg" name="productRole" visibility="public" type="_UB0qsMZXEeO3A-bWZE-Gbg" association="_-SbUIMZYEeO3A-bWZE-Gbg">
          <ownedComment xmi:id="_IUwMsAFJEeS53tTqzkwERQ" annotatedElement="_-Se-gMZYEeO3A-bWZE-Gbg">
            <body>Pointer to the medical product(s) (i.e., medical device or drug) that is either suspected to have caused an adverse event, or that was in use at the time of the adverse event and which may or may not have contributed to the event.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-SgMoMZYEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-SgMocZYEeO3A-bWZE-Gbg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nFzrcMQGEeOgn-oVX1O_Yw" name="reactionOrEvent" visibility="public" type="_8tnMQMQEEeOgn-oVX1O_Yw" association="_nFwBEMQGEeOgn-oVX1O_Yw">
          <ownedComment xmi:id="_9dPzoAF0EeStzZ4W3o-kmA" annotatedElement="_nFzrcMQGEeOgn-oVX1O_Yw">
            <body>Pointer to the set of reaction(s) or adverse event(s) that are being reported.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nF05kMQGEeOgn-oVX1O_Yw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nF05kcQGEeOgn-oVX1O_Yw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WXRecMAdEeOtTpsIhjiKCQ" name="relatedPersonObservation" visibility="public" type="_rKUFAMAcEeOtTpsIhjiKCQ" association="_WXQQUMAdEeOtTpsIhjiKCQ">
          <ownedComment xmi:id="_aK4S8MAdEeOtTpsIhjiKCQ" annotatedElement="_WXRecMAdEeOtTpsIhjiKCQ">
            <body>Pointer to information about a person related to the subject of the report (i.e., related to the patient).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WXSFgMAdEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WXSFgcAdEeOtTpsIhjiKCQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9Jy7kKYAEeOpGqPhI0EtmQ" name="reportSubjectObservation" visibility="public" type="_3S4-EMGVEeOPOIG59rFWuA" association="_9JwfUKYAEeOpGqPhI0EtmQ">
          <ownedComment xmi:id="_kLk5oMAOEeOtTpsIhjiKCQ" annotatedElement="_9Jy7kKYAEeOpGqPhI0EtmQ">
            <body>Pointer to observations made about a patient or a person related to the patient at a given point of time (i.e., at the time of the Report).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9J0JsKYAEeOpGqPhI0EtmQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9J0JsaYAEeOpGqPhI0EtmQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7J6hwL5aEeOVVtQOY559MQ" name="sender" visibility="public" type="_1GhjUL5XEeOVVtQOY559MQ" association="_7J56sL5aEeOVVtQOY559MQ">
          <ownedComment xmi:id="_jBQNwL5cEeOVVtQOY559MQ" annotatedElement="_7J6hwL5aEeOVVtQOY559MQ">
            <body>Pointer to the person and/or organization that sent the ICSR.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7J7v4L5aEeOVVtQOY559MQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7J7v4b5aEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jL47AL5dEeOVVtQOY559MQ" name="study" visibility="public" type="_iH7joL5dEeOVVtQOY559MQ" association="_jL3s4L5dEeOVVtQOY559MQ">
          <ownedComment xmi:id="_88bRIL5uEeOVVtQOY559MQ" annotatedElement="_jL47AL5dEeOVVtQOY559MQ">
            <body>Pointer to any study(-ies) (e.g., a clinical trial) in which the patient was participating in a study when the adverse reaction or event occurred.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jL5iEL5dEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jL5iEb5dEeOVVtQOY559MQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_fLjmMKYAEeOpGqPhI0EtmQ" name="AbstractReportSubjectObservation" isAbstract="true">
        <ownedComment xmi:id="_JYbUQL5uEeOVVtQOY559MQ" annotatedElement="_fLjmMKYAEeOpGqPhI0EtmQ">
          <body>This class contains demographic observations made about a Patient at a given point of time.  Each of the properties in the class exist in the Patient or Person classes.  They are repeated here to emphasize that they are point-in-time observations that are needed for a particular report.  Note that each of these properties are marked as derived - all of the properties can be calculated from the Patient and Person classes.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_dI7LoL5gEeOVVtQOY559MQ" name="ageAtOnset" visibility="public" type="_420A62FD03B64239FAA800D9">
          <ownedComment xmi:id="_dI7Lob5gEeOVVtQOY559MQ" annotatedElement="_dI7LoL5gEeOVVtQOY559MQ">
            <body>This property contains age of the person in question at the time that the event occured.  Note that if the person's date of birth is known, this property can be derived from the patient's Person demographics information.  However, in general, this property is used only when the date of birth is not known, thereby conveying the approximate age of the person at the time of the first reaction or event.&#xD;
&#xD;
If the person in question is the patient, this is their age when the event or reaction first occurred to them.  See ICH E2B(R3), D.2.2.a and D.2.2b.&#xD;
If the person in question is a parent (typically the mother) of the patient, this is their age at the time that the event or reaction first occurred to the child or fetus.  ICH E2B(R3), D.10.2.2a and D.10.2.2b.&#xD;
If the person in question is a sibling of the patient, this is their age when the date/time the event or reaction first occurred to the sibling.  Note that ICH does not include siblings.&#xD;
&#xD;
Medwatch 3500 form question A.2.a; Medwatch 3500A form question A.2.a; Medwatch 3500B form question D.3.a; VAERS-1 form question 4.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_17L7sMAeEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_17L7scAeEeOtTpsIhjiKCQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ufH24KYAEeOpGqPhI0EtmQ" name="dateOfBirth" visibility="public" type="_420A62FD03B64244824602F5" isDerived="true">
          <ownedComment xmi:id="_455XMKYBEeOpGqPhI0EtmQ" annotatedElement="_ufH24KYAEeOpGqPhI0EtmQ">
            <body>The date of birth of the person in question, which would be used to calculate their age at time that the adverse event or reaction occurred.  Note that this property can be derived from the person's demographics information.&#xD;
&#xD;
If the person in question is the patient, see ICH E2B(R3), D.2.1&#xD;
If the person in question is a parent (typically the mother) of the patient, see ICH E2B(R3), D.10.2.1&#xD;
It is noted that ICH does not support sibling information.&#xD;
&#xD;
Medwatch 3500 form question A.2.b; Medwatch 3500A form question A.2.b; Medwatch 3500B form question D.3.b; VAERS-1 form question 3.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ufH24qYAEeOpGqPhI0EtmQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ufH24aYAEeOpGqPhI0EtmQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FsTdQKYDEeOpGqPhI0EtmQ" name="initials" visibility="public" isDerived="true">
          <ownedComment xmi:id="_FsTdQaYDEeOpGqPhI0EtmQ" annotatedElement="_FsTdQKYDEeOpGqPhI0EtmQ">
            <body>The first letter of each part of a proper name. This property stores the initials of a person's name, which is used  in research studies to identify the patient without divulging the person's entire name.  Note that this property can be derived from the patient's Person demographics information.&#xD;
Medwatch 3500B form question D.1.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FsTdQ6YDEeOpGqPhI0EtmQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FsTdQqYDEeOpGqPhI0EtmQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TOWX4KYBEeOpGqPhI0EtmQ" name="race" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true">
          <ownedComment xmi:id="_LRq_wKYCEeOpGqPhI0EtmQ" annotatedElement="_TOWX4KYBEeOpGqPhI0EtmQ">
            <body>The patient's race.  Note that this property can be derived from the patient's Person demographics information.&#xD;
Medwatch 3500B form question D.5.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TOWX4qYBEeOpGqPhI0EtmQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TOWX4aYBEeOpGqPhI0EtmQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_OK8iwMAIEeOtTpsIhjiKCQ" name="releventMedicalHistoryText" visibility="public">
          <ownedComment xmi:id="_OK8iwcAIEeOtTpsIhjiKCQ" annotatedElement="_OK8iwMAIEeOtTpsIhjiKCQ">
            <body>&quot;Information about any other medical history that could not be coded in [the structured relevant medical history / concurrent conditions].&quot; - ICH E2B(R3), D.7.2 and D.10.7.2.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_z9T94KYAEeOpGqPhI0EtmQ" name="sex" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true">
          <ownedComment xmi:id="_CndosKYCEeOpGqPhI0EtmQ" annotatedElement="_z9T94KYAEeOpGqPhI0EtmQ">
            <body>The sex of the person in question.  Note that this property can be derived from the person's demographics information.&#xD;
&#xD;
If the person in question is the patient, see ICH E2B(R3), D.2.1&#xD;
If the person in question is a parent (typically the mother) of the patient, see ICH E2B(R3), D.10.6.&#xD;
It is noted that ICH does not support sibling information.&#xD;
&#xD;
Medwatch 3500 form question A.3; Medwatch 3500A form question A.3; Medwatch 3500B form question D.2; VAERS-1 form question 5.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_z9T94qYAEeOpGqPhI0EtmQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_z9T94aYAEeOpGqPhI0EtmQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_IvFzgMAHEeOtTpsIhjiKCQ" name="releventMedicalHistory" visibility="public" type="_Daj-0MAHEeOtTpsIhjiKCQ" association="_IvDXQMAHEeOtTpsIhjiKCQ">
          <ownedComment xmi:id="_E6Q9YMAPEeOtTpsIhjiKCQ" annotatedElement="_IvFzgMAHEeOtTpsIhjiKCQ">
            <body>Pointer to information pertinent to understanding the case (such as diseases, conditions such as pregnancy, surgical procedures, psychological trauma, risk factors, etc.).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IvHBoMAHEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IvHosMAHEeOtTpsIhjiKCQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_e3tJEMAKEeOtTpsIhjiKCQ" name="relevantPastDrugHistory" visibility="public" type="_HUsxwMAKEeOtTpsIhjiKCQ" association="_e3r68MAKEeOtTpsIhjiKCQ">
          <ownedComment xmi:id="_iaTGEMAKEeOtTpsIhjiKCQ" annotatedElement="_e3tJEMAKEeOtTpsIhjiKCQ">
            <body>Pointer to relevant drugs previously administered and which have been stopped before the Adverse Event onset.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_e3twIMAKEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_e3twIcAKEeOtTpsIhjiKCQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SxoY8L5mEeOVVtQOY559MQ" name="heightObservation" visibility="public" type="_jPo_4Id5EeOZ2vW3WfDP5Q" association="_SxnK0L5mEeOVVtQOY559MQ">
          <ownedComment xmi:id="_Y6TnYL5mEeOVVtQOY559MQ" annotatedElement="_SxoY8L5mEeOVVtQOY559MQ">
            <body>Pointer to the reported height in centimeters of the person in question at the time that the adverse event or reaction first occured.&#xD;
&#xD;
If the person in question is the patient, this is their reported height when the event or reaction first occurred to them.  See ICH E2B(R3), D.4.&#xD;
If the person in question is a parent (typically the mother) of the patient, this is the reported height of the parent at the time that the event or reaction first occurred to the child or fetus.  See ICH E2B(R3), D.10.5.&#xD;
If the person in question is a sibling of the patient, this property will likely not be used.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SxpAAL5mEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SxpAAb5mEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DY_BsKYBEeOpGqPhI0EtmQ" name="weightObservation" visibility="public" type="_MNR9zIeMEeOZ2vW3WfDP5Q" association="_DY9zkKYBEeOpGqPhI0EtmQ">
          <ownedComment xmi:id="_LBp84L5jEeOVVtQOY559MQ" annotatedElement="_DY_BsKYBEeOpGqPhI0EtmQ">
            <body>Pointer to the reported body weight of the person in question at the time that the adverse event or reaction first occured.  &#xD;
&#xD;
If the person in question is the patient, this is their reported body weight when the event or reaction first occurred to them.  See ICH E2B(R3), D.3.&#xD;
If the person in question is a parent (typically the mother) of the patient, this is the reported body weight of the parent at the time that the event or reaction first occurred to the child or fetus.  See ICH E2B(R3), D.10.4.&#xD;
If the person in question is a sibling of the patient, this propery will likely not be used.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DY_owKYBEeOpGqPhI0EtmQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DY_owaYBEeOpGqPhI0EtmQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_UremsMGsEeOPOIG59rFWuA" name="lastMenstrualPeriodObservation" visibility="public" type="_NlU9AMGkEeOPOIG59rFWuA" association="_UrcKcMGsEeOPOIG59rFWuA">
          <ownedComment xmi:id="_t9YpoAFDEeS53tTqzkwERQ" annotatedElement="_UremsMGsEeOPOIG59rFWuA">
            <body>Pointer to a Clinical Observation of when the patient's last menstrual period began, if applicable.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Urgb4MGsEeOPOIG59rFWuA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Urgb4cGsEeOPOIG59rFWuA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PvhRwMQXEeOgn-oVX1O_Yw" name="relevantLabTest" visibility="public" type="_nq8lkMQWEeOgn-oVX1O_Yw" association="_PvgDoMQXEeOgn-oVX1O_Yw">
          <ownedComment xmi:id="__NSEIAFDEeS53tTqzkwERQ" annotatedElement="_PvhRwMQXEeOgn-oVX1O_Yw">
            <body>Pointer to laboratory test information pertinent to understanding the case.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Pvh40MQXEeOgn-oVX1O_Yw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Pvif4MQXEeOgn-oVX1O_Yw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_9JwfUKYAEeOpGqPhI0EtmQ" name="indvidualCaseSafetyReport_reportSubjectObservation" memberEnd="_9Jy7kKYAEeOpGqPhI0EtmQ _9J0wwKYAEeOpGqPhI0EtmQ">
        <ownedEnd xmi:id="_9J0wwKYAEeOpGqPhI0EtmQ" name="" visibility="public" type="_bU0lMKYAEeOpGqPhI0EtmQ" association="_9JwfUKYAEeOpGqPhI0EtmQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_DY9zkKYBEeOpGqPhI0EtmQ" name="indvidualCaseSafetyReport_weightObservation" memberEnd="_DY_BsKYBEeOpGqPhI0EtmQ _DZAP0KYBEeOpGqPhI0EtmQ">
        <ownedEnd xmi:id="_DZAP0KYBEeOpGqPhI0EtmQ" name="" visibility="public" type="_fLjmMKYAEeOpGqPhI0EtmQ" association="_DY9zkKYBEeOpGqPhI0EtmQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_oYyvEKCgEeO-_tuxzOR0Jg" name="suspectedMedicinalProduct_medicinalProductInstance" memberEnd="_oY2ZcKCgEeO-_tuxzOR0Jg _oY41sKCgEeO-_tuxzOR0Jg">
        <ownedEnd xmi:id="_oY41sKCgEeO-_tuxzOR0Jg" name="" visibility="public" type="_BSQnoMcwEeOZtYCyLdZSXQ" association="_oYyvEKCgEeO-_tuxzOR0Jg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_AFZ34KCtEeO-_tuxzOR0Jg" name="suspectedDevice_deviceInstance" memberEnd="_AFae8KCtEeO-_tuxzOR0Jg _AFbtEKCtEeO-_tuxzOR0Jg">
        <ownedEnd xmi:id="_AFbtEKCtEeO-_tuxzOR0Jg" name="" visibility="public" type="_M0P2YMcrEeOZtYCyLdZSXQ" association="_AFZ34KCtEeO-_tuxzOR0Jg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_xwWLoFo5EeCkLsazfN-tCQ" name="concommittantDrugs_medicinalProduct" memberEnd="_xwfVkFo5EeCkLsazfN-tCQ _xwfVk1o5EeCkLsazfN-tCQ">
        <ownedEnd xmi:id="_xwfVk1o5EeCkLsazfN-tCQ" name="" visibility="public" type="_BSQnoMcwEeOZtYCyLdZSXQ" association="_xwWLoFo5EeCkLsazfN-tCQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xwfVlFo5EeCkLsazfN-tCQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xwfVlVo5EeCkLsazfN-tCQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_0WUucLwzEeOJuZVb-etdNA" name="DocumentsHeldBySender">
        <ownedComment xmi:id="_DsUVwL5dEeOVVtQOY559MQ" annotatedElement="_0WUucLwzEeOJuZVb-etdNA">
          <body>This class contains a description (and optionally the content) of any documents held by the sender relevant to this ICSR.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_BdPE4Lw1EeOJuZVb-etdNA" name="content" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
          <ownedComment xmi:id="_GZaD8Lw1EeOJuZVb-etdNA" annotatedElement="_BdPE4Lw1EeOJuZVb-etdNA">
            <body>&quot;This data element contains the actual content of [the document] if the sender chooses to send the document.&quot; - ICH E2B(R3), C.1.6.1.r.1</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KVHhALw0EeOJuZVb-etdNA" name="description" visibility="public">
          <ownedComment xmi:id="_0dnMwLw0EeOJuZVb-etdNA" annotatedElement="_KVHhALw0EeOJuZVb-etdNA">
            <body>&quot;A description of the documents held by the sender relevant to this ICSR (e.g. clinical records, hospital records, autopsy reports, ECG strips, chest X-ray, or photographs) should be listed individually in this data element.&quot; - ICH E2B(R3), C.1.6.1.r.1</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_HtC2ELw1EeOJuZVb-etdNA" name="indvidualCaseSafetyReport_documentsHeldBySender" memberEnd="_HtGgcLw1EeOJuZVb-etdNA _HtI8sLw1EeOJuZVb-etdNA">
        <ownedEnd xmi:id="_HtI8sLw1EeOJuZVb-etdNA" name="" visibility="public" type="_bU0lMKYAEeOpGqPhI0EtmQ" association="_HtC2ELw1EeOJuZVb-etdNA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_0ykJQLxZEeOKUOXGtjETEg" name="OtherCaseIdentifier">
        <ownedComment xmi:id="_LMe7kL5dEeOVVtQOY559MQ" annotatedElement="_0ykJQLxZEeOKUOXGtjETEg">
          <body>This class contains all other case identifiers for this case used in ICH ICSR electronic transmissions.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_lip0ELxaEeOKUOXGtjETEg" name="caseId" visibility="public">
          <ownedComment xmi:id="_lip0EbxaEeOKUOXGtjETEg" annotatedElement="_lip0ELxaEeOKUOXGtjETEg">
            <body>&quot;Provide[s] all other case identifiers for this case used in ICH ICSR electronic transmissions. If the case has been received from another sender, all other case identifiers ... should be retransmitted.&quot; - ICH E2B(R3), C.1.9.1.r.2.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ogalsLxaEeOKUOXGtjETEg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ogbMwLxaEeOKUOXGtjETEg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_GB9NcLxaEeOKUOXGtjETEg" name="caseIdSource" visibility="public">
          <ownedComment xmi:id="_Z4w_0LxaEeOKUOXGtjETEg" annotatedElement="_GB9NcLxaEeOKUOXGtjETEg">
            <body>&quot;Provide[s] all sources (organisation’s name) of electronic transmissions for this case. If the case has been received from another sender, all other case identifiers ... should be retransmitted.&quot; - ICH E2B(R3), C.1.9.1.r.1.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nvgtMLxaEeOKUOXGtjETEg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nvhUQLxaEeOKUOXGtjETEg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4B1hoLxZEeOKUOXGtjETEg" name="indvidualCaseSafetyReport_otherCaseIdentifier" memberEnd="_4B5MALxZEeOKUOXGtjETEg _4B7oQLxZEeOKUOXGtjETEg">
        <ownedEnd xmi:id="_4B7oQLxZEeOKUOXGtjETEg" name="" visibility="public" type="_bU0lMKYAEeOpGqPhI0EtmQ" association="_4B1hoLxZEeOKUOXGtjETEg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_omSSQLxcEeOKUOXGtjETEg" name="InformationReporter">
        <ownedComment xmi:id="_Uz_z8L5TEeOVVtQOY559MQ" annotatedElement="_omSSQLxcEeOKUOXGtjETEg">
          <body>&quot;The primary source of the information is the person who provides the facts about the ICSR. In case of multiple sources, the &quot;Primary Source for Regulatory Purposes&quot; (C.2.r.5) is the person who first reported the facts to the sender. The primary source should be distinguished from senders and retransmitters; the latter is captured in Section C.3.&quot; - ICH E2B(R3), C.2.r.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_COy9gLxdEeOKUOXGtjETEg" name="departmentName" visibility="public">
          <ownedComment xmi:id="_BYrY0L5VEeOVVtQOY559MQ" annotatedElement="_COy9gLxdEeOKUOXGtjETEg">
            <body>The name of the department (if any) with which the Person who provided facts about the ICSR is associated. From ICH E2B(R3), C.2.r.2.2.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_COy9grxdEeOKUOXGtjETEg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_COy9gbxdEeOKUOXGtjETEg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_n1OFUL5XEeOVVtQOY559MQ" name="isPrimarySource" visibility="public">
          <ownedComment xmi:id="_n1OFUb5XEeOVVtQOY559MQ" annotatedElement="_n1OFUL5XEeOVVtQOY559MQ">
            <body>&quot;Identifies which primary source to use for regulatory purposes and in case of multiple sources, it identifies the source of the World Wide Case Unique Identification number; this source should identify where the case occurred.&quot; - ICH E2B(R3), C.2.r.5.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_n1OFU75XEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_n1OFUr5XEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_W0YBsaCWEeO-_tuxzOR0Jg" name="isHealthProfessional" visibility="public">
          <ownedComment xmi:id="_W0YBsqCWEeO-_tuxzOR0Jg" annotatedElement="_W0YBsaCWEeO-_tuxzOR0Jg">
            <body>Is the person reporting the Adverse Event is a Health Care Provider?  Medwatch 3500A form question E.2.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HbpwIOH9EeOvYf8YyVApvg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HbpwIeH9EeOvYf8YyVApvg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3mZbcLxcEeOKUOXGtjETEg" name="name" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ">
          <ownedComment xmi:id="_XDbqgL5UEeOVVtQOY559MQ" annotatedElement="_3mZbcLxcEeOKUOXGtjETEg">
            <body>The name of the Person who provided facts about the ICSR. From ICH E2B(R3), C.2.r.1.1 - C.2.r.1.4.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F7eDkLxdEeOKUOXGtjETEg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F7eqoLxdEeOKUOXGtjETEg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="___cxELxcEeOKUOXGtjETEg" name="organizationName" visibility="public">
          <ownedComment xmi:id="_3YCaUL5UEeOVVtQOY559MQ" annotatedElement="___cxELxcEeOKUOXGtjETEg">
            <body>The name of the organization with which the Person who provided facts about the ICSR is associated. From ICH E2B(R3), C.2.r.2.1.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="___cxErxcEeOKUOXGtjETEg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="___cxEbxcEeOKUOXGtjETEg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cFsqELxdEeOKUOXGtjETEg" name="qualification" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_V2i5QL5XEeOVVtQOY559MQ" annotatedElement="_cFsqELxdEeOKUOXGtjETEg">
            <body>Provides an indication of the level of professional training held by the Person who provided facts about the ICSR. From ICH E2B(R3), C.2.r.4.  Possible values include: Physician; Pharmacist; Other health professional; Lawyer; Consumer or other non health professional; Unknown (null flavor).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cFsqErxdEeOKUOXGtjETEg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cFsqEbxdEeOKUOXGtjETEg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QfRZgLxdEeOKUOXGtjETEg" name="address" visibility="public" type="_420A62FD03B6418A8DCD02C2">
          <ownedComment xmi:id="_dYIiwL5UEeOVVtQOY559MQ" annotatedElement="_QfRZgLxdEeOKUOXGtjETEg">
            <body>The address of the Person who provided facts about the ICSR. From ICH E2B(R3), C.2.r.2.3 - C.2.r.2.6.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QfRZgrxdEeOKUOXGtjETEg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QfRZgbxdEeOKUOXGtjETEg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_RlEFkOH8EeOvYf8YyVApvg" name="email" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_Ez8mUAFzEeStzZ4W3o-kmA" annotatedElement="_RlEFkOH8EeOvYf8YyVApvg">
            <body>The email address that a person uses while at their place of business.  First choice for business related contacts during business hours.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WXGvkLxdEeOKUOXGtjETEg" name="phone" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_ISkBwL5VEeOVVtQOY559MQ" annotatedElement="_WXGvkLxdEeOKUOXGtjETEg">
            <body>The telephone number of the Person who provided facts about the ICSR. From ICH E2B(R3), C.2.r.2.7.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WXGvkrxdEeOKUOXGtjETEg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WXGvkbxdEeOKUOXGtjETEg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_O_fVAOH9EeOvYf8YyVApvg" name="occupation" visibility="public">
          <ownedComment xmi:id="_O_fVAeH9EeOvYf8YyVApvg" annotatedElement="_O_fVAOH9EeOvYf8YyVApvg">
            <body>The occupation of the person reporting the Adverse Event.  May be used to determine the qualification property identified by ICSR.&#xD;
Medwatch 3500A form question E.3.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_O_fVA-H9EeOvYf8YyVApvg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_O_fVAuH9EeOvYf8YyVApvg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__o364OH9EeOvYf8YyVApvg" name="doNotDiscloseIdentity" visibility="public">
          <ownedComment xmi:id="__o364eH9EeOvYf8YyVApvg" annotatedElement="__o364OH9EeOvYf8YyVApvg">
            <body>This property is set to true if the Initial Reporter indicated that he/she does NOT want his/her identity disclosed to the manufacturer.&#xD;
Medwatch 3500 form question G.5.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__o364-H9EeOvYf8YyVApvg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__o364uH9EeOvYf8YyVApvg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Xewx8OH-EeOvYf8YyVApvg" name="alsoReportedTo" visibility="public" type="_T4nKoOH-EeOvYf8YyVApvg">
          <ownedComment xmi:id="_Xewx8eH-EeOvYf8YyVApvg" annotatedElement="_Xewx8OH-EeOvYf8YyVApvg">
            <body>This property indicates whether the Initial Reporter also reported the adverse event / reaction to the the manufacturer, user facility, or distributor/importer.&#xD;
Medwatch 3500 form question G.4.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Xewx8-H-EeOvYf8YyVApvg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Xewx8uH-EeOvYf8YyVApvg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_BS1E8L5UEeOVVtQOY559MQ" name="indvidualCaseSafetyReport_informationReporter" memberEnd="_BS4vUL5UEeOVVtQOY559MQ _BS7LkL5UEeOVVtQOY559MQ">
        <ownedEnd xmi:id="_BS7LkL5UEeOVVtQOY559MQ" name="" visibility="public" type="_bU0lMKYAEeOpGqPhI0EtmQ" association="_BS1E8L5UEeOVVtQOY559MQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_1GhjUL5XEeOVVtQOY559MQ" name="Sender">
        <ownedComment xmi:id="_1GhjUb5XEeOVVtQOY559MQ" annotatedElement="_1GhjUL5XEeOVVtQOY559MQ">
          <body>The person and/or organization that sent the ICSR.  From ICH E2B(R3), C.3.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_1GhjUr5XEeOVVtQOY559MQ" name="name" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ">
          <ownedComment xmi:id="_1GhjU75XEeOVVtQOY559MQ" annotatedElement="_1GhjUr5XEeOVVtQOY559MQ">
            <body>&quot;The name of person in the company or agency who is responsible for the authorisation of report dissemination. This would usually be the same person who signs the covering memo for paper submissions.&quot; - ICH E2B(R3), C.3.3.1 - C.3.3.5.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1GhjVb5XEeOVVtQOY559MQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1GhjVL5XEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1GhjVr5XEeOVVtQOY559MQ" name="organizationName" visibility="public">
          <ownedComment xmi:id="_1GhjV75XEeOVVtQOY559MQ" annotatedElement="_1GhjVr5XEeOVVtQOY559MQ">
            <body>The name of the organization (e.g., company name or regulatory authority name) under whose auspices the ICSR was sent. From ICH E2B(R3), C.3.2.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1GhjWb5XEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1GhjWL5XEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1GhjWr5XEeOVVtQOY559MQ" name="departmentName" visibility="public">
          <ownedComment xmi:id="_1GhjW75XEeOVVtQOY559MQ" annotatedElement="_1GhjWr5XEeOVVtQOY559MQ">
            <body>The name of the organizational department (if any) under whose auspices the ICSR was sent. From ICH E2B(R3), C.3.3.1.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1GhjXb5XEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1GhjXL5XEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1GhjXr5XEeOVVtQOY559MQ" name="address" visibility="public" type="_420A62FD03B6418A8DCD02C2">
          <ownedComment xmi:id="_1GhjX75XEeOVVtQOY559MQ" annotatedElement="_1GhjXr5XEeOVVtQOY559MQ">
            <body>The address of the person or organization who sent the ICSR. From ICH E2B(R3), C.3.4.1 - C.3.4.5.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1GhjYb5XEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1GhjYL5XEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1GhjYr5XEeOVVtQOY559MQ" name="phone" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_1GhjY75XEeOVVtQOY559MQ" annotatedElement="_1GhjYr5XEeOVVtQOY559MQ">
            <body>The telephone number of the person or organization who sent the ICSR. From ICH E2B(R3), C.3.4.6.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1GhjZb5XEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1GhjZL5XEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1GhjZr5XEeOVVtQOY559MQ" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_1GhjZ75XEeOVVtQOY559MQ" annotatedElement="_1GhjZr5XEeOVVtQOY559MQ">
            <body>&quot;Captures the type of sender organisation or individual.&quot; - ICH E2B(R3), C.3.1.  Possible values include: Pharmaceutical Company; Regulatory Authority; Health Professional; Regional Pharmacovigilance Centre; WHO collaborating centres for international drug monitoring; Other (e.g. distributor or other organisation); Patient/Consumer.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1Ghjab5XEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1GhjaL5XEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1Ghjar5XEeOVVtQOY559MQ" name="isPrimarySource" visibility="public">
          <ownedComment xmi:id="_1Ghja75XEeOVVtQOY559MQ" annotatedElement="_1Ghjar5XEeOVVtQOY559MQ">
            <body>&quot;Identifies which primary source to use for regulatory purposes and in case of multiple sources, it identifies the source of the World Wide Case Unique Identification number; this source should identify where the case occurred.&quot; - ICH E2B(R3), C.2.r.5.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1Ghjbb5XEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1GhjbL5XEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_g76j0L5aEeOVVtQOY559MQ" name="fax" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_g76j0b5aEeOVVtQOY559MQ" annotatedElement="_g76j0L5aEeOVVtQOY559MQ">
            <body>The facsimile number of the person or organization who sent the ICSR. From ICH E2B(R3), C.3.4.7.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_g76j075aEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_g76j0r5aEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hAJjkL5aEeOVVtQOY559MQ" name="email" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_hAJjkb5aEeOVVtQOY559MQ" annotatedElement="_hAJjkL5aEeOVVtQOY559MQ">
            <body>The email address of the person or organization who sent the ICSR. From ICH E2B(R3), C.3.4.8.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hAJjk75aEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hAJjkr5aEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_7J56sL5aEeOVVtQOY559MQ" name="indvidualCaseSafetyReport_sender" memberEnd="_7J6hwL5aEeOVVtQOY559MQ _7J8-AL5aEeOVVtQOY559MQ">
        <ownedEnd xmi:id="_7J8-AL5aEeOVVtQOY559MQ" name="" visibility="public" type="_bU0lMKYAEeOpGqPhI0EtmQ" association="_7J56sL5aEeOVVtQOY559MQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_NO7mYL5bEeOVVtQOY559MQ" name="LiteratureReference">
        <ownedComment xmi:id="_FcehQL5cEeOVVtQOY559MQ" annotatedElement="_NO7mYL5bEeOVVtQOY559MQ">
          <body>This class is used for literature article(s) that describe individual case(s), but not for articles used for data analysis. From ICH E2B(R3), C.4.r.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_gc_9wL5bEeOVVtQOY559MQ" name="content" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
          <ownedComment xmi:id="_gc_9wb5bEeOVVtQOY559MQ" annotatedElement="_gc_9wL5bEeOVVtQOY559MQ">
            <body>&quot;Contains the actual content referenced in [LiteratureReference.name] when the sender chooses to send a copy of the literature article.&quot; - ICH E2B(R3), C.4.r.2.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1Fd2kL5bEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1FedoL5bEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ROWCQL5bEeOVVtQOY559MQ" name="name" visibility="public">
          <ownedComment xmi:id="_ROWCQb5bEeOVVtQOY559MQ" annotatedElement="_ROWCQL5bEeOVVtQOY559MQ">
            <body>&quot;This data element should be used for literature article(s) that describe individual case(s), but not for articles used for data analysis. Citations should be provided in the style specified by the Vancouver Convention, known as ‘Vancouver style’, which has been developed by the International Committee of Medical Journal Editors.&quot; - ICH E2B(R3), C.4.r.1.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ROWCQ75bEeOVVtQOY559MQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ROWCQr5bEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_2idZAL5bEeOVVtQOY559MQ" name="indvidualCaseSafetyReport_literatureReference" memberEnd="_2ienIL5bEeOVVtQOY559MQ _2if1QL5bEeOVVtQOY559MQ">
        <ownedEnd xmi:id="_2if1QL5bEeOVVtQOY559MQ" name="" visibility="public" type="_bU0lMKYAEeOpGqPhI0EtmQ" association="_2idZAL5bEeOVVtQOY559MQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_iH7joL5dEeOVVtQOY559MQ" name="Study">
        <ownedComment xmi:id="_vmM24L5uEeOVVtQOY559MQ" annotatedElement="_iH7joL5dEeOVVtQOY559MQ">
          <body>If the adverse reaction or event occured while the patient was participating in a study (e.g., a clinical trial), this class will contain identifying information about that study.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_-7ICML5dEeOVVtQOY559MQ" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_-7ICMb5dEeOVVtQOY559MQ" annotatedElement="_-7ICML5dEeOVVtQOY559MQ">
            <body>&quot;This information should be provided if the &quot;Type of Report&quot; (C.1.3) has been populated with &quot;Report from study&quot;.&quot; - ICH E2B(R3), C.5.4.  Possible values include: Clinical trials; Individual patient use (e.g. &quot;compassionate use&quot; or &quot;named patient basis&quot;); Other studies (e.g. pharmacoepidemiology, pharmacoeconomics, intensive monitoring).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-7ICM75dEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-7ICMr5dEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DqxLsL5fEeOVVtQOY559MQ" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_DqxLsb5fEeOVVtQOY559MQ" annotatedElement="_DqxLsL5fEeOVVtQOY559MQ">
            <body>&quot;This repeatable data element should be populated with the study registration number as assigned in a reporting region.&quot; - ICH E2B(R3), C.5.1.r.1.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DqxLs75fEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DqxLsr5fEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_yX6ZQL5dEeOVVtQOY559MQ" name="name" visibility="public">
          <ownedComment xmi:id="_yX6ZQb5dEeOVVtQOY559MQ" annotatedElement="_yX6ZQL5dEeOVVtQOY559MQ">
            <body>Name of the Study. From ICH E2B(R3), C.5.2.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_yX6ZQ75dEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_yX6ZQr5dEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-5hfsL5dEeOVVtQOY559MQ" name="sponsorsStudyId" visibility="public">
          <ownedComment xmi:id="_-5hfsb5dEeOVVtQOY559MQ" annotatedElement="_-5hfsL5dEeOVVtQOY559MQ">
            <body>&quot;This data element should be completed only if the sender is the study sponsor or has been informed of the study number by the sponsor.&quot; - ICH E2B(R3), C.5.3.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-5hfs75dEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-5hfsr5dEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_jL3s4L5dEeOVVtQOY559MQ" name="indvidualCaseSafetyReport_study" memberEnd="_jL47AL5dEeOVVtQOY559MQ _jL6JIL5dEeOVVtQOY559MQ">
        <ownedEnd xmi:id="_jL6JIL5dEeOVVtQOY559MQ" name="" visibility="public" type="_bU0lMKYAEeOpGqPhI0EtmQ" association="_jL3s4L5dEeOVVtQOY559MQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_SxnK0L5mEeOVVtQOY559MQ" name="indvidualCaseSafetyReport_heightObservation" memberEnd="_SxoY8L5mEeOVVtQOY559MQ _SxpnEL5mEeOVVtQOY559MQ">
        <ownedEnd xmi:id="_SxpnEL5mEeOVVtQOY559MQ" name="" visibility="public" type="_fLjmMKYAEeOpGqPhI0EtmQ" association="_SxnK0L5mEeOVVtQOY559MQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Daj-0MAHEeOtTpsIhjiKCQ" name="ReleventMedicalHistory">
        <ownedComment xmi:id="_C0gx0MAPEeOtTpsIhjiKCQ" annotatedElement="_Daj-0MAHEeOtTpsIhjiKCQ">
          <body>This class contains information pertinent to understanding the case (such as diseases, conditions such as pregnancy, surgical procedures, psychological trauma, risk factors, etc.).  Medical judgment should be exercised in order to limit the use of this class to those data pertinent to the case.  From ICH E2B(R3), D.7.1.r and D.10.7.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_kwm9gMAHEeOtTpsIhjiKCQ" name="comments" visibility="public">
          <ownedComment xmi:id="_kwm9gcAHEeOtTpsIhjiKCQ" annotatedElement="_kwm9gMAHEeOtTpsIhjiKCQ">
            <body>&quot;Additional relevant information about the medical condition in D.7.1.r.1b that could not be captured otherwise in a structured data element.&quot; - ICH E2B(R3), D.7.1.r.5 and D.10.7.1.r.5.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wMcHoMAHEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wMcusMAHEeOtTpsIhjiKCQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_OsdJ0MAHEeOtTpsIhjiKCQ" name="isContinuing" visibility="public">
          <ownedComment xmi:id="_iK11IMAHEeOtTpsIhjiKCQ" annotatedElement="_OsdJ0MAHEeOtTpsIhjiKCQ">
            <body>&quot;Indicates if the medical condition in D.7.1.r.1b is known to be still present at the time of this report.&quot; - ICH E2B(R3), D.7.1.r.3 and D.10.7.1.r.3.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1z44UMAHEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1z5fYMAHEeOtTpsIhjiKCQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JVPNgMAHEeOtTpsIhjiKCQ" name="healthConcern" visibility="public" type="_420A62FD03B6421F8AD00244" association="_JVN_YMAHEeOtTpsIhjiKCQ">
          <ownedComment xmi:id="_Wrt-8MQDEeOgn-oVX1O_Yw" annotatedElement="_JVPNgMAHEeOtTpsIhjiKCQ">
            <body>Pointer to the HealthConcern that is relevant to the case being reported.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JVP0kMAHEeOtTpsIhjiKCQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JVQboMAHEeOtTpsIhjiKCQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_IvDXQMAHEeOtTpsIhjiKCQ" memberEnd="_IvFzgMAHEeOtTpsIhjiKCQ _IvIPwMAHEeOtTpsIhjiKCQ">
        <ownedEnd xmi:id="_IvIPwMAHEeOtTpsIhjiKCQ" name="" visibility="public" type="_fLjmMKYAEeOpGqPhI0EtmQ" association="_IvDXQMAHEeOtTpsIhjiKCQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_JVN_YMAHEeOtTpsIhjiKCQ" memberEnd="_JVPNgMAHEeOtTpsIhjiKCQ _JVRCsMAHEeOtTpsIhjiKCQ">
        <ownedEnd xmi:id="_JVRCsMAHEeOtTpsIhjiKCQ" name="" visibility="public" type="_Daj-0MAHEeOtTpsIhjiKCQ" association="_JVN_YMAHEeOtTpsIhjiKCQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_HUsxwMAKEeOtTpsIhjiKCQ" name="RelevantPastDrugHistory">
        <ownedComment xmi:id="_en06AMAKEeOtTpsIhjiKCQ" annotatedElement="_HUsxwMAKEeOtTpsIhjiKCQ">
          <body>This class details &quot;relevant drugs previously administered and which have been stopped before the Adverse Event onset. It does not concern drugs taken concomitantly or drugs which might have potentially been involved in the current reaction(s)/event(s). Medical judgment should be exercised in [determining which drug(s) to include]. Medications that have been stopped might be considered suspect based on the elimination half-life of the drug and the known pharmacodynamic effects of the drug in a particular patient (for example, a patient with known renal or liver impairment).... The information provided here can also include previous experience with similar drugs.&quot; - ICH E2B(R3), D.8.r.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_X4DkcMAMEeOtTpsIhjiKCQ" name="medicationList" visibility="public" type="_b9CpcEj4EeCSVeZMaVcw1Q" association="_X4CWUMAMEeOtTpsIhjiKCQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_X4ELgMAMEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_X4EykMAMEeOtTpsIhjiKCQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gSxuAMAMEeOtTpsIhjiKCQ" name="indication" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_gSxuAcAMEeOtTpsIhjiKCQ" annotatedElement="_gSxuAMAMEeOtTpsIhjiKCQ">
            <body>&quot;The indication of the medicinal product.&quot; - ICH E2B(R3), D.8.r.6a and D.8.r.6b; D.10.8.r.6a and D.10.8.r.6b (MedDRA code and version)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gSxuA8AMEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gSxuAsAMEeOtTpsIhjiKCQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9AUQgMAMEeOtTpsIhjiKCQ" name="previousReaction" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_9AUQgcAMEeOtTpsIhjiKCQ" annotatedElement="_9AUQgMAMEeOtTpsIhjiKCQ">
            <body>&quot;Describes previous experience with the drug described [in the medication list]&quot; - ICH E2B(R3), D.8.r.7a and D.8.r.7b; D.10.8.r.7a and D.10.8.r.7b (MedDRA code and version)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9AUQg8AMEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9AUQgsAMEeOtTpsIhjiKCQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_e3r68MAKEeOtTpsIhjiKCQ" memberEnd="_e3tJEMAKEeOtTpsIhjiKCQ _e3uXMMAKEeOtTpsIhjiKCQ">
        <ownedEnd xmi:id="_e3uXMMAKEeOtTpsIhjiKCQ" name="" visibility="public" type="_fLjmMKYAEeOpGqPhI0EtmQ" association="_e3r68MAKEeOtTpsIhjiKCQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_X4CWUMAMEeOtTpsIhjiKCQ" memberEnd="_X4DkcMAMEeOtTpsIhjiKCQ _X4FZoMAMEeOtTpsIhjiKCQ">
        <ownedEnd xmi:id="_X4FZoMAMEeOtTpsIhjiKCQ" name="" visibility="public" type="_HUsxwMAKEeOtTpsIhjiKCQ" association="_X4CWUMAMEeOtTpsIhjiKCQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_rKUFAMAcEeOtTpsIhjiKCQ" name="RelatedPersonObservation">
        <ownedComment xmi:id="_KQ2fMMAdEeOtTpsIhjiKCQ" annotatedElement="_rKUFAMAcEeOtTpsIhjiKCQ">
          <body>This class contains information about a person related to the subject of the report (i.e., related to the patient).  The ICH implementation guide limits this information to the parent of a child or fetus (usually the mother).  However, this class is meant to handle other relevant related persons such as siblings of a child who had an adverse reaction to a vaccine.  Note that each of the properties in the class exist in the Patient or Person classes.  They are repeated here to emphasize that they are point-in-time observations that are needed for a particular report.  Therefore, each of these properties are marked as derived - all of the properties can be calculated from the Patient and Person classes.</body>
        </ownedComment>
        <generalization xmi:id="_xCcuMMGqEeOPOIG59rFWuA" general="_fLjmMKYAEeOpGqPhI0EtmQ"/>
        <ownedAttribute xmi:id="_7voRcMAcEeOtTpsIhjiKCQ" name="name" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ" isDerived="true">
          <ownedComment xmi:id="_7voRccAcEeOtTpsIhjiKCQ" annotatedElement="_7voRcMAcEeOtTpsIhjiKCQ">
            <body>The name or initials of the related person.  From ICH E2B(R3), D.10.1.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7voRc8AcEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7voRcsAcEeOtTpsIhjiKCQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dPGYIMGtEeOPOIG59rFWuA" name="relationshipCategory" visibility="public" type="_ecCeIOKjEeO0o6n32HX83w">
          <ownedComment xmi:id="_55TY8MQBEeOgn-oVX1O_Yw" annotatedElement="_dPGYIMGtEeOPOIG59rFWuA">
            <body>Indicates how the person whose observations are being recorded is related to the person who is the subject of the report.  It is noted that ICH only has the notion of &quot;parent&quot;, which in the majority of the cases is the mother of the child or fetus.  VAERS requests information on siblings.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_WXQQUMAdEeOtTpsIhjiKCQ" memberEnd="_WXRecMAdEeOtTpsIhjiKCQ _WXSskMAdEeOtTpsIhjiKCQ">
        <ownedEnd xmi:id="_WXSskMAdEeOtTpsIhjiKCQ" name="" visibility="public" type="_bU0lMKYAEeOpGqPhI0EtmQ" association="_WXQQUMAdEeOtTpsIhjiKCQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_3S4-EMGVEeOPOIG59rFWuA" name="ReportSubjectObservation">
        <generalization xmi:id="_wcAZQMGqEeOPOIG59rFWuA" general="_fLjmMKYAEeOpGqPhI0EtmQ"/>
        <ownedAttribute xmi:id="_7Lv0IL5iEeOVVtQOY559MQ" name="ageGroup" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_7Lv0Ib5iEeOVVtQOY559MQ" annotatedElement="_7Lv0IL5iEeOVVtQOY559MQ">
            <body>If the patient's date of birth is not known, this property is used to provide a characterization of the age of the person at the time of the first reaction or event. From ICH E2B(R3), D.2.3.  Possible values include: Foetus; Neonate (Preterm and Term newborns); Infant; Child; Adolescent; Adult; Elderly.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7Lv0I75iEeOVVtQOY559MQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7Lv0Ir5iEeOVVtQOY559MQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XMN7sMAYEeOtTpsIhjiKCQ" name="autopsyDeterminedCauseOfDeath" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true">
          <ownedComment xmi:id="_XMN7scAYEeOtTpsIhjiKCQ" annotatedElement="_XMN7sMAYEeOtTpsIhjiKCQ">
            <body>&quot;The autopsy-determined cause of death.&quot; - ICH E2B(R3), D.9.4.r.1a and D.9.4.r.1b (MedDRA code and version).  Note that this property can repeat.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XMN7s8AYEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XMN7ssAYEeOtTpsIhjiKCQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DyvwIMAZEeOtTpsIhjiKCQ" name="autopsyDeterminedCauseOfDeathText" visibility="public" isDerived="true">
          <ownedComment xmi:id="_DyvwIcAZEeOtTpsIhjiKCQ" annotatedElement="_DyvwIMAZEeOtTpsIhjiKCQ">
            <body>&quot;The original reporter's words and/or short phrases used to describe the autopsy-determined cause of death.&quot; - ICH E2B(R3), D.9.4.r.2.  Note that this property can repeat.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DywXMcAZEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DywXMMAZEeOtTpsIhjiKCQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LMSKgMAOEeOtTpsIhjiKCQ" name="dateOfDeath" visibility="public" type="_420A62FD03B64244824602F5" isDerived="true">
          <ownedComment xmi:id="_LMSKgcAOEeOtTpsIhjiKCQ" annotatedElement="_LMSKgMAOEeOtTpsIhjiKCQ">
            <body>The reported date of death of the patient.  An imprecise date can be used if the exact date is not known.  Note that this property can be derived from the person's demographics information.  See ICH E2B(R3), D.9.1.&#xD;
&#xD;
Date that the patient died as an outcome attributed to the Adverse Event.  Medwatch 3500A form question A.2, box 1.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LMSKg8AOEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LMSKgsAOEeOtTpsIhjiKCQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YC1mIL5hEeOVVtQOY559MQ" name="gestationalAgeAtOnset" visibility="public" type="_420A62FD03B64239FAA800D9">
          <ownedComment xmi:id="_YC2NML5hEeOVVtQOY559MQ" annotatedElement="_YC1mIL5hEeOVVtQOY559MQ">
            <body>If the reaction or adverse event affected an unborn child, this property is used to convey the gestational period (age) of the fetus at the time of the first reaction or event. Note that the units could include trimester as well as days, weeks, or months.  From ICH E2B(R3), D.2.2.1.a and D.2.2.1b.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dB9eYMZrEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dB-FcMZrEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WTAVYMAQEeOtTpsIhjiKCQ" name="reportedCauseOfDeath" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true">
          <ownedComment xmi:id="_F692UMAYEeOtTpsIhjiKCQ" annotatedElement="_WTAVYMAQEeOtTpsIhjiKCQ">
            <body>&quot;The reported cause of death.&quot; - ICH E2B(R3), D.9.2.r.1a and D.9.2.r.1b (MedDRA code and version).  Note that this property can repeat.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WTAVY8AQEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WTAVYsAQEeOtTpsIhjiKCQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0b9zYMAYEeOtTpsIhjiKCQ" name="reportedCauseOfDeathText" visibility="public" isDerived="true">
          <ownedComment xmi:id="_0b9zYcAYEeOtTpsIhjiKCQ" annotatedElement="_0b9zYMAYEeOtTpsIhjiKCQ">
            <body>&quot;The original reporter's words and/or short phrases used to describe the cause of death.&quot; - ICH E2B(R3), D.9.2.r.2.  Note that this property can repeat.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0b9zY8AYEeOtTpsIhjiKCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0b9zYsAYEeOtTpsIhjiKCQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_NlU9AMGkEeOPOIG59rFWuA" name="LastMenstrualPeriodObservation">
        <ownedComment xmi:id="_tiufAMGqEeOPOIG59rFWuA" annotatedElement="_NlU9AMGkEeOPOIG59rFWuA">
          <body>For women patients, this class represents an observation of when the patient's last menstrual period began.</body>
        </ownedComment>
        <generalization xmi:id="_PgwH4MGkEeOPOIG59rFWuA" general="_nbH1LVaeEd6rJ7jpZ7LBFg"/>
        <ownedAttribute xmi:id="_ybGqkMGnEeOPOIG59rFWuA" name="observedCharacteristic" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_ybGqkcGnEeOPOIG59rFWuA" source="http://www.eclipse.org/uml2/2.0.0/UML">
            <details xmi:id="_ybGqksGnEeOPOIG59rFWuA" key="redefine"/>
          </eAnnotations>
          <ownedComment xmi:id="_MmaAkAF0EeStzZ4W3o-kmA" annotatedElement="_ybGqkMGnEeOPOIG59rFWuA">
            <body>This property indicates what was observed.  In this case, it is hard-coded to LOINC code 8665-2, which means that the characteristic observed is the date that the patient's latest menstrual period began.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ybGqlcGnEeOPOIG59rFWuA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ybGqlMGnEeOPOIG59rFWuA" value="1"/>
          <defaultValue xmi:type="uml:LiteralString" xmi:id="_ybGqlsGnEeOPOIG59rFWuA" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=LOINC, c=8665-2"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jkezkMGyEeOPOIG59rFWuA" name="value" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_jkezkcGyEeOPOIG59rFWuA" source="http://www.eclipse.org/uml2/2.0.0/UML">
            <details xmi:id="_jkezksGyEeOPOIG59rFWuA" key="redefine"/>
          </eAnnotations>
          <ownedComment xmi:id="_jkezk8GyEeOPOIG59rFWuA" annotatedElement="_jkezkMGyEeOPOIG59rFWuA">
            <body>Contains the value of the clinical observation.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_UrcKcMGsEeOPOIG59rFWuA" memberEnd="_UremsMGsEeOPOIG59rFWuA _UrhqAMGsEeOPOIG59rFWuA">
        <ownedEnd xmi:id="_UrhqAMGsEeOPOIG59rFWuA" name="" visibility="public" type="_fLjmMKYAEeOpGqPhI0EtmQ" association="_UrcKcMGsEeOPOIG59rFWuA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_8tnMQMQEEeOgn-oVX1O_Yw" name="ReactionOrEvent">
        <ownedComment xmi:id="_y0H40AF0EeStzZ4W3o-kmA" annotatedElement="_8tnMQMQEEeOgn-oVX1O_Yw">
          <body>This class contains information describing the reaction(s) or adverse event(s) that are being reported.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_91-Y4N0mEeO-i5D4AF-iXg" name="adverseEventSeriousness" visibility="public" type="_nyUJ4N0lEeO-i5D4AF-iXg">
          <ownedComment xmi:id="_WwsKAN0nEeO-i5D4AF-iXg" annotatedElement="_91-Y4N0mEeO-i5D4AF-iXg">
            <body>&quot;The seriousness criteria of the reaction/event should be based on the definitions provided in the ICH E2A and E2D guidelines. More than one seriousness criteria can be chosen. If the event is not serious, all of these data elements should be left blank. It is assumed that the event seriousness is provided by the reporter; otherwise, it is assessed by the sender. In cases of foetal demise such as miscarriage, (where the ICSR should be prepared only for the parent), the seriousness criterion is Other medically important condition. Furthermore, depending if the parent experienced complications, the seriousness criterion could also include Life-threatening and/or Hospitalisation.&quot; - ICH E2B(R3), E.i.3.2.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TQ-fsOH6EeOvYf8YyVApvg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TQ_GwOH6EeOvYf8YyVApvg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_H_p5gMQLEeOgn-oVX1O_Yw" name="countryOfOccurrence" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_H_p5gcQLEeOgn-oVX1O_Yw" annotatedElement="_H_p5gMQLEeOgn-oVX1O_Yw">
            <body>&quot;This data element captures the country where the reaction occurred. For example a patient living in Country A experienced headache while travelling in Country B; this headache was suspected to be an adverse drug reaction and was reported by a health professional in Country C. The data element C.2.r.3 should be populated with Country C, and the data element E.i.9 should be populated with Country B.&quot; - ICH E2B(R3), E.i.9.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_H_p5g8QLEeOgn-oVX1O_Yw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_H_p5gsQLEeOgn-oVX1O_Yw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LtV68MQFEeOgn-oVX1O_Yw" name="descriptionInNativeLanguage" visibility="public">
          <ownedComment xmi:id="_LtV68cQFEeOgn-oVX1O_Yw" annotatedElement="_LtV68MQFEeOgn-oVX1O_Yw">
            <body>&quot;The original reporter's words and/or short phrases used to describe the reaction/event. Text should be provided in the native language it was received, when it is received in a language other than English.&quot; - ICH E2B(R3), E.i.1.1a.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OLpJYMQFEeOgn-oVX1O_Yw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OLpwcMQFEeOgn-oVX1O_Yw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pJmkoMQFEeOgn-oVX1O_Yw" name="descriptionLanguage" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_pJmkocQFEeOgn-oVX1O_Yw" annotatedElement="_pJmkoMQFEeOgn-oVX1O_Yw">
            <body>&quot;The language used in [descriptionInNativeLanguage]&quot; - ICH E2B(R3), E.i.1.1b.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pJmko8QFEeOgn-oVX1O_Yw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pJmkosQFEeOgn-oVX1O_Yw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dWMoAMQFEeOgn-oVX1O_Yw" name="descriptionTranslation" visibility="public">
          <ownedComment xmi:id="_dWMoAcQFEeOgn-oVX1O_Yw" annotatedElement="_dWMoAMQFEeOgn-oVX1O_Yw">
            <body>&quot;The original reporter's words and/or short phrases used to describe the reaction/event should be provided in an English translation for international transmission.&quot; - ICH E2B(R3), E.i.1.2.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dWMoA8QFEeOgn-oVX1O_Yw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dWMoAsQFEeOgn-oVX1O_Yw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7wu7AMQJEeOgn-oVX1O_Yw" name="duration" visibility="public" type="_420A62FD03B64239FAA800D9">
          <ownedComment xmi:id="_7wu7AcQJEeOgn-oVX1O_Yw" annotatedElement="_7wu7AMQJEeOgn-oVX1O_Yw">
            <body>&quot;This section will usually be computed from the start/end date and time of the reaction/event. However, there might be situations in which the precise duration of the reaction/event and date can be useful, such as for a reaction/event of short duration such as anaphylaxis or arrhythmia. In such a case, populate 1 data element for the date (start or end date) and this data element.&quot; - ICH E2B(R3), E.i.6a and E.i.6b.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7wu7A8QJEeOgn-oVX1O_Yw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7wu7AsQJEeOgn-oVX1O_Yw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zQh0gMQJEeOgn-oVX1O_Yw" name="endDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_zQh0gcQJEeOgn-oVX1O_Yw" annotatedElement="_zQh0gMQJEeOgn-oVX1O_Yw">
            <body>&quot;The reaction/event is reported as resolved/recovered or resolved/recoveredwithsequelae (E.i.7). When multiple terms are reported (e.g. diagnosis with signs and symptoms) and the reporter does not provide a specific stop date for each reaction/event, this data element should be populated with the end date of the last symptom.&quot; - ICH E2B(R3), E.i.5.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zQh0g8QJEeOgn-oVX1O_Yw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zQh0gsQJEeOgn-oVX1O_Yw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kkvgEMQKEeOgn-oVX1O_Yw" name="outcomeAtLastObservation" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_kkvgEcQKEeOgn-oVX1O_Yw" annotatedElement="_kkvgEMQKEeOgn-oVX1O_Yw">
            <body>&quot;The latest outcome of the reaction / event at the time of the report. In case of irreversible congenital anomalies, the choice not recovered/not resolved/ongoing should be used. For other irreversible medical conditions, recovered/resolved with sequelae should be used. Fatal should be used when death is possibly related to the reaction/event. Considering the difficulty of deciding between Reaction/event caused death and Reaction/event contributed significantly to death, both concepts are grouped in a single category. Where the death is unrelated to the reaction/event, according to both the reporter and the sender, Fatal should NOT be selected here; nevertheless, death should be reported under Section D.9.&quot; - ICH E2B(R3), E.i.7.  Possible values include: Recovered/resolved; Recovering/resolving; Not recovered/not resolved/ongoing; Recovered/resolved with sequelae; Fatal; Unknown.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kkvgE8QKEeOgn-oVX1O_Yw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kkvgEsQKEeOgn-oVX1O_Yw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_A3O3kMQGEeOgn-oVX1O_Yw" name="reactionOrEventType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_A3O3kcQGEeOgn-oVX1O_Yw" annotatedElement="_A3O3kMQGEeOgn-oVX1O_Yw">
            <body>&quot;The [code] most closely corresponding to the reaction/event as reported by the primary source. In the exceptional circumstance when a ... term cannot be found, the sender should use clinical judgment to complete this item with the best ... approximation&quot; - ICH E2B(R3), E.i.2.1a and E.i.2.1b (MedDRA version and code).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_A3O3k8QGEeOgn-oVX1O_Yw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_A3O3ksQGEeOgn-oVX1O_Yw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DAibgMQIEeOgn-oVX1O_Yw" name="seriousness" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_DAibgcQIEeOgn-oVX1O_Yw" annotatedElement="_DAibgMQIEeOgn-oVX1O_Yw">
            <body>&quot;A highlighted term is a reaction/event that the primary source indicated was a major concern or reason for reporting the case. If the information is not explicitly provided by the initial reporter the term should not be considered a highlighted term. This data element should be populated only if the medical concept conveyed in E.i.1 is consistent with the reason why the reporter contacted the sender. For example, this data element can be used to indicate the specific diagnosis that was identified by the reporter. Suppose the reporter specifies flu-like syndrome comprising of fever, chills, sneezing, myalgia and headache, then flu-like syndrome is the highlighted term. If only one event is cited in a case report, this one is by implication considered highlighted by the reporter. It is assumed that the event seriousness is provided by the reporter; otherwise, it is assessed by the sender.&quot; - ICH E2B(R3), E.i.3.1.  Possible values include: Yes, highlighted by the reporter, NOT serious; No, not highlighted by the reporter, NOT serious; Yes, highlighted by the reporter, SERIOUS; No, not highlighted by the reporter, SERIOUS.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DAibg8QIEeOgn-oVX1O_Yw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DAibgsQIEeOgn-oVX1O_Yw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_iRkZAMQJEeOgn-oVX1O_Yw" name="startDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_iRkZAcQJEeOgn-oVX1O_Yw" annotatedElement="_iRkZAMQJEeOgn-oVX1O_Yw">
            <body>&quot;The date of the start of the reaction/event. When multiple terms are reported (e.g. diagnosis with signs and symptoms) and the reporter does not provide a specific onset date for each reaction/event, this data element should be populated with the start date of the first symptom.&quot; - ICH E2B(R3), E.i.4.&#xD;
MedWatch 3500 form question B.3.&#xD;
MedWatch 3500A form question B.3.&#xD;
MedWatch 3500B form question A.3.&#xD;
VAERS-1 form question 8, box 11.  Note that VAERS also includes the time of the event.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iRkZA8QJEeOgn-oVX1O_Yw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iRkZAsQJEeOgn-oVX1O_Yw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_sKV_gMQKEeOgn-oVX1O_Yw" name="wasConfirmedByMedicalProfessional" visibility="public">
          <ownedComment xmi:id="_sKV_gcQKEeOgn-oVX1O_Yw" annotatedElement="_sKV_gMQKEeOgn-oVX1O_Yw">
            <body>&quot;If an event is reported by a non healthcare professional (e.g. lawyers, consumers), this data element indicates whether the occurrence of the event was subsequently confirmed by a healthcare professional. If the healthcare professional also provides an assessment of causality (related or not to the suspect drug), that should be recorded in G.k.9. [Note that] False means the event is not confirmed, it does not mean the event did not occur&quot;. - ICH E2B(R3), E.i.8.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sKV_g8QKEeOgn-oVX1O_Yw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sKV_gsQKEeOgn-oVX1O_Yw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_nFwBEMQGEeOgn-oVX1O_Yw" memberEnd="_nFzrcMQGEeOgn-oVX1O_Yw _nF2HsMQGEeOgn-oVX1O_Yw">
        <ownedEnd xmi:id="_nF2HsMQGEeOgn-oVX1O_Yw" name="" visibility="public" type="_bU0lMKYAEeOpGqPhI0EtmQ" association="_nFwBEMQGEeOgn-oVX1O_Yw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_nq8lkMQWEeOgn-oVX1O_Yw" name="RelevantLabResult">
        <ownedAttribute xmi:id="_RHbf4MQXEeOgn-oVX1O_Yw" name="labTest" visibility="public" type="_NglJMH8AEd-6KMbY3gBFOQ" association="_RHa40MQXEeOgn-oVX1O_Yw">
          <ownedComment xmi:id="_EGbkYAFEEeS53tTqzkwERQ" annotatedElement="_RHbf4MQXEeOgn-oVX1O_Yw">
            <body>Pointer to the laboratory results which are relevant to the case being reported.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RHcG8MQXEeOgn-oVX1O_Yw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RHcuAMQXEeOgn-oVX1O_Yw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KySJcMQcEeOgn-oVX1O_Yw" name="comment" visibility="public">
          <ownedComment xmi:id="_KySJccQcEeOgn-oVX1O_Yw" annotatedElement="_KySJcMQcEeOgn-oVX1O_Yw">
            <body>&quot;Any relevant comments made by the reporter about the test result.&quot; - ICH E2B(R3), F.r.6.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MeQjEMQcEeOgn-oVX1O_Yw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MeRKIMQcEeOgn-oVX1O_Yw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rP2oAMQcEeOgn-oVX1O_Yw" name="isMoreInfoAvailable" visibility="public">
          <ownedComment xmi:id="_rP2oAcQcEeOgn-oVX1O_Yw" annotatedElement="_rP2oAMQcEeOgn-oVX1O_Yw">
            <body>&quot;Indicates if more information is held by the sender about the test and test result. For example, True means that more documentation is available upon request e.g. ECG strips, chest X-ray. False means that no more documentation is available from the sender.&quot; - ICH E2B(R3), F.r.7.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rP2oA8QcEeOgn-oVX1O_Yw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rP2oAsQcEeOgn-oVX1O_Yw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_PvgDoMQXEeOgn-oVX1O_Yw" memberEnd="_PvhRwMQXEeOgn-oVX1O_Yw _PvjG8MQXEeOgn-oVX1O_Yw">
        <ownedEnd xmi:id="_PvjG8MQXEeOgn-oVX1O_Yw" name="" visibility="public" type="_fLjmMKYAEeOpGqPhI0EtmQ" association="_PvgDoMQXEeOgn-oVX1O_Yw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_RHa40MQXEeOgn-oVX1O_Yw" memberEnd="_RHbf4MQXEeOgn-oVX1O_Yw _RHdVEMQXEeOgn-oVX1O_Yw">
        <ownedEnd xmi:id="_RHdVEMQXEeOgn-oVX1O_Yw" name="" visibility="public" type="_nq8lkMQWEeOgn-oVX1O_Yw" association="_RHa40MQXEeOgn-oVX1O_Yw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_UB0qsMZXEeO3A-bWZE-Gbg" name="ProductRole">
        <ownedComment xmi:id="_i6MXsMZYEeO3A-bWZE-Gbg" annotatedElement="_UB0qsMZXEeO3A-bWZE-Gbg">
          <body>This class provides information on the medical product(s) (i.e., medical device or drug) that is either suspected to have caused an adverse event, or that was in use at the time of the adverse event and which may or may not have contributed to the event.  Note that this class is used to navigate from the Case Safety Report to observations about the drug or device, which in turn point to the drug and device classes.&#xD;
&quot;The characterisation of the drug role as provided by the primary reporter or, if this information is missing, by the sender. All spontaneous reports should have at least one suspect drug....&quot;  - ICH E2B(R3), G.k.1.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_BcS4AMZtEeO3A-bWZE-Gbg" name="actionTaken" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_BcS4AcZtEeO3A-bWZE-Gbg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_BcUGIMZtEeO3A-bWZE-Gbg" annotatedElement="_BcS4AMZtEeO3A-bWZE-Gbg">
            <body>If the product in question is a drug, this property describes what changes were made to the drug administration as a result of the adverse event.  This property is not used when the product is a device.&#xD;
&quot;The action taken with the drug as a result of the reaction(s) / event(s). The value Drug withdrawn, taken together with the Outcome of Reaction /Event at the Time of Last Observation (E.i.7), describe the dechallenge. Not applicable should be used in circumstances such as when the patient has died or the treatment had been completed prior to reaction(s) /event(s) or the Characterisation of Drug Role (G.k.1) is Drug Not Administered. When Not applicable is used, details should be captured in Section H.&quot;  - ICH E2B(R3), G.k.8.  Possible values include: Drug withdrawn; Dose reduced; Dose increased; Dose not changed; Unknown; Not applicable.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BcUtMcZtEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BcUtMMZtEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZsYQIMcPEeOBW4YmAVz6EQ" name="additionalInformationCoded" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ZsYQIccPEeOBW4YmAVz6EQ" annotatedElement="_ZsYQIMcPEeOBW4YmAVz6EQ">
            <body>&quot;Any additional information pertinent to the case that is not covered by the sections above.&quot; - ICH E2B(R3), G.k.10.r.  Possible values include: Counterfeit; Overdose; Drug taken by the father; Drug taken beyond expiry date; Batch and lot tested and found within specifications; Batch and lot tested and found not within specifications; Medication error; Misuse; Abuse; Occupational exposure; Off label use.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZsYQI8cPEeOBW4YmAVz6EQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZsYQIscPEeOBW4YmAVz6EQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_g6VroMcPEeOBW4YmAVz6EQ" name="additionalInformationText" visibility="public">
          <ownedComment xmi:id="_g6VroccPEeOBW4YmAVz6EQ" annotatedElement="_g6VroMcPEeOBW4YmAVz6EQ">
            <body>&quot;Any additional drug information in free text format not described in G.k.10.r. For example, expiry date for the lot number described in G.k.4.r.7 would be captured in this data element.&quot; - ICH E2B(R3), G.k.11.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_g6Vro8cPEeOBW4YmAVz6EQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_g6VroscPEeOBW4YmAVz6EQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JBTfYMZeEeO3A-bWZE-Gbg" name="countryWhereObtained" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_RXzQQMZeEeO3A-bWZE-Gbg" annotatedElement="_JBTfYMZeEeO3A-bWZE-Gbg">
            <body>&quot;The country where the medicinal was obtained.&quot;  - ICH E2B(R3), G.k.2.4&#xD;
Note that this property is included for compatibility to the ICH and the ICSR, but does not appear to be currently needed by U.S. Federal agencies, therefore, the cardinality of this property has been set to zero.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_K0CoUMZeEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_K0DPYMZeEeO3A-bWZE-Gbg"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MTsHEMZnEeO3A-bWZE-Gbg" name="cumulativeDose" visibility="public" type="_420A62FD03B641886F630221">
          <eAnnotations xmi:id="_MTsHEcZnEeO3A-bWZE-Gbg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_MTsHE8ZnEeO3A-bWZE-Gbg" annotatedElement="_MTsHEMZnEeO3A-bWZE-Gbg">
            <body>&quot;The cumulative dose administered until the onset of the first sign, symptom or reaction/event.&quot;  - ICH E2B(R3), G.k.5a and G.k.5b.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MTsHFcZnEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MTsHFMZnEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4bvpwKCqEeO-_tuxzOR0Jg" name="dateReturnedToMfr" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PU7oAKCrEeO-_tuxzOR0Jg" annotatedElement="_4bvpwKCqEeO-_tuxzOR0Jg">
            <body>If the product was returned to manufacturer, this property will contain the date it was returned.&#xD;
MedWatch 3500 form question C.1.&#xD;
MedWatch 3500A form question D.10.&#xD;
(note that the MedWatch 3500B and the VAERS-1 forms do not have this element).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FjwHgMZrEeO3A-bWZE-Gbg" name="gestationalAgeAtExposure" visibility="public" type="_420A62FD03B64239FAA800D9">
          <eAnnotations xmi:id="_aEfAoMZrEeO3A-bWZE-Gbg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_FjwHgcZrEeO3A-bWZE-Gbg" annotatedElement="_FjwHgMZrEeO3A-bWZE-Gbg">
            <body>&quot;The gestational age at the time of the earliest exposure.&quot;  - ICH E2B(R3), G.k.6a and G.k.6b.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XK2hEMZrEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XK3IIMZrEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SudUIKChEeO-_tuxzOR0Jg" name="indication" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_ydvDcMZrEeO3A-bWZE-Gbg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_SudUIaChEeO-_tuxzOR0Jg" annotatedElement="_SudUIKChEeO-_tuxzOR0Jg">
            <body>Identifies what the medication was intended to treat (i.e., diagnosis).&#xD;
&#xD;
&quot;The indication of the medicinal product.&quot;  - ICH E2B(R3), G.k.7.r.2a and G.k.7.r.2b.&#xD;
&#xD;
Medwatch 3500 form question D.4; Medwatch 3500A form question C.4; Medwatch 3500B form question B.12.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zHDGMMZrEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zHDGMcZrEeO3A-bWZE-Gbg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ByzwAMZsEeO3A-bWZE-Gbg" name="indicationText" visibility="public">
          <eAnnotations xmi:id="_ByzwAcZsEeO3A-bWZE-Gbg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_ByzwA8ZsEeO3A-bWZE-Gbg" annotatedElement="_ByzwAMZsEeO3A-bWZE-Gbg">
            <body>&quot;The original reporter's words and / or short phrases used to describe the indication for drug use in an English translation for international transmission.&quot;  - ICH E2B(R3), G.k.7.r.1.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ByzwBcZsEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ByzwBMZsEeO3A-bWZE-Gbg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_vMazcKCqEeO-_tuxzOR0Jg" name="isAvailableForEvaluation" visibility="public" type="_9ctJ0OHzEeOvYf8YyVApvg">
          <ownedComment xmi:id="_OZZz4KCrEeO-_tuxzOR0Jg" annotatedElement="_vMazcKCqEeO-_tuxzOR0Jg">
            <body>Is the product available for evaluation by the FDA?  Possible answers are: Yes; No; Returned to manufacturer.  If Returned to Manufacturer is selected, the date returned to manufacturer should be valued.&#xD;
MedWatch 3500 form question C.1.&#xD;
MedWatch 3500A form question D.10.&#xD;
MedWatch 3500B form question B.15 (note that the 3500B only has yes or no).&#xD;
(note that the VAERS-1 form does not have this element).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KHr_8OH6EeOvYf8YyVApvg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KHsnAOH6EeOvYf8YyVApvg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gdW6IMZeEeO3A-bWZE-Gbg" name="isBlinded" visibility="public">
          <eAnnotations xmi:id="_S1PCIMZfEeO3A-bWZE-Gbg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_gdW6IcZeEeO3A-bWZE-Gbg" annotatedElement="_gdW6IMZeEeO3A-bWZE-Gbg">
            <body>&quot;This data element is applicable only to ICSRs from clinical trials. The ICH E2A guideline recommends that the case safety reports with blinded therapy should not be reported. However, if it is important to exchange a blinded case safety report during a clinical trial, this data element should be used as follows: until the investigational product is un-blinded, the status Blinded should be indicated by using True in this data element. When this data element is True, Section G.k.2 Drug Identification should be populated with the characteristics of the investigational product. When more than one investigational product is potentially suspect, each suspect product should be represented in separate G.k blocks. After un-blinding, if appropriate, Placebo should be reported in G.k.2.3.r as a suspect drug.&quot;  - ICH E2B(R3), G.k.2.5</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gdW6I8ZeEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gdW6IsZeEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xuOsYMZbEeO3A-bWZE-Gbg" name="productNameReported" visibility="public">
          <ownedComment xmi:id="_FwtjQMZcEeO3A-bWZE-Gbg" annotatedElement="_xuOsYMZbEeO3A-bWZE-Gbg">
            <body>&quot;The name of the medicinal product as used by the reporter. It is recognized that a single product can have different proprietary names in different countries, even when it is produced by a single manufacturer.&quot;  - ICH E2B(R3), G.k.2.2.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GL_KAMZcEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GL_xEMZcEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XhPicMZYEeO3A-bWZE-Gbg" name="productRole" visibility="public" type="_oxQ74OH7EeOvYf8YyVApvg">
          <ownedComment xmi:id="_2FFXQAFIEeS53tTqzkwERQ" annotatedElement="_XhPicMZYEeO3A-bWZE-Gbg">
            <body>&quot;The characterisation of the drug role as provided by the primary reporter or, if this information is missing, by the sender. All spontaneous reports should have at least one suspect drug.... If the reporter indicates a suspected interaction with other drug(s), Interacting should be selected for all suspected interacting drug(s). If an interaction is suspected with food or other non-drug compounds, Interacting should be selected for the suspect drug. For evaluation purposes, all interacting drugs are considered to be suspect drugs....  Drug not administered can be used in two circumstances: In clinical trial: if the adverse event occurred after the informed consent was signed but prior to the administration of the study drug (e.g. during the screening period or the washout procedure), the adverse event should in general be reported as per the trial procedure....  Medication error: if the patient did not receive the actual prescribed drug but another one, repeatable Sections G should be completed with the information about the prescribed drug (including the fact that it was not administered), as well as the information on the dispensed drug as the Suspect drug....&quot;  - ICH E2B(R3), G.k.1.  Possible values include: Suspect; Concomitant; Interacting; Drug Not Administered.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Ot0nIMcrEeOZtYCyLdZSXQ" name="deviceObservation" visibility="public" type="_M0P2YMcrEeOZtYCyLdZSXQ" association="_Otw8wMcrEeOZtYCyLdZSXQ">
          <ownedComment xmi:id="_ni5VoAFHEeS53tTqzkwERQ" annotatedElement="_Ot0nIMcrEeOZtYCyLdZSXQ">
            <body>Pointer to any medical devices (whether suspect or concommittant) used by the subject near the time of the adverse event occurred.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ot3qcMcrEeOZtYCyLdZSXQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ot4RgMcrEeOZtYCyLdZSXQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NRARkMcwEeOZtYCyLdZSXQ" name="drugObservation" visibility="public" type="_BSQnoMcwEeOZtYCyLdZSXQ" association="_NQ91UMcwEeOZtYCyLdZSXQ">
          <ownedComment xmi:id="_H755wAFHEeS53tTqzkwERQ" annotatedElement="_NRARkMcwEeOZtYCyLdZSXQ">
            <body>Pointer to any medicinal products (whether suspect or concommittant) given to or taken by the subject near the time of the adverse event occurred.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NRBfsMcwEeOZtYCyLdZSXQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NRBfsccwEeOZtYCyLdZSXQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_N6OioMcNEeOBW4YmAVz6EQ" name="productEventRelationship" visibility="public" type="_7IIAcMcKEeOBW4YmAVz6EQ" association="_N6NUgMcNEeOBW4YmAVz6EQ">
          <ownedComment xmi:id="_nSnIAAF1EeStzZ4W3o-kmA" annotatedElement="_N6OioMcNEeOBW4YmAVz6EQ">
            <body>Pointer to a structures that link a reaction or adverse event with the various medical products (medical devices and/or drugs) that were being used by the patient, and provides an assessment of whether the reaction / adverse event may have been caused by or exacerbated by the product.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N6PJsMcNEeOBW4YmAVz6EQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N6PJsccNEeOBW4YmAVz6EQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_-SbUIMZYEeO3A-bWZE-Gbg" memberEnd="_-Se-gMZYEeO3A-bWZE-Gbg _-ShawMZYEeO3A-bWZE-Gbg">
        <ownedEnd xmi:id="_-ShawMZYEeO3A-bWZE-Gbg" name="" visibility="public" type="_bU0lMKYAEeOpGqPhI0EtmQ" association="_-SbUIMZYEeO3A-bWZE-Gbg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_rdmRQMZaEeO3A-bWZE-Gbg" memberEnd="_rdnfYMZaEeO3A-bWZE-Gbg _rdpUkMZaEeO3A-bWZE-Gbg">
        <ownedEnd xmi:id="_rdpUkMZaEeO3A-bWZE-Gbg" name="" visibility="public" type="_BSQnoMcwEeOZtYCyLdZSXQ" association="_rdmRQMZaEeO3A-bWZE-Gbg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_s3WAgMZcEeO3A-bWZE-Gbg" memberEnd="_s3XOoMZcEeO3A-bWZE-Gbg _s3YcwMZcEeO3A-bWZE-Gbg">
        <ownedEnd xmi:id="_s3YcwMZcEeO3A-bWZE-Gbg" name="" visibility="public" type="_BSQnoMcwEeOZtYCyLdZSXQ" association="_s3WAgMZcEeO3A-bWZE-Gbg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_sRI_UMZgEeO3A-bWZE-Gbg" name="DrugDosage">
        <ownedComment xmi:id="_hsuo8AFGEeS53tTqzkwERQ" annotatedElement="_sRI_UMZgEeO3A-bWZE-Gbg">
          <body>Contains information describing the amount, timing, and route of administration of medicinal products (whether suspect or concommittant) given to or taken by the subject near the time of the adverse event occurred.  Corresponds to ICH E2B(R3), G.k.4.r.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_WkODEMZkEeO3A-bWZE-Gbg" name="dosageText" visibility="public">
          <ownedComment xmi:id="_WkODEcZkEeO3A-bWZE-Gbg" annotatedElement="_WkODEMZkEeO3A-bWZE-Gbg">
            <body>&quot;Free text information when structured dosage information is not possible, or to provide more detail on structured dosage data elements. There is no need to duplicate information provided in the structured dosage data elements.&quot;  - ICH E2B(R3), G.k.4.r.8.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WkODE8ZkEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WkODEsZkEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_t_2eMKCgEeO-_tuxzOR0Jg" name="dose" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_H_6GwKChEeO-_tuxzOR0Jg" annotatedElement="_t_2eMKCgEeO-_tuxzOR0Jg">
            <body>The amount of medication taken at one time.&#xD;
&#xD;
&quot;The value (number) of each administered dose.&quot;  - ICH E2B(R3), G.k.4.r.1a&#xD;
&quot;The unit for the dose value in G.k.4.r.1a.&quot;  - ICH E2B(R3), G.k.4.r.1b&#xD;
&#xD;
Medwatch 3500 form question D.2; Medwatch 3500A form question C.2; Medwatch 3500B form question B.7.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FOuMUMZjEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FOuzYMZjEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5B4xIMZkEeO3A-bWZE-Gbg" name="drugFormText" visibility="public">
          <ownedComment xmi:id="_5B4xIcZkEeO3A-bWZE-Gbg" annotatedElement="_5B4xIMZkEeO3A-bWZE-Gbg">
            <body>&quot;Free text description of the pharmaceutical dose form when the Pharmaceutical Dose Form TermID is not available.&quot;  - ICH E2B(R3), G.k.4.r.9.1.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5B4xI8ZkEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5B4xIsZkEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EV0cKCiEeO-_tuxzOR0Jg" name="duration" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_-n3ucKCiEeO-_tuxzOR0Jg" annotatedElement="_5EV0cKCiEeO-_tuxzOR0Jg">
            <body>The length of time that the patient used the product, if known.  Used when exact dates are unknown.&#xD;
&quot;This section will usually be computed from the start/end date and time of the administration. However, there might be situations in which the precise duration of the drug administration can be useful, such as minutes or hours. Also, this item should be used in addition to dates if exact dates of drug administration are not available at the time of the report, but there is information concerning the duration of drug administration. In such a case, populate 1 data element for the date (start or end date) and this Section. The information requested is the overall duration of drug administration and covers intermittent administration.&quot;  - ICH E2B(R3), G.k.4.r.6a and G.k.4.r.6b.&#xD;
MedWatch 3500 form question D.3 (suspect medication); question F (concomitant medication)&#xD;
MedWatch 3500A form question C.3 (suspect medication); question C.10 (concomitant medication)&#xD;
MedWatch 3500B form question B.11 (suspect medication)&#xD;
(note that the VAERS-1 form does not have this element).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iZ334MZjEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iZ4e8MZjEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5psPIKCgEeO-_tuxzOR0Jg" name="frequency" visibility="public" type="_420A62FD03B64239FAA800D9">
          <ownedComment xmi:id="_EW8cAKChEeO-_tuxzOR0Jg" annotatedElement="_5psPIKCgEeO-_tuxzOR0Jg">
            <body>Indicates how often the medication is taken.&#xD;
&#xD;
&quot;The value (amount) for the time interval between each administered dose (G.k.4.r.1a and G.k.4.r.1b) If either G.k.4.r.2 or G.k.4.r.3 is unknown, both should be left blank unless the definition of the time interval unit is Cyclical, As necessary, or Total.&quot;  - ICH E2B(R3), G.k.4.r.2&#xD;
&quot;The UCUM code that best describes the unit for the dosing time interval (G.k.4.r.2). When a specific time interval for drug administration is not known, but is confirmed that the drug is used cyclically or as necessary, then Cyclical or As Necessary can be used in this data element. When the total amount of a drug is provided without any particular dose and dosing interval (e.g. in the case of an overdose), the quantity and unit (G.k.4.r.1a and G.k.4.r.1b) is provided along with Total in this data element (G.k.4.r.2 is left blank).&quot;  - ICH E2B(R3), G.k.4.r.3&#xD;
&#xD;
Medwatch 3500 form question D.2; Medwatch 3500A form question C.2; Medwatch 3500B form question B.8.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EYUv0MZjEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EYUv0cZjEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_OjW5EMZmEeO3A-bWZE-Gbg" name="parentRoute" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_OjW5EcZmEeO3A-bWZE-Gbg" annotatedElement="_OjW5EMZmEeO3A-bWZE-Gbg">
            <body>&quot;This data element captures the known route of administration of the drug as taken by the parent for the dosage described in G.k.4.r.1 to G.k.4.r.3.&quot;  - ICH E2B(R3), G.k.4.r.11.2a and G.k.4.r.11.2b.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QqdIcMZmEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QqdvgMZmEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_51rwIMZlEeO3A-bWZE-Gbg" name="parentRouteText" visibility="public">
          <ownedComment xmi:id="_EQrvYMZmEeO3A-bWZE-Gbg" annotatedElement="_51rwIMZlEeO3A-bWZE-Gbg">
            <body>&quot;Free text description of the route of administration when the Parent Route of Administration TermID is not available.&quot;  - ICH E2B(R3), G.k.4.r.11.1.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_51rwI8ZlEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_51rwIsZlEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_50X1IKCgEeO-_tuxzOR0Jg" name="route" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_DzAogKChEeO-_tuxzOR0Jg" annotatedElement="_50X1IKCgEeO-_tuxzOR0Jg">
            <body>Indicates how the medication is administered (e.g., by mouth, by injection, etc.).&#xD;
&#xD;
&quot;The route of administration.  For a parent-child/foetus report, this data element indicates the route of administration for the child/foetus (patient). This is usually an indirect exposure, such as transmammary, but can include more usual routes of administration for other drugs given to the child. The parent’s route of administration should be provided in G.k.4.r.11&quot;  - ICH E2B(R3), G.k.4.r.10.2a and G.k.4.r.10.2b&#xD;
&#xD;
Medwatch 3500 form question D.2; Medwatch 3500A form question C.2; Medwatch 3500B form question B.9.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TOcIIMZmEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TOcIIcZmEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VeBakMZlEeO3A-bWZE-Gbg" name="routeText" visibility="public">
          <ownedComment xmi:id="_VeBakcZlEeO3A-bWZE-Gbg" annotatedElement="_VeBakMZlEeO3A-bWZE-Gbg">
            <body>&quot;Free text description of the route of administration when the Route of Administration TermID is not available.&quot;  - ICH E2B(R3), G.k.4.r.10.1.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VeCBocZlEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VeCBoMZlEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EV0caCiEeO-_tuxzOR0Jg" name="startDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="__HwIYKCiEeO-_tuxzOR0Jg" annotatedElement="_5EV0caCiEeO-_tuxzOR0Jg">
            <body>The date the patient began to use the product, if known.&#xD;
&quot;The date and time when drug administration started.&quot;  - ICH E2B(R3), G.k.4.r.4&#xD;
MedWatch 3500 form question D.3 (suspect medication); question F (concomitant medication)&#xD;
MedWatch 3500A form question C.3 (suspect medication); question C.10 (concomitant medication)&#xD;
MedWatch 3500B form question B.10 (suspect medication)&#xD;
VAERS-1 form question 10 (suspect vaccine); question 14 (vaccines given within the past 4 weeks)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DRfDkMZjEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DRfqoMZjEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5EWbgKCiEeO-_tuxzOR0Jg" name="stopDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="__mbocKCiEeO-_tuxzOR0Jg" annotatedElement="_5EWbgKCiEeO-_tuxzOR0Jg">
            <body>The date the patient stopped using the product, if known.&#xD;
&quot;The date and time when drug administration ended. For ongoing drug administration after the onset of the reaction/event, this item should be blank....&quot;  - ICH E2B(R3), G.k.4.r.5&#xD;
MedWatch 3500 form question D.3 (suspect medication); question F (concomitant medication)&#xD;
MedWatch 3500A form question C.3 (suspect medication); question C.10 (concomitant medication)&#xD;
MedWatch 3500B form question B.11 (suspect medication)&#xD;
(note that the VAERS-1 form does not have this element).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_X5ozUMZjEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_X5paYMZjEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5CVkcMZhEeO3A-bWZE-Gbg" memberEnd="_5CWykMZhEeO3A-bWZE-Gbg _5CYAsMZhEeO3A-bWZE-Gbg">
        <ownedEnd xmi:id="_5CYAsMZhEeO3A-bWZE-Gbg" name="" visibility="public" type="_BSQnoMcwEeOZtYCyLdZSXQ" association="_5CVkcMZhEeO3A-bWZE-Gbg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_7IIAcMcKEeOBW4YmAVz6EQ" name="ProductEventRelationship">
        <ownedComment xmi:id="_YFbMIAF1EeStzZ4W3o-kmA" annotatedElement="_7IIAcMcKEeOBW4YmAVz6EQ">
          <body>This class links a reaction or adverse event with the various medical products (medical devices and/or drugs) that were being used by the patient, and provides an assessment of whether the reaction / adverse event may have been caused by or exacerbated by the product.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_rChSAMcOEeOBW4YmAVz6EQ" name="didReactionRecur" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_w1ogIMcOEeOBW4YmAVz6EQ" annotatedElement="_rChSAMcOEeOBW4YmAVz6EQ">
            <body>&quot;Indicates both if the patient was rechallenged with the drug and the known outcome. This data element should not be coded if it was not reported whether or not a rechallenge was done.&quot; - ICH E2B(R3), G.k.9.i.4.  Possible values include: Yes-Yes (rechallenge was done, reaction recurred); Yes-No (rechallenge was done, reaction did not recur); Yes-Unk (rechallenge was done, outcome unknown); No–N/A (no rechallenge was done, recurrence is not applicable).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gRFlMMcNEeOBW4YmAVz6EQ" name="timeFromAdminStart" visibility="public" type="_420A62FD03B64239FAA800D9">
          <ownedComment xmi:id="_9et9AMcNEeOBW4YmAVz6EQ" annotatedElement="_gRFlMMcNEeOBW4YmAVz6EQ">
            <body>&quot;The interval of time between the start of drug administration and the onset of the reaction. Even when other dates are provided, this data element is useful also to be transmitted for circumstances where, for example the interval is very short minutes, such as in anaphylaxis, or in which only imprecise dates are known but more information concerning the interval is known. If the sender wants to provide time intervals as well as dates, then the date of the first day of administration should be counted as Day 1 of the interval.&quot; - ICH E2B(R3), G.k.9.i.3.1a and G.k.9.i.3.1b.  Note that ICH requires that the unit of time measurement should come from UCUM.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_k0FPQMcNEeOBW4YmAVz6EQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_k0F2UMcNEeOBW4YmAVz6EQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_l9-PgMcNEeOBW4YmAVz6EQ" name="timeFromAdminStop" visibility="public" type="_420A62FD03B64239FAA800D9">
          <ownedComment xmi:id="_GQFE8McOEeOBW4YmAVz6EQ" annotatedElement="_l9-PgMcNEeOBW4YmAVz6EQ">
            <body>&quot;The interval of time between the end of drug administration and the onset of the reaction. Even when other dates are provided, this data element is useful also to be transmitted for circumstances where, for e.g. the interval is very short minutes, such as in anaphylaxis, or in which only imprecise dates are known but more information concerning the interval is known. If the sender wants to provide time intervals as well as dates, then the date of the last day of administration should be counted as Day 1 of the interval.&quot; - ICH E2B(R3), G.k.9.i.3.2a and G.k.9.i.3.2b.  Note that ICH requires that the unit of time measurement should come from UCUM.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_l9-PgscNEeOBW4YmAVz6EQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_l9-PgccNEeOBW4YmAVz6EQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PEogQMcNEeOBW4YmAVz6EQ" name="productEventAssessment" visibility="public" type="_ArtS4McNEeOBW4YmAVz6EQ" association="_PEnSIMcNEeOBW4YmAVz6EQ">
          <ownedComment xmi:id="_u9d64AF1EeStzZ4W3o-kmA" annotatedElement="_PEogQMcNEeOBW4YmAVz6EQ">
            <body>Pointer to an assessment of whether the reaction / adverse event may have been caused by or exacerbated by the product cited by the owning ProductEventRelationship class.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PEpHUMcNEeOBW4YmAVz6EQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PEpHUccNEeOBW4YmAVz6EQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NkgcMMcLEeOBW4YmAVz6EQ" name="reactionOrEvent" visibility="public" type="_8tnMQMQEEeOgn-oVX1O_Yw" association="_Nkcx0McLEeOBW4YmAVz6EQ">
          <ownedComment xmi:id="_f-RBwMcLEeOBW4YmAVz6EQ" annotatedElement="_NkgcMMcLEeOBW4YmAVz6EQ">
            <body>Pointer to the ReactionOrEvent for which an assessment of the causal relationship to the Drug is being made.&#xD;
&#xD;
&quot;Captures a technical reference within the message that is used to identify which reaction / event in Section E.i is being assessed. This is not a user entered element.&quot; - ICH E2B(R3), G.k.9.i.1.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NkhqUMcLEeOBW4YmAVz6EQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NkhqUccLEeOBW4YmAVz6EQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Nkcx0McLEeOBW4YmAVz6EQ" memberEnd="_NkgcMMcLEeOBW4YmAVz6EQ _Nki4cMcLEeOBW4YmAVz6EQ">
        <ownedEnd xmi:id="_Nki4cMcLEeOBW4YmAVz6EQ" name="" visibility="public" type="_7IIAcMcKEeOBW4YmAVz6EQ" association="_Nkcx0McLEeOBW4YmAVz6EQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_ArtS4McNEeOBW4YmAVz6EQ" name="ProductEventAssessment">
        <ownedComment xmi:id="_vj1-YAF1EeStzZ4W3o-kmA" annotatedElement="_ArtS4McNEeOBW4YmAVz6EQ">
          <body>An assessment of whether the reaction / adverse event may have been caused by or exacerbated by the product cited by the owning ProductEventRelationship class.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_SwSvIMcMEeOBW4YmAVz6EQ" name="method" visibility="public">
          <ownedComment xmi:id="_SwTWMMcMEeOBW4YmAVz6EQ" annotatedElement="_SwSvIMcMEeOBW4YmAVz6EQ">
            <body>&quot;The method of the assessment provided in G.k.9.i.2.r.3.For example global introspection, algorithm, Bayesian calculation, etc.&quot; - ICH E2B(R3), G.k.9.i.2.r.2.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VzvSAMcMEeOBW4YmAVz6EQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Vzv5EMcMEeOBW4YmAVz6EQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_mn9dIMcMEeOBW4YmAVz6EQ" name="result" visibility="public">
          <ownedComment xmi:id="_mn9dIccMEeOBW4YmAVz6EQ" annotatedElement="_mn9dIMcMEeOBW4YmAVz6EQ">
            <body>&quot;The result of the assessment for relatedness. The value will depend on the method used for the assessment&quot; - ICH E2B(R3), G.k.9.i.2.r.3.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mn9dI8cMEeOBW4YmAVz6EQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mn9dIscMEeOBW4YmAVz6EQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_A7LHsMcMEeOBW4YmAVz6EQ" name="source" visibility="public">
          <ownedComment xmi:id="_FYRlIMcMEeOBW4YmAVz6EQ" annotatedElement="_A7LHsMcMEeOBW4YmAVz6EQ">
            <body>&quot;The source of the assessment provided in G.k.9.i.2.r.3.&quot; - ICH E2B(R3), G.k.9.i.2.r.1.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XJargMcMEeOBW4YmAVz6EQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XJbSkMcMEeOBW4YmAVz6EQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_N6NUgMcNEeOBW4YmAVz6EQ" memberEnd="_N6OioMcNEeOBW4YmAVz6EQ _N6PwwMcNEeOBW4YmAVz6EQ">
        <ownedEnd xmi:id="_N6PwwMcNEeOBW4YmAVz6EQ" name="" visibility="public" type="_UB0qsMZXEeO3A-bWZE-Gbg" association="_N6NUgMcNEeOBW4YmAVz6EQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_PEnSIMcNEeOBW4YmAVz6EQ" memberEnd="_PEogQMcNEeOBW4YmAVz6EQ _PEpuYMcNEeOBW4YmAVz6EQ">
        <ownedEnd xmi:id="_PEpuYMcNEeOBW4YmAVz6EQ" name="" visibility="public" type="_7IIAcMcKEeOBW4YmAVz6EQ" association="_PEnSIMcNEeOBW4YmAVz6EQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_M0P2YMcrEeOZtYCyLdZSXQ" name="DeviceObservation">
        <ownedComment xmi:id="_lJJQAAFHEeS53tTqzkwERQ" annotatedElement="_M0P2YMcrEeOZtYCyLdZSXQ">
          <body>Contains information describing any medical devices (whether suspect or concommittant) used by the subject near the time of the adverse event occurred.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_uhpGMKCsEeO-_tuxzOR0Jg" name="dateImplanted" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_uhpGMaCsEeO-_tuxzOR0Jg" annotatedElement="_uhpGMKCsEeO-_tuxzOR0Jg">
            <body>The date the patient began to use the product.  Medwatch 3500 form question E.6; Medwatch 3500A form question D.6; Medwatch 3500B form question C.6.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_yVGJsKCsEeO-_tuxzOR0Jg" name="dateExplanted" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_yVGJsaCsEeO-_tuxzOR0Jg" annotatedElement="_yVGJsKCsEeO-_tuxzOR0Jg">
            <body>The date the patient stopped using the product.  Medwatch 3500 form question E.7; Medwatch 3500A form question D.7; Medwatch 3500B form question C.7.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-gyY0OH6EeOvYf8YyVApvg" name="deviceOperator" visibility="public" type="_eTLB0OH6EeOvYf8YyVApvg">
          <ownedComment xmi:id="_E5zJUOH7EeOvYf8YyVApvg" annotatedElement="_-gyY0OH6EeOvYf8YyVApvg">
            <body>Is this product meant to be used only one time (i.e., single-use), but was reprocessed and/or reused?  Medwatch 3500 form question E.8; Medwatch 3500A form question D.8.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F3p4sOH7EeOvYf8YyVApvg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F3qfwOH7EeOvYf8YyVApvg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_AFae8KCtEeO-_tuxzOR0Jg" name="deviceInstance" visibility="public" type="_MsausFCxEeCsN-3dTKIrUA" association="_AFZ34KCtEeO-_tuxzOR0Jg">
          <ownedComment xmi:id="_E_vZAKCvEeO-_tuxzOR0Jg" annotatedElement="_AFae8KCtEeO-_tuxzOR0Jg">
            <body>Pointer to the Device Instance (and therefore more generic information about the device product) that is suspected to have caused the adverse event, product problem, or product use error.&#xD;
Medwatch 3500A form question D.1 (brand name), D.2 (commond device name), D.2.b (Procom), 5, box 2.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AFbGAKCtEeO-_tuxzOR0Jg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AFbGAaCtEeO-_tuxzOR0Jg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bP4FIKCtEeO-_tuxzOR0Jg" name="otherUserText" visibility="public">
          <ownedComment xmi:id="_bP4FIaCtEeO-_tuxzOR0Jg" annotatedElement="_bP4FIKCtEeO-_tuxzOR0Jg">
            <body>Was the operator or user of the device neither the patient nor a healthcare professional?  If yes, the other user text should be valued.  Medwatch 3500 form question E.5; Medwatch 3500A form question D.5; Medwatch 3500B form question C.5.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CX768KYuEeO5e_SJFDwFbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CX8iAKYuEeO5e_SJFDwFbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_f34SYKMbEeOzLfgeAZKSFA" name="therapyStartDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_t7B3MKSTEeOi7v-AgUwKMQ" annotatedElement="_f34SYKMbEeOzLfgeAZKSFA">
            <body>Medwatch 3500A form question D.11.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_f345cKMbEeOzLfgeAZKSFA" name="therapyStopDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_xchA8KSTEeOi7v-AgUwKMQ" annotatedElement="_f345cKMbEeOzLfgeAZKSFA">
            <body>Medwatch 3500A form question D.11.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DVJcQKCrEeO-_tuxzOR0Jg" name="wasSingleUseReprocessed" visibility="public">
          <ownedComment xmi:id="_NUI08KCrEeO-_tuxzOR0Jg" annotatedElement="_DVJcQKCrEeO-_tuxzOR0Jg">
            <body>Is this product meant to be used only one time (i.e., single-use), but was reprocessed and/or reused?&#xD;
MedWatch 3500 form question E.8.&#xD;
MedWatch 3500A form question D.8.&#xD;
(note that the MedWatch 3500B and the VAERS-1 forms do not have this element).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Otw8wMcrEeOZtYCyLdZSXQ" memberEnd="_Ot0nIMcrEeOZtYCyLdZSXQ _Ot5foMcrEeOZtYCyLdZSXQ">
        <ownedEnd xmi:id="_Ot5foMcrEeOZtYCyLdZSXQ" name="" visibility="public" type="_UB0qsMZXEeO3A-bWZE-Gbg" association="_Otw8wMcrEeOZtYCyLdZSXQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_BSQnoMcwEeOZtYCyLdZSXQ" name="DrugObservation">
        <ownedComment xmi:id="_0Oes4AFGEeS53tTqzkwERQ" annotatedElement="_BSQnoMcwEeOZtYCyLdZSXQ">
          <body>Contains information describing any medicinal products (whether suspect or concommittant) given to or taken by the subject near the time of the adverse event occurred.  Corresponds to ICH E2B(R3), G.k.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_i0QoIKCjEeO-_tuxzOR0Jg" name="didEventAbate" visibility="public">
          <ownedComment xmi:id="_r3nfAKCjEeO-_tuxzOR0Jg" annotatedElement="_i0QoIKCjEeO-_tuxzOR0Jg">
            <body>Did the adverse event abate after the use of the suspect medication was stopped or the dose was reduced?  Medwatch 3500 form question D.5; Medwatch 3500A form question C.5; Medwatch 3500B form question B.13.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_i0RPMKCjEeO-_tuxzOR0Jg" name="didReappear" visibility="public">
          <ownedComment xmi:id="_y1kIkKCjEeO-_tuxzOR0Jg" annotatedElement="_i0RPMKCjEeO-_tuxzOR0Jg">
            <body>Did the adverse event reappear after the the suspect medication was reintroduced?  Medwatch 3500 form question D.8; Medwatch 3500A form question C.8; Medwatch 3500B form question B.14.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_M83gkMZfEeO3A-bWZE-Gbg" name="indHolderCountry" visibility="public">
          <eAnnotations xmi:id="_S1LXwMZfEeO3A-bWZE-Gbg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_M83gkcZfEeO3A-bWZE-Gbg" annotatedElement="_M83gkMZfEeO3A-bWZE-Gbg">
            <body>&quot;The country where the drug was authorised when the case report is sent to that country if known.&quot;  - ICH E2B(R3), G.k.3.2</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_M83gk8ZfEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_M83gksZfEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_M5hRoMZfEeO3A-bWZE-Gbg" name="indHolderName" visibility="public">
          <eAnnotations xmi:id="_S1N0AMZfEeO3A-bWZE-Gbg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_M5hRocZfEeO3A-bWZE-Gbg" annotatedElement="_M5hRoMZfEeO3A-bWZE-Gbg">
            <body>&quot;The name of the licence holder as indicated on the package.&quot;  - ICH E2B(R3), G.k.3.3</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_M5hRo8ZfEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_M5hRosZfEeO3A-bWZE-Gbg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Bq_TsOeAEd6qdqXtvR-ZHQ" name="lastFillDate" visibility="public" type="_420A62FD03B64244824602F5"/>
        <ownedAttribute xmi:id="_TNMmO-eAEd6qdqXtvR-ZHQ" name="nbrOfPreviousDoses" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_EsadUOeAEd6qdqXtvR-ZHQ" name="sig" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5CWykMZhEeO3A-bWZE-Gbg" name="drugDosage" visibility="public" type="_sRI_UMZgEeO3A-bWZE-Gbg" association="_5CVkcMZhEeO3A-bWZE-Gbg">
          <ownedComment xmi:id="_rWFI0AFGEeS53tTqzkwERQ" annotatedElement="_5CWykMZhEeO3A-bWZE-Gbg">
            <body>Pointer to information describing the amount, timing, and route of administration of medicinal products (whether suspect or concommittant) given to or taken by the subject near the time of the adverse event occurred.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5CXZoMZhEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5CXZocZhEeO3A-bWZE-Gbg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_s3XOoMZcEeO3A-bWZE-Gbg" name="drugIngredient" visibility="public" type="_jToVcM_3Ed-YeMSrwW6svA" association="_s3WAgMZcEeO3A-bWZE-Gbg">
          <ownedComment xmi:id="_w0QiAMZcEeO3A-bWZE-Gbg" annotatedElement="_s3XOoMZcEeO3A-bWZE-Gbg">
            <body>Pointer to the active ingredient(s) of the drug.  Used only if the medicinalProduct or the pharmaceuticalProduct are not known.- ICH E2B(R3), G.k.2.3.r</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_s3X1sMZcEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_s3X1scZcEeO3A-bWZE-Gbg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xwfVkFo5EeCkLsazfN-tCQ" name="medicinalProduct" visibility="public" type="_oDnb8AF2EeC0SO5AWIN0Qg" association="_xwWLoFo5EeCkLsazfN-tCQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xwfVkVo5EeCkLsazfN-tCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xwfVklo5EeCkLsazfN-tCQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rdnfYMZaEeO3A-bWZE-Gbg" name="pharmaceuticalProduct" visibility="public" type="_9SrG0M_2Ed-YeMSrwW6svA" association="_rdmRQMZaEeO3A-bWZE-Gbg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rdoGcMZaEeO3A-bWZE-Gbg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rdoGccZaEeO3A-bWZE-Gbg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oY2ZcKCgEeO-_tuxzOR0Jg" name="medicinalProductInstance" visibility="public" type="_420A62FD03B64592E9E3037C" association="_oYyvEKCgEeO-_tuxzOR0Jg">
          <ownedComment xmi:id="_VpqPEKCjEeO-_tuxzOR0Jg" annotatedElement="_oY2ZcKCgEeO-_tuxzOR0Jg">
            <body>Medwatch 3500A form question C.1 (name), C.6 (lot), C.7 (exp date), C.9 (ndc)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oY3nkKCgEeO-_tuxzOR0Jg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oY3nkaCgEeO-_tuxzOR0Jg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_NQ91UMcwEeOZtYCyLdZSXQ" memberEnd="_NRARkMcwEeOZtYCyLdZSXQ _NRCt0McwEeOZtYCyLdZSXQ">
        <ownedEnd xmi:id="_NRCt0McwEeOZtYCyLdZSXQ" name="" visibility="public" type="_UB0qsMZXEeO3A-bWZE-Gbg" association="_NQ91UMcwEeOZtYCyLdZSXQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_nyUJ4N0lEeO-i5D4AF-iXg" name="enumAESeriousness">
        <ownedComment xmi:id="_VGn04N0nEeO-i5D4AF-iXg" annotatedElement="_nyUJ4N0lEeO-i5D4AF-iXg">
          <body>&quot;The seriousness criteria of the reaction/event should be based on the definitions provided in the ICH E2A and E2D guidelines. More than one seriousness criteria can be chosen. If the event is not serious, all of these data elements should be left blank. It is assumed that the event seriousness is provided by the reporter; otherwise, it is assessed by the sender. In cases of foetal demise such as miscarriage, (where the ICSR should be prepared only for the parent), the seriousness criterion is Other medically important condition. Furthermore, depending if the parent experienced complications, the seriousness criterion could also include Life-threatening and/or Hospitalisation.&quot; - ICH E2B(R3), E.i.3.2.</body>
        </ownedComment>
        <ownedLiteral xmi:id="_vMIQEN0lEeO-i5D4AF-iXg" name="resultedInDeath">
          <ownedComment xmi:id="_y1imwN0lEeO-i5D4AF-iXg" annotatedElement="_vMIQEN0lEeO-i5D4AF-iXg">
            <body>Indicates that the report subject died as a result of the Adverse Reaction or Event. - ICH E2B(R3), E.i.3.2a.&#xD;
MedWatch 3500 form question B.2, box 1.&#xD;
MedWatch 3500A form question B.2, box 1.&#xD;
MedWatch 3500B form question A.2, box 6.&#xD;
VAERS-1 form question 8, box 1.</body>
          </ownedComment>
        </ownedLiteral>
        <ownedLiteral xmi:id="_06I7wN0lEeO-i5D4AF-iXg" name="lifeThreatening">
          <ownedComment xmi:id="_6PSbgN0lEeO-i5D4AF-iXg" annotatedElement="_06I7wN0lEeO-i5D4AF-iXg">
            <body>Did a life-threatening condition occur as an outcome attributed to the Adverse Event?  - ICH E2B(R3), E.i.3.2b.&#xD;
MedWatch 3500 form question B.2, box 2.&#xD;
MedWatch 3500A form question B.2, box 2.&#xD;
MedWatch 3500B form question A.2, box 5.&#xD;
VAERS-1 form question 8, box 2.</body>
          </ownedComment>
        </ownedLiteral>
        <ownedLiteral xmi:id="_7p3jIN0lEeO-i5D4AF-iXg" name="causedOrProlongedHospitalization">
          <ownedComment xmi:id="_PeHwwN0mEeO-i5D4AF-iXg" annotatedElement="_7p3jIN0lEeO-i5D4AF-iXg">
            <body>Was hospitalization required (either initial, or if already hospitalized, a prolonged stay) as an outcome attributed to the Adverse Event? - ICH E2B(R3), E.i.3.2c.&#xD;
MedWatch 3500 form question B.2, box 3.&#xD;
MedWatch 3500A form question B.2, box 3.&#xD;
MedWatch 3500B form question A.2, box 1.&#xD;
VAERS-1 form question 8, box 4.</body>
          </ownedComment>
        </ownedLiteral>
        <ownedLiteral xmi:id="__e4F0N0lEeO-i5D4AF-iXg" name="disablingOrIncapacitating">
          <ownedComment xmi:id="_Q1l6AN0mEeO-i5D4AF-iXg" annotatedElement="__e4F0N0lEeO-i5D4AF-iXg">
            <body>Did some kind of disability or permanent damage occur as an outcome attributed to the Adverse Event? - ICH E2B(R3), E.i.3.2d.&#xD;
MedWatch 3500 form question B.2, box 5.&#xD;
MedWatch 3500A form question B.2, box 5.&#xD;
MedWatch 3500B form question A.2, box 3.&#xD;
VAERS-1 form question 8, box 6.</body>
          </ownedComment>
        </ownedLiteral>
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          <ownedComment xmi:id="_qmzOQN0mEeO-i5D4AF-iXg" annotatedElement="_nBab8N0mEeO-i5D4AF-iXg">
            <body>Did some kind of congenital anomaly or birth defect occur as an outcome attributed to the Adverse Event? - ICH E2B(R3), E.i.3.2e.&#xD;
MedWatch 3500 form question B.2, box 6.&#xD;
MedWatch 3500A form question B.2, box 6.&#xD;
MedWatch 3500B form question A.2, box 4.&#xD;
(note that the VAERS-1 form does not have this element).</body>
          </ownedComment>
        </ownedLiteral>
        <ownedLiteral xmi:id="_tCXRwN0mEeO-i5D4AF-iXg" name="otherImportantCondition">
          <ownedComment xmi:id="_xEgRgN0mEeO-i5D4AF-iXg" annotatedElement="_tCXRwN0mEeO-i5D4AF-iXg">
            <body>Did some other kind of serious outcomes occur that are attributable to the Adverse Event? - ICH E2B(R3), E.i.3.2f.&#xD;
MedWatch 3500 form question B.2, box 7.&#xD;
MedWatch 3500A form question B.2, box 7.&#xD;
MedWatch 3500B form question A.2, box 7.&#xD;
(note that the VAERS-1 form does not have this element).</body>
          </ownedComment>
        </ownedLiteral>
        <ownedLiteral xmi:id="_3UtEQN0mEeO-i5D4AF-iXg" name="requiredIntervention">
          <ownedComment xmi:id="_5gDhgN0mEeO-i5D4AF-iXg" annotatedElement="_3UtEQN0mEeO-i5D4AF-iXg">
            <body>Was some kind of intervention required in order to prevent permanent imparement or damage as an outcome attributed to the Adverse Event (used only when the product is a medical device)?  Note that this property is not in ICH, nor is it used in VAERS, because neither ICH nor VAERS are concerned with devices.&#xD;
MedWatch 3500 form question B.2, box 4.&#xD;
MedWatch 3500A form question B.2, box 4.&#xD;
MedWatch 3500B form question A.2, box 2.</body>
          </ownedComment>
        </ownedLiteral>
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      <packagedElement xmi:type="uml:Dependency" xmi:id="_mqd4IOKjEeO0o6n32HX83w" client="_rKUFAMAcEeOtTpsIhjiKCQ" supplier="_ecCeIOKjEeO0o6n32HX83w"/>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B6418AB45103D1" name="Allergies">
      <eAnnotations xmi:id="_L8WlpOLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_L8fvguLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_KpXOYFYuEeCNYNwvTI8hbQ">
        <body>Note that the Information Source hierarchy is in the Common domain, and is not shown here.</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6418BB10D01EB" name="IntoleranceCondition">
        <eAnnotations xmi:id="_L6j10-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_J99UwDlBEeCOabXzDmEF2w" annotatedElement="_420A62FD03B6418BB10D01EB">
          <body>Describes an observation of an &quot;Intolerance Condition&quot; of the Patient.  Intolerance Conditions are typically allergies, but the concept of an intolerance condition is broader than just allergies.  For example, an adverse reaction such as the patient becomes nauseous after taking a particular antibiotic is not an allergy, but may serve as a contra-indicator to the use of that antibiotic.  In general, Intolerance Conditions as caused by Food, Drugs, or some environmental factor such as mold, insect venom (i.e., bee stings), or pet dander.</body>
        </ownedComment>
        <generalization xmi:id="_dvymsOCMEeS8tqKBj1EYvQ" general="_420A62FD03B6421F8AD00244"/>
        <ownedAttribute xmi:id="_vcbScMIzEeGx0M-CyAbegA" name="alertDevice" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_2fOm0MIzEeGx0M-CyAbegA" annotatedElement="_vcbScMIzEeGx0M-CyAbegA">
            <body>&quot;Describes any type of allergy alert device the patient may be carrying or wearing.&quot; - HL7 Version 2.8, IAM-16.  HL7 Version 2 has the following suggested values (table 437): Bracelet; Necklace; Wallet Card.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zCk5wMIzEeGx0M-CyAbegA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zClg0MIzEeGx0M-CyAbegA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zyE4YOsuEeKoPIE7gccV1g" name="criticality" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_zyE4YesuEeKoPIE7gccV1g" annotatedElement="_zyE4YOsuEeKoPIE7gccV1g">
            <body>Provides an indication of the seriousness or intensity of a reaction that the patient would be expected to experience upon a further exposure to the Reactant.&#xD;
&#xD;
&quot;Indicates the general severity of the allergy&quot; - HL7 Version 2.8, AL1-4, IAM-4, and IAR-2.  HL7 Version 2 has the following suggested values (table 128): Severe; Moderate; Mild; Unknown.&#xD;
&quot;Estimate of the potential clinical harm, or seriousness, of the reaction to the identified Substance.&quot; - HL7 FHIR AllergyIntolerance.criticality&#xD;
&#xD;
The Common Terminology Criteria for Adverse Events (CTCAE) has the following values:&#xD;
Grade 1: Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated.&#xD;
Grade 2: Moderate; minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental ADL*.&#xD;
Grade 3: Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self care ADL**.&#xD;
Grade 4: Life-threatening consequences; urgent intervention indicated.&#xD;
Grade 5: Death related to AE.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zyE4Y-suEeKoPIE7gccV1g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zyE4YusuEeKoPIE7gccV1g" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_X776MN72EeSx5bpydj26Wg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(AllergyIntoloeranceCriticality)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qMUt0GuCEeCZQ_Ui4wPHHw" name="intoleranceCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_qMUt0WuCEeCZQ_Ui4wPHHw" annotatedElement="_qMUt0GuCEeCZQ_Ui4wPHHw">
            <body>Provides a categorization of the Intolerance Condtion.  Possible values are members of the SNOMED Allergy Event value set.  This property is required for Meaningful Use.&#xD;
&#xD;
&quot;Indicates a general allergy category (drug, food, pollen, etc.).&quot; - HL7 Version 2.8, AL1-2 and IAM-2.  HL7 Version 2 has the following suggested values (table 127): Drug allergy; Food allergy; Miscellaneous allergy; Miscellaneous contraindication; Environmental Allergy; Animal Allergy; Plant Allergy; Pollen Allergy.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qMUt02uCEeCZQ_Ui4wPHHw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qMUt0muCEeCZQ_Ui4wPHHw" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_6j0LIOdwEeSKGaa1qzZLJg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(IntoleranceCategory(HITSP))</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cANqIGYAEeCWgYu_gBZhWw" name="isAbsolutelyContraIndicated" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zs_h4N-cEeSLwbHBnRFGvw" name="lastOccurrence" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_A_hH4N-dEeSLwbHBnRFGvw" annotatedElement="_zs_h4N-cEeSLwbHBnRFGvw">
            <body>&quot;Represents the date and/or time of the last known occurence of a reaction event.&quot; - HL7 FHIR, AllergyIntolerance.lastOccurence.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6418BD7C9014C" name="mechanism" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_L6HJ4eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6418BD7C9014C">
            <body>Categorizes whether the underlying process (mechanism) of the Intolerance Condition is an Immunoglobulin-E (IgE)-mediated response, an exepected response to a pharmacologic substance, or unknown.    Allergy:  An allergy reaction must have symptoms (reaction) consistent with an actual allergy - rash, hives, severe swelling, redness, itchiness, difficulty breathing (due to swelling around breathing areas), etc.    Pharmacologic:  A pharmacologic reaction is an adverse event rather then an allergy.  It is a reaction based on the pharmacologic properties of the drug and has to do with a reaction that can be expected due to the pharmacologic activity of the drug. It can occur when the patient takes the right amount or an amount greater or less than the recommended doses.  Some examples are: an antidiarrheal agent (like Immodium) causing constipation, a laxative causing diarrhea, a beta blocker causing bradycardia (slow heart rate), furosemide (a diuretic) causing excessive urination, or a blood pressure medication causing low blood pressure (will be fully modeled in a subsequent phase).    Unknown:  An unknown reaction is a reaction experienced by the patient that cannot be explained by either of the other two mechanisms, for example, eating a pear and developing a cough or taking a blood pressure medication and developing right elbow pain. This type of reaction is consistent, disappears upon withdrawing the agent, and reappears when the agent or food item is restarted/eaten again.&#xD;
&#xD;
&quot;Contains the reason why the patient should not be exposed to a substance.&quot; - HL7 Version 2.8, IAM-9 and IAR-3.  HL7 Version 2 has the following suggested values (table 436): Adverse Reaction (Not otherwise classified); Allergy; Contraindication; Intolerance; Side Effect.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hJo6EPT_EdyH-osfS7enWw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hJo6EfT_EdyH-osfS7enWw" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_pP_7YN-YEeSLwbHBnRFGvw" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(Mechanism)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_t_VCcGX9EeCWgYu_gBZhWw" name="reactant" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_1Q-EEGX9EeCWgYu_gBZhWw" annotatedElement="_t_VCcGX9EeCWgYu_gBZhWw">
            <body>Identifies the substance to which the patient has an intolerance or allergy.  The reactant will point to a value set, which will be a superset of valuesets for Drug Product, Drug Class, Ingredient, Food Product, and Environmental reactants.&#xD;
&#xD;
&quot;Uniquely identifies a particular allergen.&quot; - HL7 Version 2.8, AL1-3 and IAM-3&#xD;
&quot;Identifies the specific allergic reaction that was documented.&quot; - HL7 Version 2.8, IAR-1.&#xD;
&quot;Identification of a substance, or a class of substances, that is considered to be responsible for the Adverse reaction risk.&quot; - HL7 FHIR AllergyIntolerance.substance</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_JuNQMN72EeSx5bpydj26Wg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(Reactant)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CeA3sGX_EeCWgYu_gBZhWw" name="reactantCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Tpa28GYDEeCWgYu_gBZhWw" annotatedElement="_CeA3sGX_EeCWgYu_gBZhWw">
            <body>Categorizes the reactant to which the patient has demonstrated an intolerance or an allergy.  Possible values include Drug Product, Drug Class, Ingredient, Food Product, and Environmental.  Note that this property may contain more than one value.&#xD;
&quot;Category of the identified Substance.&quot; - HL7 FHIR, AllergyIntolerance.category.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ThRkYGX_EeCWgYu_gBZhWw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ThSLcGX_EeCWgYu_gBZhWw" value="*"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_4xdcsOdwEeSKGaa1qzZLJg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(AllergyIntoleranceCategory)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_66MPAGYAEeCWgYu_gBZhWw" name="reaction" visibility="public" type="_KXfzkEUdEeCUY8hq_icSiw" association="_66KZ0GYAEeCWgYu_gBZhWw">
          <ownedComment xmi:id="_C1KQ4PDJEeO_Te8vAbT_YQ" annotatedElement="_66MPAGYAEeCWgYu_gBZhWw">
            <body>Pointer to a set of Observation(s) of any adverse physiological response(s) attributed to the exposure of the Patient to the given substance.&#xD;
&quot;Reactions associated with the sensitivity.&quot; - HL7 FHIR Allergy resource.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_66NdIGYAEeCWgYu_gBZhWw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_66NdIWYAEeCWgYu_gBZhWw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SkwrYPDLEeO_Te8vAbT_YQ" name="sensitivityTest" visibility="public" type="_PHEucPDJEeO_Te8vAbT_YQ" association="_SkvdQPDLEeO_Te8vAbT_YQ">
          <ownedComment xmi:id="_Tdu6wPDLEeO_Te8vAbT_YQ" annotatedElement="_SkwrYPDLEeO_Te8vAbT_YQ">
            <body>Pointer to a set of Observation(s) (i.e., tests) performed in order to confirm (or refute) the sensitivity, and/or to determine the mechanism of the sensitivity.&#xD;
&quot;Observations that confirm or refute the sensitivity.&quot; - HL7 FHIR Allergy resource.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SkxScPDLEeO_Te8vAbT_YQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SkxScfDLEeO_Te8vAbT_YQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Mm8tUDO8EeCBme_1raFDzg" name="IntoleranceConditionList">
        <eAnnotations xmi:id="_20IL4Dk6EeCOabXzDmEF2w" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_20Iy8Dk6EeCOabXzDmEF2w" key="EntryPoint"/>
        </eAnnotations>
        <ownedComment xmi:id="_l0EngJppEeOswd2lHBTpDQ" annotatedElement="_Mm8tUDO8EeCBme_1raFDzg">
          <body>A collection of Intolerance Condition (aka Allergy) records.  This class represents the traditional &quot;Allergy List&quot; that is used to inform the Provider of substances that should likely be avoided when treating the Patient.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_NcmkEHxyEeOBSYmVzO0iCQ" name="hasIntoleranceCondition" visibility="public">
          <ownedComment xmi:id="_rK71MHxyEeOBSYmVzO0iCQ" annotatedElement="_NcmkEHxyEeOBSYmVzO0iCQ">
            <body>Indicates whether the Patient has any records of Intolerance Condition(s).  When this property is false, it is equivalent to saying that the Patient has &quot;No Known Allergies&quot;.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_L_PXoTO9EeCBme_1raFDzg" name="intoleranceConditionEntry" visibility="public" type="_420A62FD03B6418BB10D01EB" aggregation="composite" association="_L_PXoDO9EeCBme_1raFDzg">
          <ownedComment xmi:id="_UXJdoJppEeOswd2lHBTpDQ" annotatedElement="_L_PXoTO9EeCBme_1raFDzg">
            <body>Pointer to individual Intolerance Condition (aka Allergy) records that make up the Intolerance Condition List.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_L_Sa8DO9EeCBme_1raFDzg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_L_Sa8TO9EeCBme_1raFDzg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_L_PXoDO9EeCBme_1raFDzg" name="intoleranceConditionList_intoleranceConditionEntry" memberEnd="_L_PXoTO9EeCBme_1raFDzg _L_Sa8jO9EeCBme_1raFDzg">
        <ownedEnd xmi:id="_L_Sa8jO9EeCBme_1raFDzg" name="" visibility="public" type="_Mm8tUDO8EeCBme_1raFDzg" association="_L_PXoDO9EeCBme_1raFDzg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_L_VeQDO9EeCBme_1raFDzg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_L_VeQTO9EeCBme_1raFDzg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_KXfzkEUdEeCUY8hq_icSiw" name="ReactionObservation">
        <eAnnotations xmi:id="_6NQQsOVyEeGA8s9JtidNVQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_bl7mYPDKEeO_Te8vAbT_YQ" annotatedElement="_KXfzkEUdEeCUY8hq_icSiw">
          <body>This class documents an Observation of an adverse physiological response attributed to the exposure of the Patient to the given substance.  Note that the dates may be unspecified, such as when the Patient reports that she breaks out in hives when she eats peanuts.</body>
        </ownedComment>
        <generalization xmi:id="_wAuGUHycEeOHq5zPTCjDoQ" general="_nbH1LVaeEd6rJ7jpZ7LBFg"/>
        <ownedAttribute xmi:id="_N96bgN-eEeSLwbHBnRFGvw" name="description" visibility="public">
          <ownedComment xmi:id="_X6BfUN-eEeSLwbHBnRFGvw" annotatedElement="_N96bgN-eEeSLwbHBnRFGvw">
            <body>&quot;Text description about the Reaction as a whole, including details of the manifestation if required.&quot; - HL7 FHIR, AllergyIntolerance.event.description.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Q87KUN-eEeSLwbHBnRFGvw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Q87xYN-eEeSLwbHBnRFGvw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_e93yAN-dEeSLwbHBnRFGvw" name="certainty" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_e93yAd-dEeSLwbHBnRFGvw" annotatedElement="_e93yAN-dEeSLwbHBnRFGvw">
            <body>&quot;Statement about the degree of clinical certainty that the Specific Substance was the cause of the Manifestation in this reaction event.&quot; - HL7 FHIR, AllergyIntolerance.event.certainty.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_e93yA9-dEeSLwbHBnRFGvw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_e93yAt-dEeSLwbHBnRFGvw" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_P_J14OdyEeSKGaa1qzZLJg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(AllergyIntoleranceCertainty)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zbR04N-eEeSLwbHBnRFGvw" name="duration" visibility="public" type="_420A62FD03B64239FAA800D9">
          <ownedComment xmi:id="_32sQQN-eEeSLwbHBnRFGvw" annotatedElement="_zbR04N-eEeSLwbHBnRFGvw">
            <body>&quot;The amount of time that the Adverse Reaction persisted.&quot; - HL7 FHIR, AllergyIntolerance.event.duration.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2CRsUN-eEeSLwbHBnRFGvw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2CSTYN-eEeSLwbHBnRFGvw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Bdr1IN-eEeSLwbHBnRFGvw" name="exposureRoute" visibility="public">
          <ownedComment xmi:id="_Bdr1Id-eEeSLwbHBnRFGvw" annotatedElement="_Bdr1IN-eEeSLwbHBnRFGvw">
            <body>&quot;Identification of the route by which the subject was exposed to the substance.&quot; - HL7 FHIR, AllergyIntolerance.event.exposureRoute.&#xD;
Note that FHIR uses a code for this concept, but we modeled this as a string, because we currently do not foresee a need for this property.  Should the partner agencies require the use of this property, a decision would need to be made regarding whether to use SNOMED codes as FHIR recommends, or FDA codes, which is required by Meaningful Use for other kinds of substance administrations.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Bdr1I9-eEeSLwbHBnRFGvw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Bdr1It-eEeSLwbHBnRFGvw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_P-0AcNYuEd62cosTNS-_lw" name="reaction" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_WLk0sMHwEeGx0M-CyAbegA" annotatedElement="_P-0AcNYuEd62cosTNS-_lw">
            <body>Indicates the adverse physiological response which is suspected to have been caused by an exposure to the given substance (i.e., the reactant).&#xD;
&#xD;
&quot;Identifies the specific allergic reaction that was documented.&quot; - HL7 Version 2.8, AL1-5 and IAM-5&#xD;
&quot;Clinical symptoms and/or signs that are observed or associated with the Adverse Reaction Event.&quot; - HL7 FHIR, AllergyIntolerance.event.manifestation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CdtrAOVzEeGA8s9JtidNVQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Cdu5IOVzEeGA8s9JtidNVQ" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_xAdwIOdxEeSKGaa1qzZLJg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(AdverseClinicalReaction)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TVkSYN7-EeSx5bpydj26Wg" name="severity" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_4NQyoN-dEeSLwbHBnRFGvw" annotatedElement="_TVkSYN7-EeSx5bpydj26Wg">
            <body>&quot;Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations.&quot; - HL7 FHIR, AllergyIntolerance.event.severity.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TVkSY97-EeSx5bpydj26Wg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TVkSYt7-EeSx5bpydj26Wg" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_mAdrQN7-EeSx5bpydj26Wg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ReactionSeverity)</body>
          </defaultValue>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_66KZ0GYAEeCWgYu_gBZhWw" name="IntoleranceCondition_reaction" memberEnd="_66MPAGYAEeCWgYu_gBZhWw _66PSUGYAEeCWgYu_gBZhWw">
        <ownedEnd xmi:id="_66PSUGYAEeCWgYu_gBZhWw" name="" visibility="public" type="_420A62FD03B6418BB10D01EB" association="_66KZ0GYAEeCWgYu_gBZhWw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_66P5YGYAEeCWgYu_gBZhWw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_66QgcGYAEeCWgYu_gBZhWw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_PHEucPDJEeO_Te8vAbT_YQ" name="SensitivityTest">
        <ownedComment xmi:id="_IGadMPDLEeO_Te8vAbT_YQ" annotatedElement="_PHEucPDJEeO_Te8vAbT_YQ">
          <body>This class documents an Observation (i.e., a test) performed in order to confirm (or refute) the sensitivity, and/or to determine the mechanism of the sensitivity.</body>
        </ownedComment>
        <generalization xmi:id="_Z7GRsPDJEeO_Te8vAbT_YQ" general="_nbH1LVaeEd6rJ7jpZ7LBFg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_SkvdQPDLEeO_Te8vAbT_YQ" name="intoleranceCondition_sensitivityTest" memberEnd="_SkwrYPDLEeO_Te8vAbT_YQ _SkygkPDLEeO_Te8vAbT_YQ">
        <ownedEnd xmi:id="_SkygkPDLEeO_Te8vAbT_YQ" name="" visibility="public" type="_420A62FD03B6418BB10D01EB" association="_SkvdQPDLEeO_Te8vAbT_YQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_4zAJwNoHEeSdPcnORr-kJQ" client="_420A62FD03B6418BB10D01EB">
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      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_ueRQsN-QEeSaPJZDaZxNxw" client="_420A62FD03B6418BB10D01EB">
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      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_h4aCwN-YEeSLwbHBnRFGvw" client="_420A62FD03B6418BB10D01EB">
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      <packagedElement xmi:type="uml:Dependency" xmi:id="_BiktEOQ8EeSuxrYeYCfuhA" client="_KXfzkEUdEeCUY8hq_icSiw">
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    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B64602A55202DB" name="AudiologyAndSpeechPathology">
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      <eAnnotations xmi:id="_QJdfOOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_ZrB8cAfLEdy3KpsmoxUG6w" name="aspClinicVisitEvent_clinic" memberEnd="_ZrLtcAfLEdy3KpsmoxUG6w _ZrLtcQfLEdy3KpsmoxUG6w">
        <eAnnotations xmi:id="_thtgAOd5Ed6qdqXtvR-ZHQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_ZrLtcQfLEdy3KpsmoxUG6w" name="" visibility="public" type="_kvQ20PjhEdudipnrbPwkbg" association="_ZrB8cAfLEdy3KpsmoxUG6w"/>
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      <packagedElement xmi:type="uml:Class" xmi:id="_kvQ20PjhEdudipnrbPwkbg" name="AspClinicVisitEvent">
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        <ownedComment xmi:id="_BSxeIPjjEdudipnrbPwkbg" annotatedElement="_kvQ20PjhEdudipnrbPwkbg">
          <body>Contains all data specific to each patient encounter.  This includes the patient, the providers and students involved the diagnostic and procedure codes, the date and time of the visit, and the CDR cost account.  (file 509850.6)</body>
        </ownedComment>
        <ownedAttribute xmi:id="_DF9TAPjjEdudipnrbPwkbg" name="date" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_R92UUPjjEdudipnrbPwkbg" annotatedElement="_DF9TAPjjEdudipnrbPwkbg">
            <body>The date of ASP patient's clinic visit.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WvUfQPjjEdudipnrbPwkbg" name="nbrOfMinutes" visibility="public">
          <ownedComment xmi:id="__-1CoPjlEdudipnrbPwkbg" annotatedElement="_WvUfQPjjEdudipnrbPwkbg">
            <body>The TOTAL number of minutes that were used during this ASP clinic visit.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_X-ujQfpEEdu5nowNHobJQQ" name="aspDiagnosisList" visibility="public" type="_e4dl4AgVEd6eWYJXJewDdQ" isUnique="false" association="_X-ujQPpEEdu5nowNHobJQQ">
          <ownedComment xmi:id="_fcdgIPpEEdu5nowNHobJQQ" annotatedElement="_X-ujQfpEEdu5nowNHobJQQ">
            <body>Identification of an A&amp;amp;amp;SP condition through a method of consistent analysis.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_h6j6QPpEEdu5nowNHobJQQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_h6j6QfpEEdu5nowNHobJQQ" value="1"/>
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        <ownedAttribute xmi:id="_53yqYderEd6LztJI5rSz2w" name="aspPatient" visibility="public" type="_Mf3BUPpGEdu5nowNHobJQQ" association="_53yqYNerEd6LztJI5rSz2w">
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        <ownedAttribute xmi:id="_Ha6MQedyEd6qdqXtvR-ZHQ" name="audiologyTest" visibility="public" type="_X3DrEOdxEd6qdqXtvR-ZHQ" association="_Ha6MQOdyEd6qdqXtvR-ZHQ">
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          <ownedComment xmi:id="_gB-3cAfLEdy3KpsmoxUG6w" annotatedElement="_ZrLtcAfLEdy3KpsmoxUG6w">
            <body>The name of the Clinic for Audiology and Speech Pathology, or Telephone/Rehab and Support.  Equivalent to File 44.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_32cVcAhrEdytD4Rub_bh_Q"/>
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        <ownedAttribute xmi:id="_V2lEQed1Ed6qdqXtvR-ZHQ" name="verifier" visibility="public" type="_420A62FD03B6418A6B760063" association="_V2lEQOd1Ed6qdqXtvR-ZHQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_V2lEQud1Ed6qdqXtvR-ZHQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_V2lEQ-d1Ed6qdqXtvR-ZHQ" value="1"/>
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        <ownedAttribute xmi:id="_zdglged4Ed6qdqXtvR-ZHQ" name="aspExamination" visibility="public" type="_opfpUOd4Ed6qdqXtvR-ZHQ" association="_zdglgOd4Ed6qdqXtvR-ZHQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zdglgud4Ed6qdqXtvR-ZHQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zdglg-d4Ed6qdqXtvR-ZHQ" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_X-ujQPpEEdu5nowNHobJQQ" name="aspClinicVisitEvent_aspDiagnosisList" memberEnd="_X-ujQfpEEdu5nowNHobJQQ _X-ujQvpEEdu5nowNHobJQQ">
        <eAnnotations xmi:id="_ipFJkOd5Ed6qdqXtvR-ZHQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
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      <packagedElement xmi:type="uml:Class" xmi:id="_Mf3BUPpGEdu5nowNHobJQQ" name="AspPatient">
        <eAnnotations xmi:id="_T12XcPpGEdu5nowNHobJQQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_UXOmMPpGEdu5nowNHobJQQ" annotatedElement="_Mf3BUPpGEdu5nowNHobJQQ">
          <body>Contains identifying, demographic, and other clinical information for all patients seen in the Audiology and Speech Pathology clinics.  The entries in this file are pointers to the Patient file #2.  (file 509850.2)</body>
        </ownedComment>
        <ownedAttribute xmi:id="_vyw40PpHEdu5nowNHobJQQ" name="aspFileNbr" visibility="public">
          <ownedComment xmi:id="_yaizYPpHEdu5nowNHobJQQ" annotatedElement="_vyw40PpHEdu5nowNHobJQQ">
            <body>An existing LOCAL file number associated with this Audiology and Speech Pathology patient.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_68rMgPpHEdu5nowNHobJQQ" name="initialVisitDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_CLXAwPpIEdu5nowNHobJQQ" annotatedElement="_68rMgPpHEdu5nowNHobJQQ">
            <body>The date of this patient's first visit to the Audiology and/or Speech Pathology clinic at this site. </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TyZykQiDEdyJO-vBnZQAvw" name="diagnosticCondition" visibility="public" type="_W_1CwAiBEdyJO-vBnZQAvw" isUnique="false" association="_TyZykAiDEdyJO-vBnZQAvw">
          <ownedComment xmi:id="_jfyRcAiDEdyJO-vBnZQAvw" annotatedElement="_TyZykQiDEdyJO-vBnZQAvw">
            <body>Identifies ICD-9CM diagnostic condition code for the A&amp;amp;amp;SP patient.  Equivalent to a pointer to File 509850.2.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YeXLYAiDEdyJO-vBnZQAvw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YeXLYQiDEdyJO-vBnZQAvw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5k8ssOEIEd6EKMSYA1gKjA" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_5kziwOEIEd6EKMSYA1gKjA">
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_W_1CwAiBEdyJO-vBnZQAvw" name="AspDiagnosticCondition">
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        <ownedComment xmi:id="_xo-EkAiBEdyJO-vBnZQAvw" annotatedElement="_W_1CwAiBEdyJO-vBnZQAvw">
          <body>Contains pointers to a small subset of ICD-9CM codes which pertain to Audiology and Speech Pathology.  Entries in this file are pointed to by the Diagnostic Code field in the A&amp;amp;amp;SP Clinic Visit file. (file </body>
        </ownedComment>
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          <ownedComment xmi:id="_13IHEAiBEdyJO-vBnZQAvw" annotatedElement="_ppaNAAiBEdyJO-vBnZQAvw">
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            <body>The DATE OF AUDIOMETRIC TESTING when actual testing was done or  the DATE OF AUDIOMETRIC TESTING  from a past visit when testing is not done on the current date.</body>
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            <body>Indicates the pure tone threshold (Left) at 2000Hz for this patient.</body>
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            <body>Indicates the pure tone threshold (Left) at 3000Hz for this patient.</body>
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        <ownedAttribute xmi:id="_EO8PEPm5EdugT9gWNLG-rw" name="leftNu6Score" visibility="public">
          <ownedComment xmi:id="_Lx5DIPm5EdugT9gWNLG-rw" annotatedElement="_EO8PEPm5EdugT9gWNLG-rw">
            <body>Indicates the patient's (Left) word recognition score for NU-6 Material.</body>
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          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
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        <ownedAttribute xmi:id="_HuNr8PmxEdugT9gWNLG-rw" name="leftCidW22Score" visibility="public">
          <ownedComment xmi:id="_S_uccPmxEdugT9gWNLG-rw" annotatedElement="_HuNr8PmxEdugT9gWNLG-rw">
            <body>Indicates the patient's (Left) word recognition score for CID W-22 material.</body>
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          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
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        <ownedAttribute xmi:id="_71G9gPmQEdujtLJseI9nUA" name="leftThreshold4000Hz" visibility="public">
          <ownedComment xmi:id="_X-NWMPmREdujtLJseI9nUA" annotatedElement="_71G9gPmQEdujtLJseI9nUA">
            <body>Indicates the pure tone threshold (Left) at 4000Hz for this patient.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bwf8EPmREdujtLJseI9nUA" name="leftThresholdAverage" visibility="public">
          <ownedComment xmi:id="_jfN7QPmREdujtLJseI9nUA" annotatedElement="_bwf8EPmREdujtLJseI9nUA">
            <body>This is the average pure tone threshold for this patient's Left ear. This indicates the average of the 1000, 2000, 3000 and 4000Hz scores for the Left ear. </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bUAp0PmQEdujtLJseI9nUA" name="leftThreshold1000Hz" visibility="public">
          <ownedComment xmi:id="_f1PZUPmQEdujtLJseI9nUA" annotatedElement="_bUAp0PmQEdujtLJseI9nUA">
            <body>Indicates the pure tone threshold (Left) at 1000Hz for this patient.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-eDLIPmPEdujtLJseI9nUA" name="leftThreshold500Hz" visibility="public">
          <ownedComment xmi:id="_VtfGMPmQEdujtLJseI9nUA" annotatedElement="_-eDLIPmPEdujtLJseI9nUA">
            <body>Indicates the patient's pure tone threshold (Left) at 500Hz.  Used in determining whether or not a ratable hearing loss exists.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_E85xAPmoEdujwfydFwcCNw" name="leftCncScore" visibility="public">
          <ownedComment xmi:id="_OVIEoPmoEdujwfydFwcCNw" annotatedElement="_E85xAPmoEdujwfydFwcCNw">
            <body>Indicates the patient's (Left) word recognition score for Maryland CNC material.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nZMvcPmPEdujtLJseI9nUA" name="rightThreshold4000Hz" visibility="public">
          <ownedComment xmi:id="_pWqhsPmPEdujtLJseI9nUA" annotatedElement="_nZMvcPmPEdujtLJseI9nUA">
            <body>Indicates the pure tone threshold (Right) at 4000Hz for this patient.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8Q4MUPm4EdugT9gWNLG-rw" name="rightNu6Score" visibility="public">
          <ownedComment xmi:id="_DeELwPm5EdugT9gWNLG-rw" annotatedElement="_8Q4MUPm4EdugT9gWNLG-rw">
            <body>Indicates the patient's (Right) word recognition score for NU-6 Material.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8JT90PmOEdujtLJseI9nUA" name="rightThreshold1000Hz" visibility="public">
          <ownedComment xmi:id="_92_AkPmOEdujtLJseI9nUA" annotatedElement="_8JT90PmOEdujtLJseI9nUA">
            <body>Indicates the pure tone threshold (Right) at 1000Hz for this patient.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7rB70PmNEdujtLJseI9nUA" name="rightThreshold500Hz" visibility="public">
          <ownedComment xmi:id="_3MznkPmOEdujtLJseI9nUA" annotatedElement="_7rB70PmNEdujtLJseI9nUA">
            <body>Indicates the patient's pure tone threshold (Right) at 500Hz.  Used in determining whether or not a ratable hearing loss exists.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cRrBYPmPEdujtLJseI9nUA" name="rightThreshold3000Hz" visibility="public">
          <ownedComment xmi:id="_kCeEMPmPEdujtLJseI9nUA" annotatedElement="_cRrBYPmPEdujtLJseI9nUA">
            <body>Indicates the pure tone threshold (Right) at 3000Hz for this patient.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_--EsAPmwEdugT9gWNLG-rw" name="rightCidW22Score" visibility="public">
          <ownedComment xmi:id="_HNbTEPmxEdugT9gWNLG-rw" annotatedElement="_--EsAPmwEdugT9gWNLG-rw">
            <body>Indiates the patient's (Right) word recognition score for CID W-22 material. </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_siEZ0PmnEdujwfydFwcCNw" name="rightCncScore" visibility="public">
          <ownedComment xmi:id="_ETLekPmoEdujwfydFwcCNw" annotatedElement="_siEZ0PmnEdujwfydFwcCNw">
            <body>Indicates the patient's (Right) word recognition score for Maryland CNC material.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Ok4hQPmPEdujtLJseI9nUA" name="rightThreshold2000Hz" visibility="public">
          <ownedComment xmi:id="_Pdp8UPmPEdujtLJseI9nUA" annotatedElement="_Ok4hQPmPEdujtLJseI9nUA">
            <body>Indicates the pure tone threshold (Right) at 2000Hz for this patient.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_x4DT8PmPEdujtLJseI9nUA" name="rightThresholdAverage" visibility="public">
          <ownedComment xmi:id="_6bEd4PmPEdujtLJseI9nUA" annotatedElement="_x4DT8PmPEdujtLJseI9nUA">
            <body>This is the average pure tone threshold for this patient's right ear. This indicates the average of the 1000, 2000, 3000 and 4000Hz scores for the right ear. </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Ha6MQOdyEd6qdqXtvR-ZHQ" name="aspClinicVisitEvent_audiologyTest" memberEnd="_Ha6MQedyEd6qdqXtvR-ZHQ _Ha6MROdyEd6qdqXtvR-ZHQ">
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4ODLEOdyEd6qdqXtvR-ZHQ" name="aspClinicVisitEvent_clinicStop" memberEnd="_4ODLEedyEd6qdqXtvR-ZHQ _4ODLFOdyEd6qdqXtvR-ZHQ">
        <eAnnotations xmi:id="_uwY5oOd5Ed6qdqXtvR-ZHQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_buNbcOd0Ed6qdqXtvR-ZHQ" name="aspClinicVisitEvent_primaryPerformer" memberEnd="_buNbced0Ed6qdqXtvR-ZHQ _buNbdOd0Ed6qdqXtvR-ZHQ">
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      <packagedElement xmi:type="uml:Association" xmi:id="_QLSVYOd1Ed6qdqXtvR-ZHQ" name="aspClinicVisitEvent_secondaryPerformer" memberEnd="_QLSVYed1Ed6qdqXtvR-ZHQ _QLSVZOd1Ed6qdqXtvR-ZHQ">
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_V2lEQOd1Ed6qdqXtvR-ZHQ" name="aspClinicVisitEvent_verifier" memberEnd="_V2lEQed1Ed6qdqXtvR-ZHQ _V2lEROd1Ed6qdqXtvR-ZHQ">
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_opfpUOd4Ed6qdqXtvR-ZHQ" name="AspExamination">
        <ownedAttribute xmi:id="_qaEs8PozEdunW4zPvv_bwA" name="medicalHistory" visibility="public">
          <ownedComment xmi:id="_xklL0PozEdunW4zPvv_bwA" annotatedElement="_qaEs8PozEdunW4zPvv_bwA">
            <body>Provides the textual description of the subjective complaints like if the hearing loss is present, if the tinnitus is present etc.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
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        <ownedAttribute xmi:id="_PgatcPo0EdunW4zPvv_bwA" name="diagnosisSummary" visibility="public">
          <ownedComment xmi:id="_SyFSgPo0EdunW4zPvv_bwA" annotatedElement="_PgatcPo0EdunW4zPvv_bwA">
            <body>Provides a textual summary of audiologic test results.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
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        <ownedAttribute xmi:id="_x1t_IPozEdunW4zPvv_bwA" name="physicalExam" visibility="public">
          <ownedComment xmi:id="_5N7i0PozEdunW4zPvv_bwA" annotatedElement="_x1t_IPozEdunW4zPvv_bwA">
            <body>Provides a textual description of the objective findings on pure tone threashold, speech recognition score etc. to evaluate the hearing loss.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
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        <ownedAttribute xmi:id="_90rEcPozEdunW4zPvv_bwA" name="diagnosticAndClinicalTests" visibility="public">
          <ownedComment xmi:id="_BHYLUPo0EdunW4zPvv_bwA" annotatedElement="_90rEcPozEdunW4zPvv_bwA">
            <body>Provides results of all diagnostic and clinical tests conducted in the examination report.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_zdglgOd4Ed6qdqXtvR-ZHQ" name="aspClinicVisitEvent_aspExamination" memberEnd="_zdglged4Ed6qdqXtvR-ZHQ _zdglhOd4Ed6qdqXtvR-ZHQ">
        <eAnnotations xmi:id="_mmsOoOd5Ed6qdqXtvR-ZHQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
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    <packagedElement xmi:type="uml:Package" xmi:id="_1oY5AE1PEd-ZC8uuCl8MVA" name="BehavioralHealth">
      <eAnnotations xmi:id="_ZmaCsE1UEd-ZC8uuCl8MVA" source="uml2.diagrams"/>
      <ownedComment xmi:id="_peu88La1Ed-Y0_knsxZjWg" annotatedElement="_1oY5AE1PEd-ZC8uuCl8MVA">
        <body>Behavioral Health Domain</body>
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      <packagedElement xmi:type="uml:Package" xmi:id="_UmWZEI8GEd-XNpj2tjovxA" name="Behavioral Health Domain">
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        <ownedComment xmi:id="_UmWZEo8GEd-XNpj2tjovxA" annotatedElement="_UmWZEI8GEd-XNpj2tjovxA">
          <body>The purpose of this model is to describe the main information classes required to           support continuity of care across specialties including information to and from behavioral           health facilities. This model describes the information and the most important coded           concepts required for semantic interoperability regardless of platform or exchange           mechanism (e.g. HL7 CDA, ASTM, NIEM).</body>
        </ownedComment>
        <packagedElement xmi:type="uml:Package" xmi:id="_UmWZE48GEd-XNpj2tjovxA" name="2 - Model">
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          <packagedElement xmi:type="uml:Package" xmi:id="_UmWZFY8GEd-XNpj2tjovxA" name="1. FHIM Common Classes">
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            <ownedComment xmi:id="_UmWaPI8GEd-XNpj2tjovxA" annotatedElement="_UmWZFY8GEd-XNpj2tjovxA">
              <body>The following section identifies the common FHIM classes that are reused throughout the FHIM Behavioral Health Domain.</body>
            </ownedComment>
          </packagedElement>
          <packagedElement xmi:type="uml:Package" xmi:id="_UmWaPY8GEd-XNpj2tjovxA" name="2. Behavioral Health: Information Model">
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            <ownedComment xmi:id="_UmWaP48GEd-XNpj2tjovxA" annotatedElement="_UmWaPY8GEd-XNpj2tjovxA">
              <body>This section describes the information classes and data elements required to support those interoperability use cases specified in the scope of this domain.  The classes identified here are deemed sufficient to support the use cases described in the Use Cases of this document.</body>
            </ownedComment>
            <packagedElement xmi:type="uml:Package" xmi:id="_UmWaQI8GEd-XNpj2tjovxA" name="2.4 Summary Information Exchange Classes">
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              <ownedComment xmi:id="_UmWdlo8GEd-XNpj2tjovxA" annotatedElement="_UmWaQI8GEd-XNpj2tjovxA">
                <body>This section describes the structure and information objects required to                 communicate Behavioral Health records to other specialties and care environments                 (e.g. acute care). The information detailed in this section is intended to address                 the information requirements of the &amp;amp;apos;Provide Behavioral Health Summary to Emergency                 Provide&amp;amp;apos; use case - see Section 3.</body>
              </ownedComment>
              <ownedRule xmi:id="_UmWdl48GEd-XNpj2tjovxA" name="Requirement 1:" constrainedElement="_UmWaQI8GEd-XNpj2tjovxA">
                <ownedComment xmi:id="_UmWdmI8GEd-XNpj2tjovxA" annotatedElement="_UmWdl48GEd-XNpj2tjovxA">
                  <body>The information exchange must be completed using a secure information exchange.</body>
                </ownedComment>
                <specification xmi:type="uml:OpaqueExpression" xmi:id="_UmWdmY8GEd-XNpj2tjovxA"/>
              </ownedRule>
              <ownedRule xmi:id="_UmWdmo8GEd-XNpj2tjovxA" name="Requirement 2:" constrainedElement="_UmWaQI8GEd-XNpj2tjovxA">
                <ownedComment xmi:id="_UmWdm48GEd-XNpj2tjovxA" annotatedElement="_UmWdmo8GEd-XNpj2tjovxA">
                  <body>The Behavioral Health information may only be disclosed in accordance to prevailing privacy policies and patient consent, if needed.</body>
                </ownedComment>
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                  <body>This class specifies the summary report intended to exchange selected information relevant across specialties.  It may not include the details of an assessment but it will contain many data elements that are based on the information collected through the assessment and generated from its processing.</body>
                </ownedComment>
                <generalization xmi:id="_UmWdn48GEd-XNpj2tjovxA" general="_420A62FD03B6420B7198029C"/>
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                    <body>This attribute is used to specify that the content of this clinical document is sensitive because it contains Behavioral Health information.  This attribute corresponds to the Act.confidentialityCode in the HL7 Version 3 RIM but is constrained to specify sensitivity and for the purpose of data segmentation.</body>
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                </ownedAttribute>
                <ownedAttribute xmi:id="_SLwCYHFmEeKSx4Trt5CWxw" name="alertsSection" visibility="public" type="_UmWdu48GEd-XNpj2tjovxA" association="_SLsYAHFmEeKSx4Trt5CWxw">
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                  <body>This is a results document section intended to hold the values of behavioral health assessment scores and sub-scores. This is part of a summary report that may be exchanged across specialties to support continuity of care.  Other related results may be included in this section.</body>
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                <ownedAttribute xmi:id="_UmWdto8GEd-XNpj2tjovxA" name="sensitivityCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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                    <body>This attribute is used to specify that the content of this clinical document is sensitive because it contains Behavioral Health information.</body>
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                  <body>This class corresponds to a document section intended to contain the alerts, allergies, and adverse reactions.  This class provides context required for behavioral health interoperability.</body>
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                <ownedAttribute xmi:id="_UmWdvY8GEd-XNpj2tjovxA" name="suicideAlert" visibility="public" type="_UmgLu48GEd-XNpj2tjovxA" association="_UmWdw48GEd-XNpj2tjovxA">
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              <packagedElement xmi:type="uml:Association" xmi:id="_UmWdx48GEd-XNpj2tjovxA" name="problemSection_diagnosis" memberEnd="_UmWd9o8GEd-XNpj2tjovxA _UmWdyI8GEd-XNpj2tjovxA">
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              <packagedElement xmi:type="uml:Class" xmi:id="_UmWd248GEd-XNpj2tjovxA" name="FunctionalStatusSection">
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              <packagedElement xmi:type="uml:Class" xmi:id="_UmWd348GEd-XNpj2tjovxA" name="FunctionalStatus"/>
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            <packagedElement xmi:type="uml:Package" xmi:id="_UmWeAY8GEd-XNpj2tjovxA" name="2.2 Behavioral Health Assessment Exchange Classes">
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              <ownedComment xmi:id="_UmWijY8GEd-XNpj2tjovxA" annotatedElement="_UmWeAY8GEd-XNpj2tjovxA">
                <body>This section focuses on those classes required to exchange either summary or details of a Behavioral Health assessment.</body>
              </ownedComment>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWijo8GEd-XNpj2tjovxA" name="NumericQuestion">
                <ownedComment xmi:id="_UmWij48GEd-XNpj2tjovxA" annotatedElement="_UmWijo8GEd-XNpj2tjovxA">
                  <body>This class represents a question that requires a numeric answer.</body>
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                <generalization xmi:id="_UmWikI8GEd-XNpj2tjovxA" general="_DqIjMHCOEeKknILXOCcS7w"/>
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                    <body>This attribute represents a numeric response as a numeric to a specific                     assessment question. If a response is not provided, the null value may be                     qualified by an ASKU (asked but unknown) null flavor.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWilY8GEd-XNpj2tjovxA"/>
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                  <body>This type of assessment is intended to evaluate the mental health problems affecting the patient.  This class is a specialization/restriction of the BehavioralHealthAssessment class.</body>
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                <generalization xmi:id="_UmWimI8GEd-XNpj2tjovxA" general="_UmWjdI8GEd-XNpj2tjovxA"/>
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                  <body>This class is used to record answers related to any criminal justice issues (e.g., criminal record, parole status).</body>
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                <generalization xmi:id="_UmWim48GEd-XNpj2tjovxA" general="_UmWi8o8GEd-XNpj2tjovxA"/>
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                  <body> This class is used to specify the non-mental health problems or diagnoses of the patient.</body>
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                <generalization xmi:id="_UmWino8GEd-XNpj2tjovxA" general="_UmWi8o8GEd-XNpj2tjovxA"/>
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                  <body>This problem area/section of the assessment is used to identify the medications administered to the patient.</body>
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                    <body>This directed association describes the relationship between the Medications                     that the client/patient is taking as defined in the Medications Area of the                     assessment.</body>
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                  <body>This section of the assessment is used to identify the psychiatric problems of a patient.</body>
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                  <body>This class is used to specify the response to questions that are expressed by a quantity (e.g., years of use).</body>
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              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWitI8GEd-XNpj2tjovxA" name="Question" isAbstract="true">
                <eAnnotations xmi:id="_KucdAHCaEeKknILXOCcS7w" source="http://www.eclipse.org/uml2/2.0.0/UML">
                  <details xmi:id="_KucdAXCaEeKknILXOCcS7w" key="deprecated"/>
                </eAnnotations>
                <ownedComment xmi:id="_UmWitY8GEd-XNpj2tjovxA" annotatedElement="_UmWitI8GEd-XNpj2tjovxA">
                  <body>This class represents the abstract base class for all the questions contained in the assessment questionnaire.&#xD;
This class is deprecated - use the AssessmentInstrumentQuestion class instead.</body>
                </ownedComment>
                <ownedAttribute xmi:id="_UmWito8GEd-XNpj2tjovxA" name="question" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmWit48GEd-XNpj2tjovxA" annotatedElement="_UmWito8GEd-XNpj2tjovxA">
                    <body>The question in a questionnaire (e.g. Assessment instrument) may be based on                     a common value set. Therefore, the question may be a coded attribute.</body>
                  </ownedComment>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWiuI8GEd-XNpj2tjovxA" name="SubstanceAbuseAssessment">
                <ownedComment xmi:id="_UmWiuY8GEd-XNpj2tjovxA" annotatedElement="_UmWiuI8GEd-XNpj2tjovxA">
                  <body>This class represents any type of assessment used to identify the substance abuse problems of a patient.  This class is a specialization/restriction of the BehavioralHealthAssessment class.</body>
                </ownedComment>
                <generalization xmi:id="_UmWiuo8GEd-XNpj2tjovxA" general="_UmWjdI8GEd-XNpj2tjovxA"/>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWiu48GEd-XNpj2tjovxA" name="TrueFalseQuestion">
                <ownedComment xmi:id="_PMgR0HCcEeKknILXOCcS7w" annotatedElement="_UmWiu48GEd-XNpj2tjovxA">
                  <body>This class represents a question that requires a true of false answer.  Both the question and the answer are identified. Ideally, the question code would identify the issue or assertion confirmed or denied by the answer.</body>
                </ownedComment>
                <generalization xmi:id="_UmWivY8GEd-XNpj2tjovxA" general="_DqIjMHCOEeKknILXOCcS7w"/>
                <ownedAttribute xmi:id="_UmWiv48GEd-XNpj2tjovxA" name="response" visibility="public">
                  <ownedComment xmi:id="_UmWiwI8GEd-XNpj2tjovxA" annotatedElement="_UmWiv48GEd-XNpj2tjovxA">
                    <body>This attribute represents a response as a boolean (true/false) response to a                     specific assessment question. If a response is not provided, the null value may                     be qualified by an ASKU (asked but unknown) null flavor.</body>
                  </ownedComment>
                  <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWi0o8GEd-XNpj2tjovxA" name="CodedQuestion">
                <ownedComment xmi:id="_UmWi048GEd-XNpj2tjovxA" annotatedElement="_UmWi0o8GEd-XNpj2tjovxA">
                  <body>This class represents a question that requires an answer based on a predefined terminology/value set.</body>
                </ownedComment>
                <generalization xmi:id="_UmWi1I8GEd-XNpj2tjovxA" general="_DqIjMHCOEeKknILXOCcS7w"/>
                <ownedAttribute xmi:id="_UmWi1o8GEd-XNpj2tjovxA" name="response" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmWi148GEd-XNpj2tjovxA" annotatedElement="_UmWi1o8GEd-XNpj2tjovxA">
                    <body>This attribute represents response as a coded value to a specific assessment                     question. If a response is not provided, then the null value may be qualified by                     a ASKU (asked but unknown) null flavor.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWi2Y8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWi2I8GEd-XNpj2tjovxA" value="*"/>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWi2o8GEd-XNpj2tjovxA" name="DrugUseHistory">
                <ownedComment xmi:id="_UmWi248GEd-XNpj2tjovxA" annotatedElement="_UmWi2o8GEd-XNpj2tjovxA">
                  <body>This class is intended to specify the information exchanged to describe drug use history.</body>
                </ownedComment>
                <generalization xmi:id="_UmWi3I8GEd-XNpj2tjovxA" general="_UmWi8o8GEd-XNpj2tjovxA"/>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWi3Y8GEd-XNpj2tjovxA" name="FamilySocialHistory">
                <ownedComment xmi:id="_UmWi3o8GEd-XNpj2tjovxA" annotatedElement="_UmWi3Y8GEd-XNpj2tjovxA">
                  <body>This area of the assessment is used to record answers related to family and social history that may predispose the patient to a specific type of problem.  This includes living arrangement.</body>
                </ownedComment>
                <generalization xmi:id="_UmWi348GEd-XNpj2tjovxA" general="_UmWi8o8GEd-XNpj2tjovxA"/>
                <ownedAttribute xmi:id="_UmWi4I8GEd-XNpj2tjovxA" name="traumaHistory" visibility="public">
                  <ownedComment xmi:id="_UmWi4Y8GEd-XNpj2tjovxA" annotatedElement="_UmWi4I8GEd-XNpj2tjovxA">
                    <body>This coded attribute specifies whether the patient may have a history of physical or mental trauma even though it has not yet manifested as a diagnosis.</body>
                  </ownedComment>
                  <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmWi4o8GEd-XNpj2tjovxA" name="householdComposition" visibility="public" type="_UmWjSo8GEd-XNpj2tjovxA" association="_UmWjcI8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWi5I8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWi448GEd-XNpj2tjovxA" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_lrV5kHCgEeKknILXOCcS7w" name="livingArrangement" visibility="public" type="_UmWjXI8GEd-XNpj2tjovxA" association="_lrTdUHCgEeKknILXOCcS7w">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lrWgoHCgEeKknILXOCcS7w"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lrXHsHCgEeKknILXOCcS7w" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_AJORIHCiEeKknILXOCcS7w" name="socialNetwork" visibility="public" type="_UmWjWo8GEd-XNpj2tjovxA" association="_AJLN0HCiEeKknILXOCcS7w">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AJPfQHCiEeKknILXOCcS7w" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AJPfQXCiEeKknILXOCcS7w" value="1"/>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWi648GEd-XNpj2tjovxA" name="FrequencyQuestion">
                <ownedComment xmi:id="_8oYPUHCbEeKknILXOCcS7w" annotatedElement="_UmWi648GEd-XNpj2tjovxA">
                  <body>This class represents a question that requires an answer specifying the number a times (repetitions) an event occurred during a unit of time (e.g. number of drinks per week).</body>
                </ownedComment>
                <generalization xmi:id="_UmWi7Y8GEd-XNpj2tjovxA" general="_DqIjMHCOEeKknILXOCcS7w"/>
                <ownedAttribute xmi:id="_UmWi8I8GEd-XNpj2tjovxA" name="response" visibility="public" type="_420A62FD03B64239FAA800D9">
                  <ownedComment xmi:id="_UmWi8Y8GEd-XNpj2tjovxA" annotatedElement="_UmWi8I8GEd-XNpj2tjovxA">
                    <body> This coded attribute is used to specify the number of occurrences within a                     given period of time. If a response is not provided, the null value may be                     qualified by an ASKU (asked but unknown) null flavor. </body>
                  </ownedComment>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWi8o8GEd-XNpj2tjovxA" name="BehavioralHealthAssessmentDomain" isAbstract="true">
                <eAnnotations xmi:id="_UmWi848GEd-XNpj2tjovxA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
                <ownedComment xmi:id="_UmWi9I8GEd-XNpj2tjovxA" annotatedElement="_UmWi8o8GEd-XNpj2tjovxA">
                  <body>This class is container for a set of questions and answers needed to evaluate behavioral health issues. This class description is consistent with the HL7 Implementation Guide for CDA Release 2: CDA Framework for Questionnaire Assessments, Release 1.</body>
                </ownedComment>
                <ownedAttribute xmi:id="_UmWi9Y8GEd-XNpj2tjovxA" name="codedQuestion" visibility="public" type="_UmWi0o8GEd-XNpj2tjovxA">
                  <ownedComment xmi:id="_dKiS8HCcEeKknILXOCcS7w" annotatedElement="_UmWi9Y8GEd-XNpj2tjovxA">
                    <body>This attribute corresponds to the set of questions that require a coded response.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWi-I8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWi948GEd-XNpj2tjovxA" value="*"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmWi_48GEd-XNpj2tjovxA" name="frequencyQuestion" visibility="public" type="_UmWi648GEd-XNpj2tjovxA">
                  <ownedComment xmi:id="_hbaSQHCcEeKknILXOCcS7w" annotatedElement="_UmWi_48GEd-XNpj2tjovxA">
                    <body>This attribute corresponds to the set of questions that require a frequency response.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWjAY8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWjAI8GEd-XNpj2tjovxA" value="*"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmWi_I8GEd-XNpj2tjovxA" name="numericQuestion" visibility="public" type="_UmWijo8GEd-XNpj2tjovxA">
                  <ownedComment xmi:id="_qPwcwHCcEeKknILXOCcS7w" annotatedElement="_UmWi_I8GEd-XNpj2tjovxA">
                    <body>This attribute corresponds to the set of questions that require a numeric response.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWi_o8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWi_Y8GEd-XNpj2tjovxA" value="*"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmWjAo8GEd-XNpj2tjovxA" name="quantityQuestion" visibility="public" type="_UmWiro8GEd-XNpj2tjovxA">
                  <ownedComment xmi:id="_uHva8HCcEeKknILXOCcS7w" annotatedElement="_UmWjAo8GEd-XNpj2tjovxA">
                    <body>This attribute corresponds to the set of questions that require a quantity response.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWjBI8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWjA48GEd-XNpj2tjovxA" value="*"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmWi-Y8GEd-XNpj2tjovxA" name="trueFalseQuestion" visibility="public" type="_UmWiu48GEd-XNpj2tjovxA">
                  <ownedComment xmi:id="_DfwRkJd3Ed-1hLYGSfVdpQ" annotatedElement="_UmWi-Y8GEd-XNpj2tjovxA">
                    <body>This attribute corresponds to the set of questions that require a true or a false (boolean) response.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWi-48GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWi-o8GEd-XNpj2tjovxA" value="*"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmWjBY8GEd-XNpj2tjovxA" name="outcome" visibility="public" type="_UmWjX48GEd-XNpj2tjovxA" association="_UmWjZo8GEd-XNpj2tjovxA">
                  <ownedComment xmi:id="_-2BtYJd2Ed-1hLYGSfVdpQ" annotatedElement="_UmWjBY8GEd-XNpj2tjovxA">
                    <body>This is a directed association describing the relationship between an assessment and the outcome measurements related to that assessment.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWjB48GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWjBo8GEd-XNpj2tjovxA" value="*"/>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Usage" xmi:id="_UmWjCI8GEd-XNpj2tjovxA" client="_UmWi8o8GEd-XNpj2tjovxA" supplier="_UmWiu48GEd-XNpj2tjovxA"/>
              <packagedElement xmi:type="uml:Usage" xmi:id="_UmWjCY8GEd-XNpj2tjovxA" client="_UmWi8o8GEd-XNpj2tjovxA" supplier="_UmWijo8GEd-XNpj2tjovxA"/>
              <packagedElement xmi:type="uml:Usage" xmi:id="_UmWjCo8GEd-XNpj2tjovxA" client="_UmWi8o8GEd-XNpj2tjovxA" supplier="_UmWiro8GEd-XNpj2tjovxA"/>
              <packagedElement xmi:type="uml:Usage" xmi:id="_UmWjC48GEd-XNpj2tjovxA" client="_UmWi8o8GEd-XNpj2tjovxA" supplier="_UmWi0o8GEd-XNpj2tjovxA"/>
              <packagedElement xmi:type="uml:Usage" xmi:id="_UmWjDI8GEd-XNpj2tjovxA" client="_UmWi8o8GEd-XNpj2tjovxA" supplier="_UmWi648GEd-XNpj2tjovxA"/>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmWjFI8GEd-XNpj2tjovxA" name="behavioralHealthAssessment_problemArea" memberEnd="_UmWjeo8GEd-XNpj2tjovxA _UmWjFY8GEd-XNpj2tjovxA">
                <ownedEnd xmi:id="_UmWjFY8GEd-XNpj2tjovxA" name="" visibility="public" type="_UmWjdI8GEd-XNpj2tjovxA" association="_UmWjFI8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWjF48GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWjFo8GEd-XNpj2tjovxA" value="1"/>
                </ownedEnd>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmWjGI8GEd-XNpj2tjovxA" name="behavioralHealthAssessment_patient" memberEnd="_UmWjd48GEd-XNpj2tjovxA _UmWjGY8GEd-XNpj2tjovxA">
                <ownedEnd xmi:id="_UmWjGY8GEd-XNpj2tjovxA" name="" visibility="public" type="_UmWjdI8GEd-XNpj2tjovxA" association="_UmWjGI8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWjG48GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWjGo8GEd-XNpj2tjovxA" value="1"/>
                </ownedEnd>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWjHI8GEd-XNpj2tjovxA" name="Substance">
                <ownedComment xmi:id="_UmWjHY8GEd-XNpj2tjovxA" annotatedElement="_UmWjHI8GEd-XNpj2tjovxA">
                  <body>This class is used to specify the type of substance (e.g. alcohol, controlled substances) that is abused by a patient.</body>
                </ownedComment>
                <ownedAttribute xmi:id="_UmWjHo8GEd-XNpj2tjovxA" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_LcF9YJd0Ed-1hLYGSfVdpQ" annotatedElement="_UmWjHo8GEd-XNpj2tjovxA">
                    <body>This coded attribute is used to specify the specific substance abused by patient (e.g. cocaine, oxycodone, etc.,) rather than a code for the type of substance (e.g., narcotics, alcohol, pharmaceutical drugs).</body>
                  </ownedComment>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmWjKo8GEd-XNpj2tjovxA" name="physicalHealth_diagnosis" memberEnd="_UmWin48GEd-XNpj2tjovxA _UmWjK48GEd-XNpj2tjovxA">
                <ownedEnd xmi:id="_UmWjK48GEd-XNpj2tjovxA" name="" visibility="public" type="_UmWinI8GEd-XNpj2tjovxA" association="_UmWjKo8GEd-XNpj2tjovxA"/>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmWjLI8GEd-XNpj2tjovxA" name="medication_medicationAdministered" memberEnd="_UmWipY8GEd-XNpj2tjovxA _UmWjLY8GEd-XNpj2tjovxA">
                <ownedEnd xmi:id="_UmWjLY8GEd-XNpj2tjovxA" name="" visibility="public" type="_UmWioo8GEd-XNpj2tjovxA" association="_UmWjLI8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWjL48GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWjLo8GEd-XNpj2tjovxA" value="1"/>
                </ownedEnd>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmWjMI8GEd-XNpj2tjovxA" name="_supportingInformation3" memberEnd="_UmWiq48GEd-XNpj2tjovxA _UmWjMY8GEd-XNpj2tjovxA">
                <ownedEnd xmi:id="_UmWjMY8GEd-XNpj2tjovxA" name="" visibility="public" type="_UmWiqI8GEd-XNpj2tjovxA" association="_UmWjMI8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWjM48GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWjMo8GEd-XNpj2tjovxA" value="*"/>
                </ownedEnd>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWjNI8GEd-XNpj2tjovxA" name="SubstanceOfChoice">
                <ownedComment xmi:id="_UmWjNY8GEd-XNpj2tjovxA" annotatedElement="_UmWjNI8GEd-XNpj2tjovxA">
                  <body>This role class is used to identify the properties of a substance that is identified as a substance of choice based on the answers provided by the patient to the questions in Drug Use History section of a Behavioral Health or Substance Abuse assessment.</body>
                </ownedComment>
                <ownedAttribute xmi:id="_UmWjOY8GEd-XNpj2tjovxA" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmWjOo8GEd-XNpj2tjovxA" annotatedElement="_UmWjOY8GEd-XNpj2tjovxA">
                    <body>This coded attribute is used to specify the type of substance used by patient (e.g. alcohol, narcotics, pharmaceutical drugs) rather than a code for the specific substance.</body>
                  </ownedComment>
                </ownedAttribute>
                <ownedAttribute xmi:id="_qu3L4HCiEeKknILXOCcS7w" name="substance" visibility="public" type="_UmWjHI8GEd-XNpj2tjovxA" association="_quzhgHCiEeKknILXOCcS7w">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qu3y8HCiEeKknILXOCcS7w" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qu4aAHCiEeKknILXOCcS7w" value="1"/>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWjP48GEd-XNpj2tjovxA" name="Education">
                <ownedComment xmi:id="_UmWjQI8GEd-XNpj2tjovxA" annotatedElement="_UmWjP48GEd-XNpj2tjovxA">
                  <body>This class is used to record the answers related to the education situation of the patient (e.g. education level as well as enrollment status for those who should be enrolled in school).</body>
                </ownedComment>
                <generalization xmi:id="_UmWjQY8GEd-XNpj2tjovxA" general="_UmWi8o8GEd-XNpj2tjovxA"/>
                <ownedAttribute xmi:id="_UmWjRI8GEd-XNpj2tjovxA" name="level" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmWjRY8GEd-XNpj2tjovxA" annotatedElement="_UmWjRI8GEd-XNpj2tjovxA">
                    <body>This attribute is used to specify the highest education level achieved by the patient.</body>
                  </ownedComment>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmWjQo8GEd-XNpj2tjovxA" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmWjQ48GEd-XNpj2tjovxA" annotatedElement="_UmWjQo8GEd-XNpj2tjovxA">
                    <body>This coded attribute is used to specify whether patients are enrolled, not enrolled, or has completed their education.</body>
                  </ownedComment>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWjRo8GEd-XNpj2tjovxA" name="EmploymentStatus">
                <generalization xmi:id="_UmWjR48GEd-XNpj2tjovxA" general="_UmWi8o8GEd-XNpj2tjovxA"/>
                <ownedAttribute xmi:id="_UmWjSI8GEd-XNpj2tjovxA" name="income" visibility="public" type="_420A62FD03B641886F630160"/>
                <ownedAttribute xmi:id="_UmWjSY8GEd-XNpj2tjovxA" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWjSo8GEd-XNpj2tjovxA" name="HouseholdComposition">
                <ownedComment xmi:id="_UmWjS48GEd-XNpj2tjovxA" annotatedElement="_UmWjSo8GEd-XNpj2tjovxA">
                  <body>This section identifies specific household traits of the patient.  This section may help identify whether substance abuse is present in the household since it is often a pre-condition to staying sober.  Other household traits (e.g. primary source of income) are derived from this assessment section.</body>
                </ownedComment>
                <ownedAttribute xmi:id="_UmWjTo8GEd-XNpj2tjovxA" name="presenceofSubstanceAbuse" visibility="public">
                  <ownedComment xmi:id="_UmWjT48GEd-XNpj2tjovxA" annotatedElement="_UmWjTo8GEd-XNpj2tjovxA">
                    <body>This boolean attribute specifies the presence of substance abuse in the household shared by the patient.</body>
                  </ownedComment>
                  <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmWjTI8GEd-XNpj2tjovxA" name="sourceOfIncome" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmWjTY8GEd-XNpj2tjovxA" annotatedElement="_UmWjTI8GEd-XNpj2tjovxA">
                    <body>This coded attribute specifies the type of income (e.g. supplemental social security insurance, food stamps, employment).</body>
                  </ownedComment>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWjUI8GEd-XNpj2tjovxA" name="ServiceHistory">
                <ownedComment xmi:id="_UmWjUY8GEd-XNpj2tjovxA" annotatedElement="_UmWjUI8GEd-XNpj2tjovxA">
                  <body>Identifies the type of services provided to determine if frequent inpatient detox vs. on-going treatment is more prevalent.  This section is used to determine the effectiveness of the various services.</body>
                </ownedComment>
                <generalization xmi:id="_UmWjUo8GEd-XNpj2tjovxA" general="_UmWi8o8GEd-XNpj2tjovxA">
                  <ownedComment xmi:id="_UmWjU48GEd-XNpj2tjovxA" annotatedElement="_UmWjUo8GEd-XNpj2tjovxA">
                    <body>This class is used to describe the outcome of care as measured by answers to                     assessment questions. This class may link in a specific performance measure as                     well as the period for which the outcome was evaluated.</body>
                  </ownedComment>
                </generalization>
                <ownedAttribute xmi:id="_UmWjVI8GEd-XNpj2tjovxA" name="serviceCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_pP5LEJd5Ed-1hLYGSfVdpQ" annotatedElement="_UmWjVI8GEd-XNpj2tjovxA">
                    <body>This is a coded attribute describing the type of service that has been rendered to the client/patient that appears in this area of the behavioral health assessment.</body>
                  </ownedComment>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWjVY8GEd-XNpj2tjovxA" name="DiagnosticSummary">
                <ownedComment xmi:id="_dS7KIJd2Ed-1hLYGSfVdpQ" annotatedElement="_UmWjVY8GEd-XNpj2tjovxA">
                  <body>This area of the assessment is used to record answers related to the client/patient's diagnoses that may be pertinent to their behavioral health problems.</body>
                </ownedComment>
                <generalization xmi:id="_UmWjVo8GEd-XNpj2tjovxA" general="_UmWi8o8GEd-XNpj2tjovxA"/>
                <ownedAttribute xmi:id="_UmWjV48GEd-XNpj2tjovxA" name="diagnosis" visibility="public" type="_420A62FD03B6424070DB0209" association="_UmWjfo8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWjWY8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWjWI8GEd-XNpj2tjovxA" value="1"/>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWjWo8GEd-XNpj2tjovxA" name="SocialNetwork">
                <ownedComment xmi:id="_UmWjW48GEd-XNpj2tjovxA" annotatedElement="_UmWjWo8GEd-XNpj2tjovxA">
                  <body>This class identifies whether a person is in environment where others are abusing alcohol or other substances.  The National Outcomes Measures (NOMs) set performance targets for State and Federally funded initiatives and programs for substance abuse prevention and mental health promotion, early intervention, and treatment services.  Social network risk factors are one component of these measures.</body>
                </ownedComment>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWjXI8GEd-XNpj2tjovxA" name="LivingArrangement">
                <ownedComment xmi:id="_IJJ08JbPEd-1hLYGSfVdpQ" annotatedElement="_UmWjXI8GEd-XNpj2tjovxA">
                  <body>This section identifies the living arrangements for a client/patient.   class may have overlaps with FamilySocialHistoryArea so this may go away.</body>
                </ownedComment>
                <ownedAttribute xmi:id="_UmWjXY8GEd-XNpj2tjovxA" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmWjXo8GEd-XNpj2tjovxA" annotatedElement="_UmWjXY8GEd-XNpj2tjovxA">
                    <body>The value sets for this attribute are based on the HL7 Living Arrangements coding system (2.16.840.1.113883.5.63) used to specify whether the patient is homeless, transient, living in a community shelter, or institutionalized.</body>
                  </ownedComment>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWjX48GEd-XNpj2tjovxA" name="Outcome">
                <ownedComment xmi:id="_UmWjYI8GEd-XNpj2tjovxA" annotatedElement="_UmWjX48GEd-XNpj2tjovxA">
                  <body>This class is used specify the outcome of Behavioral Health treatment as described by changes to the patient’s state reflected in his or her responses to assessment questions.</body>
                </ownedComment>
                <ownedAttribute xmi:id="_UmWjYY8GEd-XNpj2tjovxA" name="startDate" visibility="public" type="_420A62FD03B64244824602F5"/>
                <ownedAttribute xmi:id="_UmWjYo8GEd-XNpj2tjovxA" name="endDate" visibility="public" type="_420A62FD03B64244824602F5"/>
                <ownedAttribute xmi:id="_UmWjY48GEd-XNpj2tjovxA" name="performanceMeasure" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWjZY8GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWjZI8GEd-XNpj2tjovxA" value="*"/>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmWjZo8GEd-XNpj2tjovxA" name="behavioralHealthAssessmentDomain_outcome" memberEnd="_UmWjBY8GEd-XNpj2tjovxA _UmWjZ48GEd-XNpj2tjovxA">
                <ownedEnd xmi:id="_UmWjZ48GEd-XNpj2tjovxA" name="" visibility="public" type="_UmWi8o8GEd-XNpj2tjovxA" association="_UmWjZo8GEd-XNpj2tjovxA"/>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmWjcI8GEd-XNpj2tjovxA" name="familySocialHistory_householdComposition" memberEnd="_UmWi4o8GEd-XNpj2tjovxA _UmWjcY8GEd-XNpj2tjovxA">
                <ownedEnd xmi:id="_UmWjcY8GEd-XNpj2tjovxA" name="" visibility="public" type="_UmWi3Y8GEd-XNpj2tjovxA" association="_UmWjcI8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWjc48GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWjco8GEd-XNpj2tjovxA" value="1"/>
                </ownedEnd>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmWjdI8GEd-XNpj2tjovxA" name="BehavioralHealthAssessment">
                <ownedComment xmi:id="_UmWjdY8GEd-XNpj2tjovxA" annotatedElement="_UmWjdI8GEd-XNpj2tjovxA">
                  <body>This is class describes a Behavioral Health Assessment containing both mental health and substance abuse related questions.</body>
                </ownedComment>
                <generalization xmi:id="_7_nUQHCdEeKknILXOCcS7w" general="_420A62FD03B642DFB6BC006E"/>
                <ownedAttribute xmi:id="_UmWjd48GEd-XNpj2tjovxA" name="patient" visibility="public" type="_UmgMc48GEd-XNpj2tjovxA" association="_UmWjGI8GEd-XNpj2tjovxA">
                  <ownedComment xmi:id="_TK7GwJdzEd-1hLYGSfVdpQ" annotatedElement="_UmWjd48GEd-XNpj2tjovxA">
                    <body> This directed association describes the relationship between a                     client/patient and their behavioral health assessments. </body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWjeY8GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWjeI8GEd-XNpj2tjovxA" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmWjeo8GEd-XNpj2tjovxA" name="problemArea" visibility="public" type="_UmWi8o8GEd-XNpj2tjovxA" association="_UmWjFI8GEd-XNpj2tjovxA">
                  <ownedComment xmi:id="_UmWje48GEd-XNpj2tjovxA" annotatedElement="_UmWjeo8GEd-XNpj2tjovxA">
                    <body>This association is used to identify the logical problem areas (e.g., FamilySocialHistoryArea, DrugUseHistoryArea, MedicationsArea, etc.) contained in the assessment.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWjfY8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWjfI8GEd-XNpj2tjovxA" value="*"/>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmWjfo8GEd-XNpj2tjovxA" name="diagnosticSummary_diagnosis" memberEnd="_UmWjV48GEd-XNpj2tjovxA _UmWjf48GEd-XNpj2tjovxA">
                <ownedEnd xmi:id="_UmWjf48GEd-XNpj2tjovxA" name="" visibility="public" type="_UmWjVY8GEd-XNpj2tjovxA" association="_UmWjfo8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWjgY8GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWjgI8GEd-XNpj2tjovxA" value="1"/>
                </ownedEnd>
              </packagedElement>
              <packagedElement xmi:type="uml:AssociationClass" xmi:id="_UmWjgo8GEd-XNpj2tjovxA" name="TargetSubstance" memberEnd="_UmWjhI8GEd-XNpj2tjovxA _UmWjh48GEd-XNpj2tjovxA">
                <ownedComment xmi:id="_RCXwwJdxEd-1hLYGSfVdpQ" annotatedElement="_UmWjgo8GEd-XNpj2tjovxA">
                  <body>This association class is used to describe the priority of the SubstanceOfChoice abused by the client/patient defined by the sequence attribute and is used to distinguish primary from secondary and tertiary substances.</body>
                </ownedComment>
                <ownedAttribute xmi:id="_UmWjg48GEd-XNpj2tjovxA" name="sequence" visibility="public">
                  <ownedComment xmi:id="_KYhScJdyEd-1hLYGSfVdpQ" annotatedElement="_UmWjg48GEd-XNpj2tjovxA">
                    <body>This attribute defines whether the abused Substance is the primary SubstanceOfChoice or secondary, tertiary, etc.  This is captured to determine whether different treatments are effective depending on whether the substance is the primary one being abused or incidental to the primary substance.</body>
                  </ownedComment>
                  <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
                </ownedAttribute>
                <ownedEnd xmi:id="_UmWjhI8GEd-XNpj2tjovxA" name="" visibility="public" type="_UmWjNI8GEd-XNpj2tjovxA" association="_UmWjgo8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWjho8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWjhY8GEd-XNpj2tjovxA" value="*"/>
                </ownedEnd>
                <ownedEnd xmi:id="_UmWjh48GEd-XNpj2tjovxA" name="" visibility="public" type="_UmWi2o8GEd-XNpj2tjovxA" association="_UmWjgo8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmWjiY8GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmWjiI8GEd-XNpj2tjovxA" value="1"/>
                </ownedEnd>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_lrTdUHCgEeKknILXOCcS7w" name="familySocialHistory_livingArrangement" memberEnd="_lrV5kHCgEeKknILXOCcS7w _lrYV0HCgEeKknILXOCcS7w">
                <ownedEnd xmi:id="_lrYV0HCgEeKknILXOCcS7w" name="" visibility="public" type="_UmWi3Y8GEd-XNpj2tjovxA" association="_lrTdUHCgEeKknILXOCcS7w"/>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_AJLN0HCiEeKknILXOCcS7w" name="familySocialHistory_socialNetwork" memberEnd="_AJORIHCiEeKknILXOCcS7w _AJSikHCiEeKknILXOCcS7w">
                <ownedEnd xmi:id="_AJSikHCiEeKknILXOCcS7w" name="" visibility="public" type="_UmWi3Y8GEd-XNpj2tjovxA" association="_AJLN0HCiEeKknILXOCcS7w"/>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_quzhgHCiEeKknILXOCcS7w" name="substanceOfChoice_substance" memberEnd="_qu3L4HCiEeKknILXOCcS7w _qu7dUHCiEeKknILXOCcS7w">
                <ownedEnd xmi:id="_qu7dUHCiEeKknILXOCcS7w" name="" visibility="public" type="_UmWjNI8GEd-XNpj2tjovxA" association="_quzhgHCiEeKknILXOCcS7w"/>
              </packagedElement>
            </packagedElement>
            <packagedElement xmi:type="uml:Package" xmi:id="_UmWjio8GEd-XNpj2tjovxA" name="2.3 Behavioral Health Record Exchange Classes">
              <eAnnotations xmi:id="_UmWji48GEd-XNpj2tjovxA" source="uml2.diagrams"/>
              <ownedComment xmi:id="_UmgLjI8GEd-XNpj2tjovxA" annotatedElement="_UmWjio8GEd-XNpj2tjovxA">
                <body>This section describes the structure and information objects needed to exchange                 Behavioral Health records between various stakeholders. The information detailed in                 this section is intended to address the information requirements of the &amp;amp;apos;Report                 Behavioral Health Records to Public Health&amp;amp;apos; use case - see Section 3.</body>
              </ownedComment>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmgLjY8GEd-XNpj2tjovxA" name="HistoryOfAbuseOrNeglectRecord" isAbstract="true">
                <ownedComment xmi:id="_UmgLjo8GEd-XNpj2tjovxA" annotatedElement="_UmgLjY8GEd-XNpj2tjovxA">
                  <body>This class is intended to capture details related to any past abuse/violence and/or neglect.  Violence is a significant problem in the United States.  From infants to the elderly, it affects people in all stages of life. In 2006, 18,573 people died as a result of homicide and 33,300 took their own life.  The number of violent deaths tells only part of the story.  Many more survive violence and are left with permanent physical and emotional scars.  Violence also erodes communities by reducing productivity, decreasing property values, and disrupting social services.  In 1979, violent behavior was identified by the U.S. Surgeon General as a key public health priority.  Shortly thereafter, in 1980, CDC began studying patterns of violence.  These early activities grew into a national program to reduce the death and disability associated with injuries outside the workplace.  In 1992, CDC established the National Center for Injury Prevention and Control (NCIPC) as the lead federal organization for violence prevention.  The Division of Violence Prevention (DVP) is one of three divisions within NCIPC.</body>
                </ownedComment>
                <ownedAttribute xmi:id="_UmgLmo8GEd-XNpj2tjovxA" name="clinicalNoteText" visibility="public">
                  <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLj48GEd-XNpj2tjovxA" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmgLkI8GEd-XNpj2tjovxA" annotatedElement="_UmgLj48GEd-XNpj2tjovxA">
                    <body>This is the coded attribute describing the type of abuse or neglect.  It is not currently associated with any particular value set, but this may be captured using ICD-9-CM diagnostic codes.</body>
                  </ownedComment>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLlY8GEd-XNpj2tjovxA" name="dateOfOnset" visibility="public" type="_420A62FD03B64244824602F5">
                  <ownedComment xmi:id="_UmgLlo8GEd-XNpj2tjovxA" annotatedElement="_UmgLlY8GEd-XNpj2tjovxA">
                    <body>This attribute is the date when the neglect or abuse started (e.g. first incident).  An imprecise date would be appropriate.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgLmI8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgLl48GEd-XNpj2tjovxA" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLkY8GEd-XNpj2tjovxA" name="mostRecentIncidentDate" visibility="public" type="_420A62FD03B64244824602F5">
                  <ownedComment xmi:id="_UmgLko8GEd-XNpj2tjovxA" annotatedElement="_UmgLkY8GEd-XNpj2tjovxA">
                    <body>This attribute is the date of the most recent incident of neglect or abuse that has been identified by the assessment.</body>
                  </ownedComment>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLk48GEd-XNpj2tjovxA" name="statusCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmgLlI8GEd-XNpj2tjovxA" annotatedElement="_UmgLk48GEd-XNpj2tjovxA">
                    <body>This attribute indicates s whether the abuse or neglect is still in progress (active) or was in the past (completed).</body>
                  </ownedComment>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLmY8GEd-XNpj2tjovxA" name="typeCode" visibility="public" type="_UmgM-Y8GEd-XNpj2tjovxA">
                  <ownedComment xmi:id="_vPKs8KAsEd-GiONa6WTwkg" annotatedElement="_UmgLmY8GEd-XNpj2tjovxA">
                    <body>This attribute specifies whether the history of abuse refers to neglect, physical, or sexual abuse.</body>
                  </ownedComment>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLm48GEd-XNpj2tjovxA" name="historyOfAbuseOrNeglect" visibility="public" type="_UmgLjY8GEd-XNpj2tjovxA" association="_UmgL148GEd-XNpj2tjovxA">
                  <ownedComment xmi:id="_DCOrQJd7Ed-1hLYGSfVdpQ" annotatedElement="_UmgLm48GEd-XNpj2tjovxA">
                    <body>This attribute links to other HistoryOfAbuseOrNeglect records.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgLnY8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgLnI8GEd-XNpj2tjovxA" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLno8GEd-XNpj2tjovxA" name="patientbehavioralhealth" visibility="public" type="_UmgMc48GEd-XNpj2tjovxA" association="_UmgMoI8GEd-XNpj2tjovxA">
                  <ownedComment xmi:id="_Ikk5gJd7Ed-1hLYGSfVdpQ" annotatedElement="_UmgLno8GEd-XNpj2tjovxA">
                    <body>This is an association between a client/patient and their History of Abuse                     and Neglect records.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgLoI8GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgLn48GEd-XNpj2tjovxA" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLoY8GEd-XNpj2tjovxA" name="riskOfViolence" visibility="public" type="_UmgL8o8GEd-XNpj2tjovxA" association="_UmgL-I8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgLo48GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgLoo8GEd-XNpj2tjovxA" value="1"/>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmgLpI8GEd-XNpj2tjovxA" name="PerpetratorOfAbuseOrNeglectRecord">
                <ownedComment xmi:id="_UmgLpY8GEd-XNpj2tjovxA" annotatedElement="_UmgLpI8GEd-XNpj2tjovxA">
                  <body>This class is intended to record any additional attributes required to describe a history of abuse from the perspective of the perpetrator.  This is not typical but it is an optional content of a behavioral health record.</body>
                </ownedComment>
                <generalization xmi:id="_UmgLpo8GEd-XNpj2tjovxA" general="_UmgLjY8GEd-XNpj2tjovxA"/>
                <ownedAttribute xmi:id="_UmgLp48GEd-XNpj2tjovxA" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmgLqI8GEd-XNpj2tjovxA" annotatedElement="_UmgLp48GEd-XNpj2tjovxA">
                    <body>This coded attribute may be used to indicate that the patient is a registered sex offender, convicted of arson, etc.</body>
                  </ownedComment>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmgLqo8GEd-XNpj2tjovxA" name="SuicidalIdeationObservation">
                <ownedComment xmi:id="_UmgLq48GEd-XNpj2tjovxA" annotatedElement="_UmgLqo8GEd-XNpj2tjovxA">
                  <body>This class is used to record thoughts of harming or killing oneself (IOM 2002) and is a specialization of HealthConcern.  The severity of suicidal ideation can be determined by assessing the frequency, intensity, and duration of these thoughts.  The severity of suicidal ideation can be determined by assessing the frequency, intensity, and duration of these thoughts (IOM 2002).  The CDC is in the process of developing Suicide Surveillance: Uniform Definitions and Recommended Data Elements.  This publication is expected to be available starting in 2009.  Reference: Goldsmith, SK; Pellmar, TC; Kleinman, AM; Bunney, WE; eds. Reducing Suicide: A National Imperative.</body>
                </ownedComment>
                <generalization xmi:id="_UmgLrI8GEd-XNpj2tjovxA" general="_420A62FD03B6421F8AD00244"/>
                <ownedAttribute xmi:id="_UmgLrY8GEd-XNpj2tjovxA" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_dtR98JdBEd-1hLYGSfVdpQ" annotatedElement="_UmgLrY8GEd-XNpj2tjovxA">
                    <body>The business stakeholders may specify what code is associated with SuicidalIdeationObservation. There is an ICD code attribute in the class SuicideAttemptOrCompletion.  Are there two different codes for these classes?  If so, what is the definition for this code and as the name implies is an ICD-9 code always used to specify this information.</body>
                  </ownedComment>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLr48GEd-XNpj2tjovxA" name="description" visibility="public">
                  <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLsI8GEd-XNpj2tjovxA" name="frequency" visibility="public">
                  <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLsY8GEd-XNpj2tjovxA" name="intensity" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmgLso8GEd-XNpj2tjovxA" annotatedElement="_UmgLsY8GEd-XNpj2tjovxA">
                    <body>The intensity may be specified using a value set or a scale of integer values.</body>
                  </ownedComment>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLs48GEd-XNpj2tjovxA" name="previousSuicideAttempts" visibility="public">
                  <ownedComment xmi:id="_UmgLtI8GEd-XNpj2tjovxA" annotatedElement="_UmgLs48GEd-XNpj2tjovxA">
                    <body>“A non-fatal, self-inflicted destructive act with explicit or inferred intent to die.” - IOM 2002.</body>
                  </ownedComment>
                  <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLtY8GEd-XNpj2tjovxA" name="alert" visibility="public" type="_UmgLu48GEd-XNpj2tjovxA" association="_UmgL1Y8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgLt48GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgLto8GEd-XNpj2tjovxA" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLuI8GEd-XNpj2tjovxA" name="suicideAttemptOrCompletion" visibility="public" type="_UmgL3I8GEd-XNpj2tjovxA" association="_UmgL4o8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgLuo8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgLuY8GEd-XNpj2tjovxA" value="*"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLro8GEd-XNpj2tjovxA" name="type" visibility="public" type="_UmgNBo8GEd-XNpj2tjovxA"/>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmgLu48GEd-XNpj2tjovxA" name="SuicideRisk">
                <ownedComment xmi:id="_UmgLvI8GEd-XNpj2tjovxA" annotatedElement="_UmgLu48GEd-XNpj2tjovxA">
                  <body>This class is used to convey a risk of suicide.  This class contains an association to the full details of a patient’s suicidal ideation and past history of suicide attempts.</body>
                </ownedComment>
                <ownedAttribute xmi:id="_UmgLvY8GEd-XNpj2tjovxA" name="suicidalIdeation" visibility="public" type="_UmgLqo8GEd-XNpj2tjovxA" association="_UmgL1Y8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgLv48GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgLvo8GEd-XNpj2tjovxA" value="*"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLwI8GEd-XNpj2tjovxA" name="code" visibility="public" type="_UmgNCY8GEd-XNpj2tjovxA"/>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmgLwY8GEd-XNpj2tjovxA" name="VictimOfAbuseOrNeglectRecord">
                <ownedComment xmi:id="_UmgLwo8GEd-XNpj2tjovxA" annotatedElement="_UmgLwY8GEd-XNpj2tjovxA">
                  <body>This class is used to record the details of a history of abuse perpetrated by others.  The client/patient, as victim of abuse or neglect, may have additional forensic tests (e.g. imaging, lab) and medications.  Therefore this specialization class has associations to medication, diagnostic imaging, and laboratory results.</body>
                </ownedComment>
                <generalization xmi:id="_UmgLw48GEd-XNpj2tjovxA" general="_UmgLjY8GEd-XNpj2tjovxA"/>
                <ownedAttribute xmi:id="_UmgLxI8GEd-XNpj2tjovxA" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_bkWSsKAtEd-GiONa6WTwkg" annotatedElement="_UmgLxI8GEd-XNpj2tjovxA">
                    <body>This attribute specifies the type of victim or abuse or neglect using a standard coding system.</body>
                  </ownedComment>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgLxo8GEd-XNpj2tjovxA" name="medication" visibility="public" type="_420A62FD03B641B4BDD30213" association="_UmgL5o8GEd-XNpj2tjovxA">
                  <ownedComment xmi:id="_haslkKAuEd-GiONa6WTwkg" annotatedElement="_UmgLxo8GEd-XNpj2tjovxA">
                    <body>If the record contains references to specific medication associated with the                     abuse, this association will provide the supporting information.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgLyI8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgLx48GEd-XNpj2tjovxA" value="1"/>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmgLz48GEd-XNpj2tjovxA" name="VictimOfIntimatePartnerOrDomesticViolence">
                <ownedComment xmi:id="_UmgL0I8GEd-XNpj2tjovxA" annotatedElement="_UmgLz48GEd-XNpj2tjovxA">
                  <body>This specialization class is used to specify the codes and details related to a history of violence perpetrated by a domestic partner.</body>
                </ownedComment>
                <generalization xmi:id="_UmgL0Y8GEd-XNpj2tjovxA" general="_UmgLwY8GEd-XNpj2tjovxA"/>
                <ownedAttribute xmi:id="_UmgL0o8GEd-XNpj2tjovxA" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_zer0wJdBEd-1hLYGSfVdpQ" annotatedElement="_UmgL0o8GEd-XNpj2tjovxA">
                    <body>This attribute specifies the type of victim or abuse or neglect using a standard coding system.</body>
                  </ownedComment>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Usage" xmi:id="_UmgL1I8GEd-XNpj2tjovxA" client="_UmgLu48GEd-XNpj2tjovxA" supplier="_UmgNCY8GEd-XNpj2tjovxA"/>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmgL1Y8GEd-XNpj2tjovxA" name="suicidalIdeationObservation_alert" memberEnd="_UmgLtY8GEd-XNpj2tjovxA _UmgLvY8GEd-XNpj2tjovxA"/>
              <packagedElement xmi:type="uml:Usage" xmi:id="_UmgL1o8GEd-XNpj2tjovxA" client="_UmgLqo8GEd-XNpj2tjovxA" supplier="_UmgNBo8GEd-XNpj2tjovxA"/>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmgL148GEd-XNpj2tjovxA" name="historyOfAbuseOrNeglect_historyOfAbuseOrNeglect" memberEnd="_UmgLm48GEd-XNpj2tjovxA _UmgL2I8GEd-XNpj2tjovxA">
                <ownedEnd xmi:id="_UmgL2I8GEd-XNpj2tjovxA" name="" visibility="public" type="_UmgLjY8GEd-XNpj2tjovxA" association="_UmgL148GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgL2o8GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgL2Y8GEd-XNpj2tjovxA" value="1"/>
                </ownedEnd>
              </packagedElement>
              <packagedElement xmi:type="uml:Usage" xmi:id="_UmgL248GEd-XNpj2tjovxA" client="_UmgLjY8GEd-XNpj2tjovxA" supplier="_UmgM-Y8GEd-XNpj2tjovxA"/>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmgL3I8GEd-XNpj2tjovxA" name="SuicideAttemptOrCompletion">
                <ownedComment xmi:id="_UmgL3Y8GEd-XNpj2tjovxA" annotatedElement="_UmgL3I8GEd-XNpj2tjovxA">
                  <body>This class is used to specify past incidents of suicide attempt.</body>
                </ownedComment>
                <ownedAttribute xmi:id="_UmgL3o8GEd-XNpj2tjovxA" name="ICDcode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmgL348GEd-XNpj2tjovxA" annotatedElement="_UmgL3o8GEd-XNpj2tjovxA">
                    <body>This coded attribute is used to specify the means by which suicide was attempted.  The attribute name implies that an ICD-9 code is used to specify this information.  Is this the case?</body>
                  </ownedComment>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgL4I8GEd-XNpj2tjovxA" name="statusCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmgL4Y8GEd-XNpj2tjovxA" annotatedElement="_UmgL4I8GEd-XNpj2tjovxA">
                    <body>This coded attribute is used to specify if the suicide attempt was successful/completed, aborted, or otherwise unsuccessful.</body>
                  </ownedComment>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmgL4o8GEd-XNpj2tjovxA" name="suicidalIdeationObservation_suicideAttemptOrCompletion" memberEnd="_UmgLuI8GEd-XNpj2tjovxA _UmgL448GEd-XNpj2tjovxA">
                <ownedEnd xmi:id="_UmgL448GEd-XNpj2tjovxA" name="" visibility="public" type="_UmgLqo8GEd-XNpj2tjovxA" association="_UmgL4o8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgL5Y8GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgL5I8GEd-XNpj2tjovxA" value="1"/>
                </ownedEnd>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmgL5o8GEd-XNpj2tjovxA" name="victimOfAbuseOrNeglectRecord_medication" memberEnd="_UmgLxo8GEd-XNpj2tjovxA _UmgL548GEd-XNpj2tjovxA">
                <ownedEnd xmi:id="_UmgL548GEd-XNpj2tjovxA" name="" visibility="public" type="_UmgLwY8GEd-XNpj2tjovxA" association="_UmgL5o8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgL6Y8GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgL6I8GEd-XNpj2tjovxA" value="1"/>
                </ownedEnd>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmgL8o8GEd-XNpj2tjovxA" name="ViolentBehaviorRisk">
                <ownedComment xmi:id="_UmgL848GEd-XNpj2tjovxA" annotatedElement="_UmgL8o8GEd-XNpj2tjovxA">
                  <body>This class is used to alert providers of any risk of violent behavior posed by the patient.  This class is used convey information about the violent tendencies of a client/patient in the context of protecting healthcare providers.</body>
                </ownedComment>
                <ownedAttribute xmi:id="_UmgL9I8GEd-XNpj2tjovxA" name="code" visibility="public" type="_UmgNDo8GEd-XNpj2tjovxA"/>
                <ownedAttribute xmi:id="_UmgL9Y8GEd-XNpj2tjovxA" name="historyOfAbuseOrNeglect" visibility="public" type="_UmgLjY8GEd-XNpj2tjovxA" association="_UmgL-I8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgL948GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgL9o8GEd-XNpj2tjovxA" value="*"/>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmgL-I8GEd-XNpj2tjovxA" name="historyOfAbuseOrNeglect_riskOfViolence" memberEnd="_UmgLoY8GEd-XNpj2tjovxA _UmgL9Y8GEd-XNpj2tjovxA"/>
            </packagedElement>
            <packagedElement xmi:type="uml:Package" xmi:id="_UmgL-Y8GEd-XNpj2tjovxA" name="2.1 Common Behavioral Health Classes">
              <eAnnotations xmi:id="_UmgL-o8GEd-XNpj2tjovxA" source="uml2.diagrams"/>
              <ownedComment xmi:id="_UmgMco8GEd-XNpj2tjovxA" annotatedElement="_UmgL-Y8GEd-XNpj2tjovxA">
                <body>The following classes are reused across this domain and represent specialization/restrictions of common FHIM classes or classes declared in other FHIM domains.</body>
              </ownedComment>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmgMc48GEd-XNpj2tjovxA" name="PatientBehavioralHealth">
                <eAnnotations xmi:id="_UmgMdI8GEd-XNpj2tjovxA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
                <ownedComment xmi:id="_UmgMdY8GEd-XNpj2tjovxA" annotatedElement="_UmgMc48GEd-XNpj2tjovxA">
                  <body>This class represents a specialization of the Patient role declared in the FHIM Person Demographics domain in which Behavioral Health specific properties are added.</body>
                </ownedComment>
                <generalization xmi:id="_UmgMdo8GEd-XNpj2tjovxA" general="_l0XegO_4Ed6OG-vjYTopTQ"/>
                <ownedAttribute xmi:id="_UmgMd48GEd-XNpj2tjovxA" name="biologicalGender" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmgMeI8GEd-XNpj2tjovxA" annotatedElement="_UmgMd48GEd-XNpj2tjovxA">
                    <body>This attribute is currently in this domain but it will be moved to Person.  It specifies the biological gender of a client/patient.  This attribute is optional (i.e. cardinality [0..1]).  HL7 Version 3 does not currently have a Concept Domain corresponding to Biological Gender.  There is a concept domain for AdministrativeGender which has the definition “the gender of a person used for administrative purposes (as opposed to clinical gender”.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgMeo8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgMeY8GEd-XNpj2tjovxA" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgMf48GEd-XNpj2tjovxA" name="custodialStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmgMgI8GEd-XNpj2tjovxA" annotatedElement="_UmgMf48GEd-XNpj2tjovxA">
                    <body>The primary purpose for this attribute is for reporting purposes. Custodial status refers to the legal guardianship according to example enumerations that were provided to this analysis and which appear in the Terminology section of this publication.  There are no values currently defined to indicate prison incarceration however.  This attribute is optional (i.e. cardinality [0..1]).</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgMgo8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgMgY8GEd-XNpj2tjovxA" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgMe48GEd-XNpj2tjovxA" name="immigrationStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmgMfI8GEd-XNpj2tjovxA" annotatedElement="_UmgMe48GEd-XNpj2tjovxA">
                    <body>The primary purpose for this attribute is for reporting purposes, although in some instances, immigration status could be used to determine eligibility for Behavioral Health services.  Example enumerations have been provided for this attribute in the Terminology section of this publication.  This attribute is optional (i.e. cardinality [0..1]).</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgMfo8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgMfY8GEd-XNpj2tjovxA" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgMi48GEd-XNpj2tjovxA" name="historyOfAbuseOrNeglect" visibility="public" type="_UmgLjY8GEd-XNpj2tjovxA" association="_UmgMoI8GEd-XNpj2tjovxA">
                  <ownedComment xmi:id="_UmgMjI8GEd-XNpj2tjovxA" annotatedElement="_UmgMi48GEd-XNpj2tjovxA">
                    <body>This is an association between the patient and their history of abuse or neglect history records.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgMjo8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgMjY8GEd-XNpj2tjovxA" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgMj48GEd-XNpj2tjovxA" name="suicidalIdeation" visibility="public" type="_UmgLqo8GEd-XNpj2tjovxA" association="_UmgMoY8GEd-XNpj2tjovxA">
                  <ownedComment xmi:id="_UmgMkI8GEd-XNpj2tjovxA" annotatedElement="_UmgMj48GEd-XNpj2tjovxA">
                    <body>This is an association between the patient and their records of suicidal ideation, suicide attempts, and alerts.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgMko8GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgMkY8GEd-XNpj2tjovxA" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_QJhuwGJ6EeKl3I3Lt5ZAXg" name="problem" visibility="public" type="_420A62FD03B6421F8AD00244" association="_QI744GJ6EeKl3I3Lt5ZAXg">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QJhuwWJ6EeKl3I3Lt5ZAXg"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QJhuwmJ6EeKl3I3Lt5ZAXg" value="*"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_Zm5oIGJ6EeKl3I3Lt5ZAXg" name="psychiatricDiagnosis" visibility="public" type="_UmgMk48GEd-XNpj2tjovxA" association="_Zmv3IGJ6EeKl3I3Lt5ZAXg">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Zm5oIWJ6EeKl3I3Lt5ZAXg"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Zm5oImJ6EeKl3I3Lt5ZAXg" value="*"/>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Class" xmi:id="_UmgMk48GEd-XNpj2tjovxA" name="PsychiatricDiagnosis">
                <ownedComment xmi:id="_UmgMlI8GEd-XNpj2tjovxA" annotatedElement="_UmgMk48GEd-XNpj2tjovxA">
                  <body>This class is intended to specialize a generic diagnosis class by adding support for Diagnostic and Statistical Manual of Mental Disorders (DSM) codes and supports any extensions required to communicate information about Behavioral Health diagnoses between organizations and providers.</body>
                </ownedComment>
                <generalization xmi:id="_UmgMlY8GEd-XNpj2tjovxA" general="_420A62FD03B6424070DB0209"/>
                <ownedAttribute xmi:id="_UmgMmI8GEd-XNpj2tjovxA" name="confidentialityCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmgMmY8GEd-XNpj2tjovxA" annotatedElement="_UmgMmI8GEd-XNpj2tjovxA">
                    <body>This code may be used to specify whether the diagnosis is sensitive (e.g., carries a social stigma).  This attribute relies on the sensitivity value set specified by HL7 Confidentiality coding system.</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgMm48GEd-XNpj2tjovxA"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgMmo8GEd-XNpj2tjovxA" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_UmgMlo8GEd-XNpj2tjovxA" name="snomedDiagnosisCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_UmgMl48GEd-XNpj2tjovxA" annotatedElement="_UmgMlo8GEd-XNpj2tjovxA">
                    <body>This attribute is intended to store the code for the diagnosis in SNOMED-CT.  Since both the DSM IV and the ICD codes corresponding to the psychiatric diagnosis are mapped to SNOMED-CT should be sufficient to represent psychiatric diagnoses.</body>
                  </ownedComment>
                </ownedAttribute>
                <ownedAttribute xmi:id="_loNYQHlYEeO6CY8V1St7og" name="dsmAxis1" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_loNYQXlYEeO6CY8V1St7og" annotatedElement="_loNYQHlYEeO6CY8V1St7og">
                    <body>The DSM-IV organizes each psychiatric diagnosis into five dimensions (axes) relating to different aspects of disorder or disability:&#xD;
Axis I: Clinical disorders, including major mental disorders, and learning disorders</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oNTyQHlYEeO6CY8V1St7og"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oNUZUHlYEeO6CY8V1St7og" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_vBSngHlYEeO6CY8V1St7og" name="dsmAxis2" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_vBSngXlYEeO6CY8V1St7og" annotatedElement="_vBSngHlYEeO6CY8V1St7og">
                    <body>The DSM-IV organizes each psychiatric diagnosis into five dimensions (axes) relating to different aspects of disorder or disability:&#xD;
Axis II: Personality disorders and intellectual disabilities (although developmental disorders, such as Autism, were coded on Axis II in the previous edition, these disorders are now included on Axis I)</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vBSng3lYEeO6CY8V1St7og"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vBSngnlYEeO6CY8V1St7og" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_vQQ3oHlYEeO6CY8V1St7og" name="dsmAxis3" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_vQQ3oXlYEeO6CY8V1St7og" annotatedElement="_vQQ3oHlYEeO6CY8V1St7og">
                    <body>The DSM-IV organizes each psychiatric diagnosis into five dimensions (axes) relating to different aspects of disorder or disability:&#xD;
Axis III: Acute medical conditions and physical disorders</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vQQ3o3lYEeO6CY8V1St7og"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vQQ3onlYEeO6CY8V1St7og" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_vhDFoHlYEeO6CY8V1St7og" name="dsmAxis4" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_vhDFoXlYEeO6CY8V1St7og" annotatedElement="_vhDFoHlYEeO6CY8V1St7og">
                    <body>The DSM-IV organizes each psychiatric diagnosis into five dimensions (axes) relating to different aspects of disorder or disability:&#xD;
Axis IV: Psychosocial and environmental factors contributing to the disorder</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vhDFo3lYEeO6CY8V1St7og"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vhDFonlYEeO6CY8V1St7og" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_vmsaoHlYEeO6CY8V1St7og" name="dsmAxis5" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
                  <ownedComment xmi:id="_vmsaoXlYEeO6CY8V1St7og" annotatedElement="_vmsaoHlYEeO6CY8V1St7og">
                    <body>The DSM-IV organizes each psychiatric diagnosis into five dimensions (axes) relating to different aspects of disorder or disability:&#xD;
Axis V: Global Assessment of Functioning or Children's Global Assessment Scale for children and teens under the age of 18</body>
                  </ownedComment>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vmsao3lYEeO6CY8V1St7og"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vmsaonlYEeO6CY8V1St7og" value="1"/>
                </ownedAttribute>
                <ownedAttribute xmi:id="_ADKNEHlZEeO6CY8V1St7og" name="globalAssessmentOfFunctioning" visibility="public">
                  <ownedComment xmi:id="_ADKNEXlZEeO6CY8V1St7og" annotatedElement="_ADKNEHlZEeO6CY8V1St7og">
                    <body>The Global Assessment of Functioning (GAF) is part of the diagnosis on Axis 5.</body>
                  </ownedComment>
                  <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ADKNE3lZEeO6CY8V1St7og"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ADKNEnlZEeO6CY8V1St7og" value="1"/>
                </ownedAttribute>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmgMoI8GEd-XNpj2tjovxA" name="patientBehavioralHealth_historyOfAbuseOrNeglect" memberEnd="_UmgMi48GEd-XNpj2tjovxA _UmgLno8GEd-XNpj2tjovxA"/>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmgMoY8GEd-XNpj2tjovxA" name="patientBehavioralHealth_suicidalIdeation" memberEnd="_UmgMj48GEd-XNpj2tjovxA _UmgMoo8GEd-XNpj2tjovxA">
                <ownedComment xmi:id="_wsyk4JaREd-1hLYGSfVdpQ" annotatedElement="_UmgMoY8GEd-XNpj2tjovxA">
                  <body>This is a directed association between a patient/client and the details of a health concern related to suicidal ideation.</body>
                </ownedComment>
                <ownedEnd xmi:id="_UmgMoo8GEd-XNpj2tjovxA" name="" visibility="public" type="_UmgMc48GEd-XNpj2tjovxA" association="_UmgMoY8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgMpI8GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgMo48GEd-XNpj2tjovxA" value="1"/>
                </ownedEnd>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_QI744GJ6EeKl3I3Lt5ZAXg" name="patientBehavioralHealth_associatedProblem" memberEnd="_QJhuwGJ6EeKl3I3Lt5ZAXg _QJhuw2J6EeKl3I3Lt5ZAXg">
                <ownedComment xmi:id="_VxuGUGJ6EeKl3I3Lt5ZAXg" annotatedElement="_QI744GJ6EeKl3I3Lt5ZAXg">
                  <body>This is a directed association between a behavioral patient/client and all of their behavioral health problems or concerns.</body>
                </ownedComment>
                <ownedEnd xmi:id="_QJhuw2J6EeKl3I3Lt5ZAXg" name="" visibility="public" type="_UmgMc48GEd-XNpj2tjovxA" association="_QI744GJ6EeKl3I3Lt5ZAXg"/>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_Zmv3IGJ6EeKl3I3Lt5ZAXg" name="patientBehavioralHealth_psychiatricDiagnosis" memberEnd="_Zm5oIGJ6EeKl3I3Lt5ZAXg _Zm5oI2J6EeKl3I3Lt5ZAXg">
                <ownedComment xmi:id="_dyZYMGJ6EeKl3I3Lt5ZAXg" annotatedElement="_Zmv3IGJ6EeKl3I3Lt5ZAXg">
                  <body>This is a directed association between a behavioral patient/client and their psychiatric diagnoses.</body>
                </ownedComment>
                <ownedEnd xmi:id="_Zm5oI2J6EeKl3I3Lt5ZAXg" name="" visibility="public" type="_UmgMc48GEd-XNpj2tjovxA" association="_Zmv3IGJ6EeKl3I3Lt5ZAXg"/>
              </packagedElement>
            </packagedElement>
            <packagedElement xmi:type="uml:Package" xmi:id="_UmgMqY8GEd-XNpj2tjovxA" name="2.5 Terminology Analysis">
              <eAnnotations xmi:id="_UmgMqo8GEd-XNpj2tjovxA" source="uml2.diagrams"/>
              <ownedComment xmi:id="_UmgM-I8GEd-XNpj2tjovxA" annotatedElement="_UmgMqY8GEd-XNpj2tjovxA">
                <body>The following section specifies the terminology analysis for this document.  This section will be further elaborated to include ICD-9-CM codes for Self-Directed Violence concepts.</body>
              </ownedComment>
              <packagedElement xmi:type="uml:Enumeration" xmi:id="_UmgM-Y8GEd-XNpj2tjovxA" name="AbuseType">
                <ownedComment xmi:id="_UmgM-o8GEd-XNpj2tjovxA" annotatedElement="_UmgM-Y8GEd-XNpj2tjovxA">
                  <body>This enumeration illustrates the types of values that may be used to populate the typeCode attribute of a HistoryOfAbuse/Neglect class.</body>
                </ownedComment>
                <ownedLiteral xmi:id="_UmgM_Y8GEd-XNpj2tjovxA" name="NeglectIndicator">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="_cjk5AJdDEd-1hLYGSfVdpQ">
                    <body>This is an example code used to indicate that the abuse is neglect.</body>
                  </specification>
                </ownedLiteral>
                <ownedLiteral xmi:id="_UmgM-48GEd-XNpj2tjovxA" name="PhysicalAbuseIndicator">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="_dGmGgJdDEd-1hLYGSfVdpQ">
                    <body>This is an example code used to specify that the type of abuse is
                  physical.</body>
                  </specification>
                </ownedLiteral>
                <ownedLiteral xmi:id="_UmgM_o8GEd-XNpj2tjovxA" name="SexualVictimIndicator">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="_hwUqsJdDEd-1hLYGSfVdpQ">
                    <body>This is an example code intended to specify sexual abuse.</body>
                  </specification>
                </ownedLiteral>
              </packagedElement>
              <packagedElement xmi:type="uml:Enumeration" xmi:id="_UmgNBo8GEd-XNpj2tjovxA" name="SelfDirectedType">
                <ownedComment xmi:id="_6JJ_gJd_Ed-1hLYGSfVdpQ" annotatedElement="_UmgNBo8GEd-XNpj2tjovxA">
                  <body>This enumeration illustrates the values that may be used to populate the type attribute of a SuicidialIdeationObservation class.</body>
                </ownedComment>
                <ownedLiteral xmi:id="_UmgNCI8GEd-XNpj2tjovxA" name="NonFatalSuicideBehavior"/>
                <ownedLiteral xmi:id="_UmgNB48GEd-XNpj2tjovxA" name="Suicide"/>
              </packagedElement>
              <packagedElement xmi:type="uml:Enumeration" xmi:id="_UmgNCY8GEd-XNpj2tjovxA" name="SuicideRisk">
                <ownedComment xmi:id="_UmgNCo8GEd-XNpj2tjovxA" annotatedElement="_UmgNCY8GEd-XNpj2tjovxA">
                  <body> This enumeration illustrates the values that may be used to populate the                   attribute code of the SuicideRisk class. These values may be associated with a                   LOINC Answer ID associated with the LOINC code 42823-5 Suicide risk). </body>
                </ownedComment>
                <ownedLiteral xmi:id="_UmgNC48GEd-XNpj2tjovxA" name="Mild">
                  <ownedComment xmi:id="_bu9BUJdHEd-1hLYGSfVdpQ" annotatedElement="_UmgNC48GEd-XNpj2tjovxA">
                    <body>LOINC Answer Id: LA6752-5</body>
                  </ownedComment>
                </ownedLiteral>
                <ownedLiteral xmi:id="_UmgNDI8GEd-XNpj2tjovxA" name="Moderate">
                  <ownedComment xmi:id="_e0sDMJdHEd-1hLYGSfVdpQ" annotatedElement="_UmgNDI8GEd-XNpj2tjovxA">
                    <body>LOINC Answer Id: LA6751-7</body>
                  </ownedComment>
                </ownedLiteral>
                <ownedLiteral xmi:id="_UmgNDY8GEd-XNpj2tjovxA" name="Severe">
                  <ownedComment xmi:id="_hYdAcJdHEd-1hLYGSfVdpQ" annotatedElement="_UmgNDY8GEd-XNpj2tjovxA">
                    <body>LOINC Answer Id: LA6750-9 </body>
                  </ownedComment>
                </ownedLiteral>
              </packagedElement>
              <packagedElement xmi:type="uml:Enumeration" xmi:id="_UmgNDo8GEd-XNpj2tjovxA" name="ViolenceRiskType">
                <ownedComment xmi:id="_-8mq8JeAEd-1hLYGSfVdpQ" annotatedElement="_UmgNDo8GEd-XNpj2tjovxA">
                  <body>This enumeration illustrates the values that may be used to populate the attribute code of the ViolentBehaviorRisk class.</body>
                </ownedComment>
                <ownedLiteral xmi:id="_UmgND48GEd-XNpj2tjovxA" name="Assault"/>
                <ownedLiteral xmi:id="_UmgNEI8GEd-XNpj2tjovxA" name="Homicide"/>
              </packagedElement>
              <packagedElement xmi:type="uml:Enumeration" xmi:id="_WljMsJaFEd-1hLYGSfVdpQ" name="ImmigrationStatusCode">
                <ownedComment xmi:id="_1gB4QJd_Ed-1hLYGSfVdpQ" annotatedElement="_WljMsJaFEd-1hLYGSfVdpQ">
                  <body>This enumeration illustrates the types of values that may be used to populate the immigrationStatus code of the Patient_BehavioralHealth class.</body>
                </ownedComment>
                <ownedLiteral xmi:id="_dLmSoJaQEd-1hLYGSfVdpQ" name="CitizenLegalResident">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="_kJ46cJaQEd-1hLYGSfVdpQ">
                    <body>Citizen/Permanent Resident/Legal Immigrant</body>
                  </specification>
                </ownedLiteral>
                <ownedLiteral xmi:id="_rAu2cJaQEd-1hLYGSfVdpQ" name="IllegalImmigrant ">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="_tr8fgJaQEd-1hLYGSfVdpQ">
                    <body>Illegal Immigrant </body>
                  </specification>
                </ownedLiteral>
                <ownedLiteral xmi:id="_l0I1wJaQEd-1hLYGSfVdpQ" name="StudentVisa">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="_nIVBgJaQEd-1hLYGSfVdpQ">
                    <body>Student Visa</body>
                  </specification>
                </ownedLiteral>
                <ownedLiteral xmi:id="_pB7AYJaQEd-1hLYGSfVdpQ" name="VisitorVisa">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="_qRfK0JaQEd-1hLYGSfVdpQ">
                    <body>Visitor Visa</body>
                  </specification>
                </ownedLiteral>
              </packagedElement>
              <packagedElement xmi:type="uml:Enumeration" xmi:id="_bYqWYJaFEd-1hLYGSfVdpQ" name="CustodialStatusCode">
                <ownedComment xmi:id="_mka0kJd_Ed-1hLYGSfVdpQ" annotatedElement="_bYqWYJaFEd-1hLYGSfVdpQ">
                  <body>This enumeration illustrates the types of values that may be used to populate the custodialStatus code of the Patient_BehavioralHealth class.</body>
                </ownedComment>
                <ownedLiteral xmi:id="_8Q3-AJaPEd-1hLYGSfVdpQ" name="AdultConservator">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="__03CIJaPEd-1hLYGSfVdpQ">
                    <body>Adult with Conservator </body>
                  </specification>
                </ownedLiteral>
                <ownedLiteral xmi:id="_BrLDgJaQEd-1hLYGSfVdpQ" name="AdultEstate">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="_DXpzcJaQEd-1hLYGSfVdpQ">
                    <body>Adult with Guardian of Estate </body>
                  </specification>
                </ownedLiteral>
                <ownedLiteral xmi:id="_FScFIJaQEd-1hLYGSfVdpQ" name="AdultEstatePerson">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="_J1KpcJaQEd-1hLYGSfVdpQ">
                    <body>Adult with Guardian of Estate and Person</body>
                  </specification>
                </ownedLiteral>
                <ownedLiteral xmi:id="_NeEp0JaQEd-1hLYGSfVdpQ" name="AdultLimGuardian">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="_QGTQUJaQEd-1hLYGSfVdpQ">
                    <body>Adult with Limited Guardian</body>
                  </specification>
                </ownedLiteral>
                <ownedLiteral xmi:id="_grN1IJaFEd-1hLYGSfVdpQ" name="AdultNoGuardian ">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="_63J9kJaFEd-1hLYGSfVdpQ">
                    <body>Adult, not under custodial supervision</body>
                  </specification>
                </ownedLiteral>
                <ownedLiteral xmi:id="_K23-EJaQEd-1hLYGSfVdpQ" name="AdultPerson">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="_M2IgEJaQEd-1hLYGSfVdpQ">
                    <body>Adult with Guardian of Person</body>
                  </specification>
                </ownedLiteral>
                <ownedLiteral xmi:id="_RUY0EJaQEd-1hLYGSfVdpQ" name="AdultTempGuardian">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="_SZrBIJaQEd-1hLYGSfVdpQ">
                    <body>Adult with Temporary Guardian </body>
                  </specification>
                </ownedLiteral>
                <ownedLiteral xmi:id="_V0bQwJaQEd-1hLYGSfVdpQ" name="Minor">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="_WrteEJaQEd-1hLYGSfVdpQ">
                    <body>Minor</body>
                  </specification>
                </ownedLiteral>
                <ownedLiteral xmi:id="_TxcFUJaQEd-1hLYGSfVdpQ" name="MinorConservator">
                  <specification xmi:type="uml:OpaqueExpression" xmi:id="_VH3swJaQEd-1hLYGSfVdpQ">
                    <body>Minor with Conservator </body>
                  </specification>
                </ownedLiteral>
              </packagedElement>
            </packagedElement>
          </packagedElement>
          <packagedElement xmi:type="uml:Package" xmi:id="_UmgNEY8GEd-XNpj2tjovxA" name="3. Use Cases">
            <eAnnotations xmi:id="_UmgNEo8GEd-XNpj2tjovxA" source="uml2.diagrams"/>
            <ownedComment xmi:id="_UmgOsI8GEd-XNpj2tjovxA" annotatedElement="_UmgNEY8GEd-XNpj2tjovxA">
              <body> This section documents the use cases included to clarify the scope of the               analysis and to enable stakeholders with differing view-points to communicate their               Behavioral Health information exchange needs. These use cases are intended to support               the need to exchange information required for continuity of care, quality               measurements, and public health needs and are intended to be a representative but not               an exhaustive set of use cases. </body>
            </ownedComment>
            <packagedElement xmi:type="uml:Actor" xmi:id="_UmgOsY8GEd-XNpj2tjovxA" name="Physical Health Provider">
              <ownedComment xmi:id="_UmgOso8GEd-XNpj2tjovxA" annotatedElement="_UmgOsY8GEd-XNpj2tjovxA">
                <body>This actors refers to non-behavioral health clinical users (physical medicine) who require summary Behavioral Health information to determine a care plan for a client with a complex medical history including behavioral health information.</body>
              </ownedComment>
            </packagedElement>
            <packagedElement xmi:type="uml:Component" xmi:id="_UmgOuo8GEd-XNpj2tjovxA" name="Behavioral Health Electronic Health System" useCase="_UmgOyI8GEd-XNpj2tjovxA _UmgOvI8GEd-XNpj2tjovxA _UmgOvo8GEd-XNpj2tjovxA _UmgOwI8GEd-XNpj2tjovxA _UmgOwo8GEd-XNpj2tjovxA _UmgOxI8GEd-XNpj2tjovxA">
              <ownedComment xmi:id="_UmgOu48GEd-XNpj2tjovxA" annotatedElement="_UmgOuo8GEd-XNpj2tjovxA">
                <body>This system is conceptually equivalent to any information system (open-source or commercial-off-the-shelf - COTS) used by behavioral health providers.  This system is expected to conform to the HL7 Behavioral Health Functional Profile.</body>
              </ownedComment>
              <ownedUseCase xmi:id="_UmgOvI8GEd-XNpj2tjovxA" name="Send Alerts" subject="_UmgOuo8GEd-XNpj2tjovxA">
                <ownedComment xmi:id="_UmgOvY8GEd-XNpj2tjovxA" annotatedElement="_UmgOvI8GEd-XNpj2tjovxA">
                  <body>This use case addresses the need to provide alerts regarding the risk of self-directed or violence on others.</body>
                </ownedComment>
              </ownedUseCase>
              <ownedUseCase xmi:id="_UmgOvo8GEd-XNpj2tjovxA" name="Send Behavioral Health Information for a Patient" subject="_UmgOuo8GEd-XNpj2tjovxA">
                <ownedComment xmi:id="_UmgOv48GEd-XNpj2tjovxA" annotatedElement="_UmgOvo8GEd-XNpj2tjovxA">
                  <body>This use case deals with those situations where behavioral health records are exchanged when a patient is referred to another provider.  This use case assumes that the Behavioral Health information is sufficient for a receiving system to create its own records based on the information provided by the referring Behavioral Health provider.</body>
                </ownedComment>
              </ownedUseCase>
              <ownedUseCase xmi:id="_UmgOwI8GEd-XNpj2tjovxA" name="Report Behavioral Health Records to Public Health" subject="_UmgOuo8GEd-XNpj2tjovxA">
                <ownedComment xmi:id="_UmgOwY8GEd-XNpj2tjovxA" annotatedElement="_UmgOwI8GEd-XNpj2tjovxA">
                  <body>This use case supports Public Health reporting which requires information about suicide, a history of violence, abuse, neglect, etc.  These are high-priorities for evaluating the overall morbidity of a population.</body>
                </ownedComment>
              </ownedUseCase>
              <ownedUseCase xmi:id="_UmgOwo8GEd-XNpj2tjovxA" name="Outcomes and Quality Reporting" subject="_UmgOuo8GEd-XNpj2tjovxA">
                <ownedComment xmi:id="_UmgOw48GEd-XNpj2tjovxA" annotatedElement="_UmgOwo8GEd-XNpj2tjovxA">
                  <body>This use case refers to the activities required to evaluate the efficacy of a treatment program.  For example Government Performance and Results Act (GPRA) may be used to evaluate the outcome of a Behavioral Health encounter (e.g. before treatment, after treatment, 3-month follow-up, etc.).</body>
                </ownedComment>
              </ownedUseCase>
              <ownedUseCase xmi:id="_UmgOxI8GEd-XNpj2tjovxA" name="Coordinate Services" subject="_UmgOuo8GEd-XNpj2tjovxA">
                <ownedComment xmi:id="_UmgOxY8GEd-XNpj2tjovxA" annotatedElement="_UmgOxI8GEd-XNpj2tjovxA">
                  <body>This use specifies the actions required to coordinate Behavioral Health services for a client with a complex medical, substance abuse, and psychiatric history.</body>
                </ownedComment>
              </ownedUseCase>
              <packagedElement xmi:type="uml:UseCase" xmi:id="_UmgOxo8GEd-XNpj2tjovxA" name="Provide Behavioral Health Summary to Emergency Provider">
                <ownedComment xmi:id="_UmgOx48GEd-XNpj2tjovxA" annotatedElement="_UmgOxo8GEd-XNpj2tjovxA">
                  <body>This use case requires that a subset of behavioral health information be made available to providers in case of emergency.  This information may be a high-level summary, only relevant to address the immediate needs of a patient.</body>
                </ownedComment>
              </packagedElement>
              <packagedElement xmi:type="uml:UseCase" xmi:id="_UmgOyI8GEd-XNpj2tjovxA" name="Exchange Assessment Information" subject="_UmgOuo8GEd-XNpj2tjovxA">
                <ownedComment xmi:id="_UmgOyY8GEd-XNpj2tjovxA" annotatedElement="_UmgOyI8GEd-XNpj2tjovxA">
                  <body>This use case requires that the details of an assessment be shared between healthcare providers.  Not only score but the details provided by the patient through the assessment questions are relevant.  The receiving provider has the expertise to use that information in addition to the scores to determine a course of treatment for the patient.</body>
                </ownedComment>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmgOyo8GEd-XNpj2tjovxA" name="emergencyClinician_sendAlerts" memberEnd="_UmgOy48GEd-XNpj2tjovxA _UmgOzo8GEd-XNpj2tjovxA" navigableOwnedEnd="_UmgOy48GEd-XNpj2tjovxA _UmgOzo8GEd-XNpj2tjovxA">
                <eAnnotations xmi:id="_uuOaeGJqEeKl3I3Lt5ZAXg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
                <ownedEnd xmi:id="_UmgOy48GEd-XNpj2tjovxA" name="emergencyClinician" visibility="public" type="_UmgOsY8GEd-XNpj2tjovxA" association="_UmgOyo8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgOzY8GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgOzI8GEd-XNpj2tjovxA" value="1"/>
                </ownedEnd>
                <ownedEnd xmi:id="_UmgOzo8GEd-XNpj2tjovxA" name="sendAlerts" visibility="public" type="_UmgOvI8GEd-XNpj2tjovxA" association="_UmgOyo8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgO0I8GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgOz48GEd-XNpj2tjovxA" value="1"/>
                </ownedEnd>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmgO0Y8GEd-XNpj2tjovxA" name="funder_outcomesAndQualityReporting" memberEnd="_UmgO0o8GEd-XNpj2tjovxA _UmgO1Y8GEd-XNpj2tjovxA" navigableOwnedEnd="_UmgO0o8GEd-XNpj2tjovxA _UmgO1Y8GEd-XNpj2tjovxA">
                <eAnnotations xmi:id="_uuOadGJqEeKl3I3Lt5ZAXg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
                <ownedEnd xmi:id="_UmgO0o8GEd-XNpj2tjovxA" name="funder" visibility="public" type="_UmgO_48GEd-XNpj2tjovxA" association="_UmgO0Y8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgO1I8GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgO048GEd-XNpj2tjovxA" value="1"/>
                </ownedEnd>
                <ownedEnd xmi:id="_UmgO1Y8GEd-XNpj2tjovxA" name="outcomesAndQualityReporting" visibility="public" type="_UmgOwo8GEd-XNpj2tjovxA" association="_UmgO0Y8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgO148GEd-XNpj2tjovxA" value="1"/>
                  <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UmgO1o8GEd-XNpj2tjovxA" value="1"/>
                </ownedEnd>
              </packagedElement>
              <packagedElement xmi:type="uml:Association" xmi:id="_UmgO2I8GEd-XNpj2tjovxA" name="caseManager_coordinateServices" memberEnd="_UmgO2Y8GEd-XNpj2tjovxA _UmgO3I8GEd-XNpj2tjovxA" navigableOwnedEnd="_UmgO2Y8GEd-XNpj2tjovxA _UmgO3I8GEd-XNpj2tjovxA">
                <eAnnotations xmi:id="_vlRXMGJqEeKl3I3Lt5ZAXg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
                <ownedEnd xmi:id="_UmgO2Y8GEd-XNpj2tjovxA" name="caseManager" visibility="public" type="_UmgPCI8GEd-XNpj2tjovxA" association="_UmgO2I8GEd-XNpj2tjovxA">
                  <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UmgO248GEd-XNpj2tjovxA" value="1"/>
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                </ownedEnd>
                <ownedEnd xmi:id="_UmgO3I8GEd-XNpj2tjovxA" name="coordinateServices" visibility="public" type="_UmgOxI8GEd-XNpj2tjovxA" association="_UmgO2I8GEd-XNpj2tjovxA">
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            </packagedElement>
            <packagedElement xmi:type="uml:Association" xmi:id="_UmgO348GEd-XNpj2tjovxA" name="emergencyClinician_provideBehavioralHealthSummaryToEmergencyProvider" memberEnd="_UmgO4I8GEd-XNpj2tjovxA _UmgO448GEd-XNpj2tjovxA" navigableOwnedEnd="_UmgO4I8GEd-XNpj2tjovxA _UmgO448GEd-XNpj2tjovxA">
              <eAnnotations xmi:id="_uuOadmJqEeKl3I3Lt5ZAXg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
              <ownedEnd xmi:id="_UmgO4I8GEd-XNpj2tjovxA" name="provideBehavioralHealthSummaryToEmergencyProvider" visibility="public" type="_UmgOxo8GEd-XNpj2tjovxA" association="_UmgO348GEd-XNpj2tjovxA">
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              <ownedEnd xmi:id="_UmgO448GEd-XNpj2tjovxA" name="emergencyClinician" visibility="public" type="_UmgOsY8GEd-XNpj2tjovxA" association="_UmgO348GEd-XNpj2tjovxA">
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            <packagedElement xmi:type="uml:Actor" xmi:id="_UmgO5o8GEd-XNpj2tjovxA" name="Public Health Staff">
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                <body>This actor refers to the public health staff that require Behavioral Health information in order to conduct studies across a large Behavioral Health population.</body>
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            </packagedElement>
            <packagedElement xmi:type="uml:Association" xmi:id="_UmgO6I8GEd-XNpj2tjovxA" name="publicHealthStaff_surveilleSuicide" memberEnd="_UmgO6Y8GEd-XNpj2tjovxA _UmgO7I8GEd-XNpj2tjovxA" navigableOwnedEnd="_UmgO6Y8GEd-XNpj2tjovxA _UmgO7I8GEd-XNpj2tjovxA">
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              <ownedComment xmi:id="_UmgO8I8GEd-XNpj2tjovxA" annotatedElement="_UmgO748GEd-XNpj2tjovxA">
                <body>This actor corresponds to a behavioral health provider using an information system.</body>
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            </packagedElement>
            <packagedElement xmi:type="uml:Association" xmi:id="_UmgO8Y8GEd-XNpj2tjovxA" name="bhProvider_exchangeAssessmentInformation" memberEnd="_UmgO8o8GEd-XNpj2tjovxA _UmgO9Y8GEd-XNpj2tjovxA" navigableOwnedEnd="_UmgO8o8GEd-XNpj2tjovxA _UmgO9Y8GEd-XNpj2tjovxA">
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            <packagedElement xmi:type="uml:Actor" xmi:id="_UmgO_48GEd-XNpj2tjovxA" name="Funder">
              <ownedComment xmi:id="_UmgPAI8GEd-XNpj2tjovxA" annotatedElement="_UmgO_48GEd-XNpj2tjovxA">
                <body>This actor represents funding agency users who evaluate the efficacy of a treatment facility as reflected by its outcomes.</body>
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            </packagedElement>
            <packagedElement xmi:type="uml:Association" xmi:id="_UmgPAY8GEd-XNpj2tjovxA" name="bhProvider_outcomesAndQualityReporting" memberEnd="_UmgPAo8GEd-XNpj2tjovxA _UmgPBY8GEd-XNpj2tjovxA" navigableOwnedEnd="_UmgPAo8GEd-XNpj2tjovxA _UmgPBY8GEd-XNpj2tjovxA">
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            </packagedElement>
            <packagedElement xmi:type="uml:Actor" xmi:id="_UmgPCI8GEd-XNpj2tjovxA" name="Case Manager">
              <ownedComment xmi:id="_UmgPCY8GEd-XNpj2tjovxA" annotatedElement="_UmgPCI8GEd-XNpj2tjovxA">
                <body>This actor represents a system user who requires a diverse set of information - including Behavioral Health - in order to manage the care for clients/patients.</body>
              </ownedComment>
            </packagedElement>
          </packagedElement>
          <packagedElement xmi:type="uml:Package" xmi:id="_UmgPCo8GEd-XNpj2tjovxA" name="4. Future Use">
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            <ownedComment xmi:id="_o8HEIGJlEeKl3I3Lt5ZAXg" annotatedElement="_UmgPCo8GEd-XNpj2tjovxA">
              <body>The following section identifies classes that are out-of-scope for now but which have been identified during the analysis for this domain.</body>
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            <packagedElement xmi:type="uml:Class" xmi:id="_UmgPDY8GEd-XNpj2tjovxA" name="BehavioralHealthAssessment/PlacementTool">
              <ownedComment xmi:id="_UmgPDo8GEd-XNpj2tjovxA" annotatedElement="_UmgPDY8GEd-XNpj2tjovxA">
                <body>This class identifies the tool used to create Behavioral Health Assessments rather than the assessment data that results from applying the tool.  Assessment/Placement Tools are used initiate treatment planning and guide the continuum of care (e.g. ASI, ASAM, PPCII, and GAIN).</body>
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            </packagedElement>
            <packagedElement xmi:type="uml:Class" xmi:id="_UmgPD48GEd-XNpj2tjovxA" name="ScreeningTool">
              <ownedComment xmi:id="_UmgPEI8GEd-XNpj2tjovxA" annotatedElement="_UmgPD48GEd-XNpj2tjovxA">
                <body>Screening tools are used establish the presence, absence or the severity of a behavioral health problem and indicates the need for more comprehensive evaluation (e.g. CAGE /T-ACE, MAST / DAST, and AUDIT). The output of these tools is not in scope for this analysis model but may relevant for future modeling activities.</body>
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            </packagedElement>
            <packagedElement xmi:type="uml:Dependency" xmi:id="_UmgPEY8GEd-XNpj2tjovxA" name="" client="_UmgPDY8GEd-XNpj2tjovxA" supplier="_UmgOyI8GEd-XNpj2tjovxA"/>
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        </packagedElement>
        <packagedElement xmi:type="uml:Package" xmi:id="_UmgPEo8GEd-XNpj2tjovxA" name="0 - Change Log">
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          <packagedElement xmi:type="uml:Package" xmi:id="_UmgPFI8GEd-XNpj2tjovxA" name="Change Log">
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            <ownedComment xmi:id="_UmgPFo8GEd-XNpj2tjovxA" annotatedElement="_UmgPFI8GEd-XNpj2tjovxA">
              <body>The following are the changes and revisions applied to this domain model:</body>
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            <ownedRule xmi:id="_UmgPF48GEd-XNpj2tjovxA" name="1. Peer Review - May 28th, 2010" constrainedElement="_UmgPFI8GEd-XNpj2tjovxA">
              <ownedComment xmi:id="_UmgPGI8GEd-XNpj2tjovxA" annotatedElement="_UmgPF48GEd-XNpj2tjovxA">
                <body>Peer Review, initial version which includes analysis of Behavioral Health use cases for information exchange.</body>
              </ownedComment>
              <specification xmi:type="uml:OpaqueExpression" xmi:id="_UmgPGY8GEd-XNpj2tjovxA">
                <ownedComment xmi:id="_UmgPGo8GEd-XNpj2tjovxA" annotatedElement="_UmgPGY8GEd-XNpj2tjovxA">
                  <body></body>
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              </specification>
            </ownedRule>
            <ownedRule xmi:id="_UmgPG48GEd-XNpj2tjovxA" name="2. Interim Draft - July 7th, 2010" constrainedElement="_UmgPFI8GEd-XNpj2tjovxA">
              <ownedComment xmi:id="_UmgPHI8GEd-XNpj2tjovxA" annotatedElement="_UmgPG48GEd-XNpj2tjovxA">
                <body>This version addresses the peer review comments as well as full alignment with FHIM style and makes use of the vocabulary binding extensions in the HDF UML profile.</body>
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              <specification xmi:type="uml:OpaqueExpression" xmi:id="_UmgPHY8GEd-XNpj2tjovxA"/>
            </ownedRule>
            <ownedRule xmi:id="_YuUYkJacEd-1hLYGSfVdpQ" name="3. Final Draft - July 30th, 2010" constrainedElement="_UmgPFI8GEd-XNpj2tjovxA">
              <ownedComment xmi:id="_FTSt0JadEd-1hLYGSfVdpQ" annotatedElement="_YuUYkJacEd-1hLYGSfVdpQ">
                <body>This is the final draft following editorial edits and feedback from initial peer review comments.</body>
              </ownedComment>
              <specification xmi:type="uml:OpaqueExpression" xmi:id="_YuUYkZacEd-1hLYGSfVdpQ"/>
            </ownedRule>
          </packagedElement>
        </packagedElement>
        <packagedElement xmi:type="uml:Package" xmi:id="_oTsyIJAyEd-vzr_-PBHu3w" name="1 - Publication Overview ">
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        </packagedElement>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B64447DE3C024C" name="BloodBank">
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      <eAnnotations xmi:id="_PNQ8sOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64458753B035E" name="TransfusionEvent">
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        <ownedComment xmi:id="_PLeM9OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64458753B035E">
          <body>This class captures transfusion information associated with a specimen from the blood bank for a patient.   </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B644588D19034F" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_PLeM9-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644588D19034F">
            <body>This is the unique identifier of the transfusion event.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6445875700183" name="date" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PLeM-uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445875700183">
            <body>Indicates the reverse chronological order of blood components transfused.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6445A400202A1" name="transfusionReaction" visibility="public" type="_420A62FD03B6445A3FC20208" isUnique="false" association="_420A62FD03B6445A40010367">
          <ownedComment xmi:id="_PMqf1OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445A400202A1">
            <body>Indicates the transfusion reaction information associated with a transfusion.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PM0QweLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PM0QwuLiEduGJrQyRGTO1A" value="*"/>
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        <ownedAttribute xmi:id="_SQT6oeeVEd6qdqXtvR-ZHQ" name="bloodComponent" visibility="public" type="_2o4roOeUEd6qdqXtvR-ZHQ" association="_SQT6oOeVEd6qdqXtvR-ZHQ">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SQT6o-eVEd6qdqXtvR-ZHQ" value="1"/>
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        <ownedAttribute xmi:id="_ivwvoOeVEd6qdqXtvR-ZHQ" name="aboGroupCode" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ivwvoeeVEd6qdqXtvR-ZHQ" name="volumeTransfused" visibility="public" type="_420A62FD03B641886F630221"/>
        <ownedAttribute xmi:id="_ivwvoueVEd6qdqXtvR-ZHQ" name="wasReaction" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ivwvo-eVEd6qdqXtvR-ZHQ" name="crossmatchComment" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
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        <ownedAttribute xmi:id="_ivwvpOeVEd6qdqXtvR-ZHQ" name="isRhPositive" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
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        <ownedAttribute xmi:id="_ivwvpeeVEd6qdqXtvR-ZHQ" name="transfusionDate" visibility="public" type="_420A62FD03B64244824602F5"/>
        <ownedAttribute xmi:id="_ivwvpueVEd6qdqXtvR-ZHQ" name="comment" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ivwvp-eVEd6qdqXtvR-ZHQ" name="nbrOfUnitsPooled" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6445A3FC20208" name="TransfusionReaction">
        <eAnnotations xmi:id="_PL645OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PLxu_-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445A3FC20208">
          <body>This class captures transfusion reaction associated with a transfusion on a patient.   </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6445875E9030E" name="date" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PL644uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445875E9030E">
            <body>Indicates the transfusion reaction date.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_k9XA4OebEd6qdqXtvR-ZHQ" name="reactionType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
        <ownedAttribute xmi:id="_rvI2seebEd6qdqXtvR-ZHQ" name="dataEnterer" visibility="public" type="_420A62FD03B6418A6B760063" association="_rvI2sOebEd6qdqXtvR-ZHQ">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rvI2s-ebEd6qdqXtvR-ZHQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6445A40010367" name="transfusionEvent_transfusionReaction" memberEnd="_420A62FD03B6445A400202A1 _420A62FD03B6445A400202A3">
        <ownedEnd xmi:id="_420A62FD03B6445A400202A3" name="" visibility="public" type="_420A62FD03B64458753B035E" isUnique="false" association="_420A62FD03B6445A40010367"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_JUXv0OeUEd6qdqXtvR-ZHQ" name="BloodBankRecord">
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          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
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        <ownedAttribute xmi:id="_n-3U8eeZEd6qdqXtvR-ZHQ" name="comments" visibility="public">
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        <ownedAttribute xmi:id="_n-3U8ueZEd6qdqXtvR-ZHQ" name="isRhPositive" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
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        <ownedAttribute xmi:id="_PZmBoeeUEd6qdqXtvR-ZHQ" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_PZmBoOeUEd6qdqXtvR-ZHQ">
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      <packagedElement xmi:type="uml:Association" xmi:id="_PdvlAOeYEd6qdqXtvR-ZHQ" name="bloodBankTest_aboTypingTechnician" memberEnd="_Pd4u8OeYEd6qdqXtvR-ZHQ _Pd4u8-eYEd6qdqXtvR-ZHQ">
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    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_DVq1IAY0EeGz0dkadElrkQ" name="CarePlan">
      <eAnnotations xmi:id="_DVsqUAY0EeGz0dkadElrkQ" source="uml2.diagrams"/>
      <ownedComment xmi:id="_48D8EMl8EeOVt_7QhK83EQ" annotatedElement="_DVq1IAY0EeGz0dkadElrkQ">
        <body>A care plan is a planning and coordination tool to assist in delivery of integrated/collaborative care by a health care team within which the patient is the center of the team. A care plan supports the inclusion of health concerns and risks, health goals, care preferences and barriers, interventions, and iterative reviews during the planning and implementation phases of collaborative care. The care plan also supports communication of the whole, or parts of the plan, acceptance (or not) of the plan, and synchronization or reconciliation of multiple plans.&#xD;
&#xD;
This package describes the information classes required to define and document a care plan over time.  It is based on the HL7 Care Plan Domain Analysis Model (DAM) Release 1 balloted in May 2014.</body>
      </ownedComment>
      <ownedComment xmi:id="_cx9xAMRHEeSThJ7NwJgY1w">
        <body>A note on commonly used terms that often mean different things in different settings:&#xD;
&#xD;
In the VA/DoD, a CARE manager manages an episode of care, while a CASE manager manages across episodes of care.&#xD;
In many commercial settings, CARE managers have the same viewpoint, but additionally coordinate benefits in order to stabilize and improve the health status of the patient.&#xD;
UTILIZATION managers tend to look at each benefit request separately.</body>
      </ownedComment>
      <ownedComment xmi:id="_FF12wNo8EeSOxtrN8-7DcQ" annotatedElement="_HRcwALk9EeSvIbhHaIFeOA">
        <body>In the future, we might include an indication of the degree to which the Care Intervention conforms to the applicable Guideline(s)</body>
      </ownedComment>
      <ownedComment xmi:id="_f5pJ0N1EEeSZfdq7h5ueSA">
        <body>NOTICE: All Acts and Observations in this package are subtypes of Clinical Information. This is not shown in the diagram to avoid clutter.&#xD;
As a consequence of this, all classes potentially have recursive relationships to themselves and include provenance. Please see the Clinical Information model in the Common package for more details</body>
      </ownedComment>
      <ownedComment xmi:id="_DwzXQOt8EeW_d52hJF-Rwg" annotatedElement="_8nBtoOt6EeW_d52hJF-Rwg">
        <body>Note that this is a subclass of Observation (which is not shown in this diagram in order to reduce clutter). See the classs definition for more details.</body>
      </ownedComment>
      <ownedComment xmi:id="_UgDj4O0eEeWjUp19yClo5Q" annotatedElement="_XoccULksEeSvIbhHaIFeOA">
        <body>Resource Allocation is included for compatibility with the HL7 DAM, but is considered a separate process from Care Planning, and would therefore likely be in a different domain in the FHIM.</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Association" xmi:id="_SlspoAY0EeGz0dkadElrkQ" name="carePlanEpisode_patient" memberEnd="_Slt3wAY0EeGz0dkadElrkQ _Slvs8AY0EeGz0dkadElrkQ">
        <ownedEnd xmi:id="_Slvs8AY0EeGz0dkadElrkQ" name="" visibility="public" type="_zXMUUAY1EeGz0dkadElrkQ" association="_SlspoAY0EeGz0dkadElrkQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_rZMYcAY0EeGz0dkadElrkQ" name="HealthGoal">
        <ownedComment xmi:id="_CYO3UAZGEeGz0dkadElrkQ" annotatedElement="_rZMYcAY0EeGz0dkadElrkQ">
          <body>An objective intended to be realized by the successful execution of the Care Plan. &#xD;
&quot;Describes the intended objective(s) of carrying out the Care Plan.&quot; - HL7 FHIR, Care Plan Resource.&#xD;
&quot;A health goal specifies a future target or achievement towards which the effort of care planning and execution is directed. Goals represent concrete targets to reduce or eliminate concerns or risks. A Goal may exist in the absence of concerns or risks. For example, a patient may have a goal to improve their fitness level. The plan always has at least one goal.&quot; - HL7 Care Plan Domain Analysis Model.&#xD;
&#xD;
Note that a goal might be constructed of sub-goals, which might each be associated with a single outcome.  For example, a goal to loose 5 pounds per week over 6 weeks might spawn 6 child goals to loose 5 pounds in week 1, week 2, etc.  Each child goal would be associated with one actual outcome (i.e., lost 4 pounds in week 1; lost 6 pounds in week 2, etc).  Then the &quot;parent&quot; goal outcome could be the total (e.g., lost 28 pounds in 6 weeks).  </body>
        </ownedComment>
        <generalization xmi:id="_1wb9kNfLEeSTuOyAKngSWg" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_1267kAY0EeGz0dkadElrkQ" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_wbq1INfHEeSTuOyAKngSWg" annotatedElement="_1267kAY0EeGz0dkadElrkQ">
            <body>&quot;Names or describes the goal&quot; - HL7 Care Plan Domain Analysis Model&#xD;
&quot;Indicates a category the goal falls within.&quot; - HL7 FHIR, Goal.category</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_meauQO0bEeWjUp19yClo5Q" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(GoalCategory)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="__kz9MAY0EeGz0dkadElrkQ" name="dateEstablished" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_T_wGcO9_EeWkMe7GVfjMFQ" annotatedElement="__kz9MAY0EeGz0dkadElrkQ">
            <body>The date (and optionally, the time) on which the Health Goal was agreed upon.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7Ip68AY0EeGz0dkadElrkQ" name="description" visibility="public">
          <ownedComment xmi:id="_aWCAcO_oEeOM48qnBkZzmw" annotatedElement="_7Ip68AY0EeGz0dkadElrkQ">
            <body>A summary of the health objective, whether articulated by the patient or by a clinician. Note that this description may include an indication of whether the goal is to achieve, maintain, manage or avoid a particular condition or circumstance.&#xD;
&quot;Human-readable description of a specific desired objective of the care plan.&quot; - HL7 FHIR, Goal.description.&#xD;
&quot;The goal intent is a modifier of the goal purpose and indicates whether the goal target is something to achieve, maintain, manage or avoid. For example, in late stage diabetes the only path may be to simply manage or control the condition.&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lY9q0OYEEeWMCcMdatPOjA" name="goalAchievementState" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_lY9q0eYEEeWMCcMdatPOjA" annotatedElement="_lY9q0OYEEeWMCcMdatPOjA">
            <body>&quot;Specifies a judgment on the goal achievement state&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_7zayYO0aEeWjUp19yClo5Q" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(GoalAchievementState)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0Chy8OfKEeWKHuD1aKU_UQ" name="goalIntent" visibility="public">
          <ownedComment xmi:id="_0Chy8efKEeWKHuD1aKU_UQ" annotatedElement="_0Chy8OfKEeWKHuD1aKU_UQ">
            <body>&quot;The goal intent is a modifier of the goal purpose and indicates whether the goal target is something to achieve, maintain, manage or avoid. For example, in late stage diabetes the only path may be to simply manage or control the condition.&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WScXkNfJEeSTuOyAKngSWg" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_WScXkdfJEeSTuOyAKngSWg" annotatedElement="_WScXkNfJEeSTuOyAKngSWg">
            <body>&quot;This records identifiers associated with this care plan that are defined by business processed 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).&quot; - HL7 FHIR, Goal.identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WScXk9fJEeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WScXktfJEeSTuOyAKngSWg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tLhfwO_oEeOM48qnBkZzmw" name="narrative" visibility="public">
          <ownedComment xmi:id="_tLhfwe_oEeOM48qnBkZzmw" annotatedElement="_tLhfwO_oEeOM48qnBkZzmw">
            <body>&quot;Captures comments or notes about the goal&quot; - HL7 Care Plan Domain Analysis Model&#xD;
&quot;Any comments related to the goal.&quot; - HL7 FHIR, Goal.notes.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vA8JQO_oEeOM48qnBkZzmw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vA8wUO_oEeOM48qnBkZzmw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jDh6wAZEEeGz0dkadElrkQ" name="priority" visibility="public">
          <ownedComment xmi:id="_wfCvsMQzEeSThJ7NwJgY1w" annotatedElement="_jDh6wAZEEeGz0dkadElrkQ">
            <body>&quot;Indicates the preference order to use for care planning purposes. The goal supports multiple priorities in order to support multiple care team perspectives and eventual harmonization.&quot; - HL7 Care Plan Domain Analysis Model.&#xD;
&quot;Identifies the level of importance associated with reaching/sustaining the goal.&quot; - HL7 FHIR, Goal.priority.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xt-oAMQzEeSThJ7NwJgY1w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xt_2IMQzEeSThJ7NwJgY1w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_R1KOcAY9EeGz0dkadElrkQ" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_iA3lMO_oEeOM48qnBkZzmw" annotatedElement="_R1KOcAY9EeGz0dkadElrkQ">
            <body>This property indicates the state of the Health Goal within a workflow or within its life-cycle.  Possible values include proposed, accepted, on hold, etc.  Note that the progress of the patient towards the goal, or status of the achievement of the goal is not defined by this field, but rather in the goalAchievementState property.&#xD;
&quot;Indicates the implementation stage for the goal and related plan components.&quot; - HL7 Care Plan Domain Analysis Model.&#xD;
&quot;Indicates whether the goal has been reached and is still considered relevant.&quot; - HL7 FHIR, Goal.status.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ieJ-IO_oEeOM48qnBkZzmw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ieKlMO_oEeOM48qnBkZzmw" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_uXpZ4OYAEeWMCcMdatPOjA" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(HealthGoalStatus)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wAWgMNfJEeSTuOyAKngSWg" name="statusDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_wAWgMdfJEeSTuOyAKngSWg" annotatedElement="_wAWgMNfJEeSTuOyAKngSWg">
            <body>&quot;Identifies when the current status. I.e. When initially created, when achieved, when cancelled, etc.&quot; - HL7 FHIR, Goal.statusDate.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_znEIMNfJEeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_znEIMdfJEeSTuOyAKngSWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_RF6xkAY3EeGz0dkadElrkQ" name="targetDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_K4Xz4MQ0EeSThJ7NwJgY1w" annotatedElement="_RF6xkAY3EeGz0dkadElrkQ">
            <body>&quot;Desired target date for meeting the goal.&quot; - HL7 Care Plan Domain Analysis Model.&#xD;
&quot;Indicates when the goal is intended to be reached.&quot; - HL7 FHIR, Goal.targetDate.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_AYCX8O_pEeOM48qnBkZzmw" name="healthConcern" visibility="public" type="_420A62FD03B6421F8AD00244" association="_AX_7sO_pEeOM48qnBkZzmw">
          <ownedComment xmi:id="_CQH68O_pEeOM48qnBkZzmw" annotatedElement="_AYCX8O_pEeOM48qnBkZzmw">
            <body>Pointer to the Health Concern(s) (aka Problem(s)) which the Goal is intended to improve.&#xD;
&quot;The identified conditions that this goal relates to - the condition that caused it to be created, or that it is intended to address.&quot; - HL7 FHIR, Goal.concern.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AYC_AO_pEeOM48qnBkZzmw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AYDmEO_pEeOM48qnBkZzmw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__tmnoAZGEeGz0dkadElrkQ" name="goalReview" visibility="public" type="_xLawkAZGEeGz0dkadElrkQ" association="__tkycAZGEeGz0dkadElrkQ">
          <ownedComment xmi:id="_Nscf4O-AEeWkMe7GVfjMFQ" annotatedElement="__tmnoAZGEeGz0dkadElrkQ">
            <body>Pointer to a (set of) assessments of the progress made toward reaching a Goal of the Care Plan.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__tn1wAZGEeGz0dkadElrkQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__toc0AZGEeGz0dkadElrkQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_weC4oJkzEeWp2-jxt6MtWQ" name="careIntervention" visibility="public" type="_HRcwALk9EeSvIbhHaIFeOA" association="_wd9ZEJkzEeWp2-jxt6MtWQ">
          <ownedComment xmi:id="_IQYZcO94EeWkMe7GVfjMFQ" annotatedElement="_weC4oJkzEeWp2-jxt6MtWQ">
            <body>Pointer to a (set of) action(s) (treatment, procedure, or activity) designed to achieve an outcome for a diagnosis for which the clinician is accountable.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_weEGwJkzEeWp2-jxt6MtWQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_weEt0JkzEeWp2-jxt6MtWQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-__JEOt6EeW_d52hJF-Rwg" name="goalSuccessCriterion" visibility="public" type="_8nBtoOt6EeW_d52hJF-Rwg" association="_-_63oOt6EeW_d52hJF-Rwg">
          <ownedComment xmi:id="_hc-aMO93EeWkMe7GVfjMFQ" annotatedElement="_-__JEOt6EeW_d52hJF-Rwg">
            <body>Pointer to a statement of a desired future state, expressed as an Observation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__AAXMOt6EeW_d52hJF-Rwg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__AA-QOt6EeW_d52hJF-Rwg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_eDAlAAY1EeGz0dkadElrkQ" name="carePlanEpisode_careTeamMember" memberEnd="_eDCaMAY1EeGz0dkadElrkQ _eDDBQAY1EeGz0dkadElrkQ">
        <ownedEnd xmi:id="_eDDBQAY1EeGz0dkadElrkQ" name="" visibility="public" type="_zXMUUAY1EeGz0dkadElrkQ" association="_eDAlAAY1EeGz0dkadElrkQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_j-V7AAY1EeGz0dkadElrkQ" name="CarePlanGuideline">
        <ownedComment xmi:id="_lkrAsO65EeWGc6zSCrskfQ" annotatedElement="_j-V7AAY1EeGz0dkadElrkQ">
          <body>A care plan guideline is a statement expressed by a professional organization in order to influence how care is delivered. A guideline is a &quot;best practice&quot; and may be driven by historic precidents and outcomes - adapted from the HL7 Care Plan Domain Analysis Model</body>
        </ownedComment>
        <ownedAttribute xmi:id="_8nyrEAY3EeGz0dkadElrkQ" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="__F9gAO9xEeWkMe7GVfjMFQ" annotatedElement="_8nyrEAY3EeGz0dkadElrkQ">
            <body>Uniquely identifies the Care Plan Guideline. The Care Plan Guideline will typically be issued by a professional association or by the organization responsible for the care of the Patient. The organization can be identified by the issuer of the identifier which is in the &quot;system&quot; subfield of the ID datatype.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="__78jcAY3EeGz0dkadElrkQ" name="text" visibility="public">
          <ownedComment xmi:id="_dB8gsO90EeWkMe7GVfjMFQ" annotatedElement="__78jcAY3EeGz0dkadElrkQ">
            <body>Contains the narrative or content of the Care Plan Guideline.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_l_xnQAY1EeGz0dkadElrkQ" name="carePlanEpisode_carePlanGuideline" memberEnd="_l_zccAY1EeGz0dkadElrkQ _l_2fwAY1EeGz0dkadElrkQ">
        <ownedEnd xmi:id="_l_2fwAY1EeGz0dkadElrkQ" name="" visibility="public" type="_zXMUUAY1EeGz0dkadElrkQ" association="_l_xnQAY1EeGz0dkadElrkQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_zXMUUAY1EeGz0dkadElrkQ" name="CarePlanEpisode">
        <ownedComment xmi:id="_6TV8UNewEeSTuOyAKngSWg" annotatedElement="_zXMUUAY1EeGz0dkadElrkQ">
          <body>This class represents a set of planned actions and goals for a Patient dealing with a given set of issues or concerns.  The set of problems being managed may be complex and intertwined, and the Care Plan Episode will likely cover an extended period of time.  However, the Care Plan Episode differs from the Longitudinal Care Plan in that the Longitudinal Care Plan covers all Care Plans over the life of the Patient, including those that have been terminated because the undlying condition had been resolved.  The Care Plan Episode is focused on the set of issues that is being managed over a particular period of time.  Note that the HL7 Care Plan DAM includes a confidentiality property that we do not model, as confidentiality is expected to be handled by constructs in the Security and Privacy domain.&#xD;
&quot;The Plan captures the shared attributes for Care Plan, Plan of Care and Treatment Plan.&quot; - HL7 Care Plan Domain Analysis Model&#xD;
&quot;Describes the intention of how one or more practitioners intend to deliver care for a particular patient for a period of time, possibly limited to care for a specific condition or set of conditions.&quot; - HL7 FHIR, CarePlan resource.</body>
        </ownedComment>
        <generalization xmi:id="_utVrEMQ_EeSThJ7NwJgY1w" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_LY7ZsNewEeSTuOyAKngSWg" name="dateCompleted" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_RUL3MNewEeSTuOyAKngSWg" annotatedElement="_LY7ZsNewEeSTuOyAKngSWg">
            <body>&quot;Specifies when the plan status is changed to complete (e.g. when all goals are achieved, health concerns resolved)&quot; - HL7 Care Plan Domain Analysis Model&#xD;
&quot;Indicates when the plan did (or is intended to) come into effect and end.&quot; - HL7 FHIR, CarePlan.period.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_x3mBcAZDEeGz0dkadElrkQ" name="dateCreated" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_C2HiwNe-EeSTuOyAKngSWg" annotatedElement="_x3mBcAZDEeGz0dkadElrkQ">
            <body>&quot;Specifies when the plan was created&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2DYFYAZDEeGz0dkadElrkQ" name="dateEffective" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_bAST0O_nEeOM48qnBkZzmw" annotatedElement="_2DYFYAZDEeGz0dkadElrkQ">
            <body>&quot;Specifies the start of the plan implementation&quot; - HL7 Care Plan Domain Analysis Model&#xD;
&quot;Indicates when the plan did (or is intended to) come into effect and end.&quot; - HL7 FHIR, CarePlan.period.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_afnPsO_nEeOM48qnBkZzmw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_afn2wO_nEeOM48qnBkZzmw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dnEI0O_nEeOM48qnBkZzmw" name="dateModified" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_jg300O_nEeOM48qnBkZzmw" annotatedElement="_dnEI0O_nEeOM48qnBkZzmw">
            <body>&quot;Specifies the last date/time the plan was changed&quot; - HL7 Care Plan Domain Analysis Model&#xD;
&quot;Identifies the most recent date on which the plan has been revised.&quot; - HL7 FHIR, CarePlan.modified.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iuQsIO_nEeOM48qnBkZzmw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iuQsIe_nEeOM48qnBkZzmw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_UE4dEAY3EeGz0dkadElrkQ" name="description" visibility="public">
          <ownedComment xmi:id="_Hgyv4NfDEeSTuOyAKngSWg" annotatedElement="_UE4dEAY3EeGz0dkadElrkQ">
            <body>&quot;Indicates a descriptive coded type for the plan&quot; - HL7 Care Plan Domain Analysis Model&#xD;
&quot;Notes about the execution of the activity.&quot; - HL7 FHIR, CarePlan.notes.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cbsFYO_oEeOM48qnBkZzmw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cbsscO_oEeOM48qnBkZzmw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nBLmwNe-EeSTuOyAKngSWg" name="displayName" visibility="public">
          <ownedComment xmi:id="_rQ_PENe-EeSTuOyAKngSWg" annotatedElement="_nBLmwNe-EeSTuOyAKngSWg">
            <body>&quot;Descriptive display name for the plan&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nBLmwte-EeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nBLmwde-EeSTuOyAKngSWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6CV1UAZDEeGz0dkadElrkQ" name="kind" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_SUxP0NfDEeSTuOyAKngSWg" annotatedElement="_6CV1UAZDEeGz0dkadElrkQ">
            <body>This property categorizes the Care Plan Episode - typically by problem, but possibly by discipline or setting or some of combination of the three. &#xD;
&quot;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;, etc.&quot; - HL7 FHIR, CarePlan.category.&#xD;
&quot;Specifies zero or more discipline or clinical specialties viewpoints represented in the plan&quot; - HL7 Care Plan Domain Analysis Model - Note that the DAM has this a separate field, but it was determined that category covers the discipline as well.</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_uSMWYOU1EeWlUtxA-8RVeQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(CarePlanKind)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FTwnkAY2EeGz0dkadElrkQ" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_Ge-L4O_nEeOM48qnBkZzmw" annotatedElement="_FTwnkAY2EeGz0dkadElrkQ">
            <body>&quot;A unique identifier for the plan&quot; - HL7 Care Plan Domain Analysis Model&#xD;
&quot;This records identifiers associated with this care plan that are defined by business processed 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).&quot; - HL7 FHIR, CarePlan.identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_R7MXkO_nEeOM48qnBkZzmw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_R7OMwO_nEeOM48qnBkZzmw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7fuskNpFEeSOxtrN8-7DcQ" name="notes" visibility="public">
          <ownedComment xmi:id="_7fuskdpFEeSOxtrN8-7DcQ" annotatedElement="_7fuskNpFEeSOxtrN8-7DcQ">
            <body>&quot;General notes about the care plan not covered elsewhere.&quot; - HL7 FHIR, CarePlan.notes</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7fusk9pFEeSOxtrN8-7DcQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7fusktpFEeSOxtrN8-7DcQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_U4M7QO_nEeOM48qnBkZzmw" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_W6Su0O_nEeOM48qnBkZzmw" annotatedElement="_U4M7QO_nEeOM48qnBkZzmw">
            <body>&quot;Indicates whether the plan is currently being acted upon, represents future intentions or is now just historical record.&quot; - HL7 FHIR, CarePlan.status</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_9CF8cOX9EeWMCcMdatPOjA" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(CarePlanStatus)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FTxOoAY2EeGz0dkadElrkQ" name="version" visibility="public">
          <ownedComment xmi:id="_0D_uENfEEeSTuOyAKngSWg" annotatedElement="_FTxOoAY2EeGz0dkadElrkQ">
            <body>&quot;A value indicating some changes (e.g. concern, goal, risk, proposed actions) in a plan and denoting that it is different from the previously published form. &quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zTZ-oNfEEeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zTZ-odfEEeSTuOyAKngSWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_u_eHcNo5EeSOxtrN8-7DcQ" name="acceptanceReview" visibility="public" type="_t21S4LPCEeS3iYN4R_wsuw" association="_u_c5UNo5EeSOxtrN8-7DcQ">
          <ownedComment xmi:id="_hRtkcO6-EeWGc6zSCrskfQ" annotatedElement="_u_eHcNo5EeSOxtrN8-7DcQ">
            <body>Pointer to a (set of) appraisals during which agreements to adopt proposed Care Plan actions are affirmed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_u_fVkNo5EeSOxtrN8-7DcQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_u_f8oNo5EeSOxtrN8-7DcQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Rl7cN1CEeSZfdq7h5ueSA" name="careBarrier" visibility="public" type="_A8TPQLPAEeS3iYN4R_wsuw" association="_5RktUN1CEeSZfdq7h5ueSA">
          <ownedComment xmi:id="_jTCdkO9vEeWkMe7GVfjMFQ" annotatedElement="_5Rl7cN1CEeSZfdq7h5ueSA">
            <body>Pointer to a (set of) impediments which may reduce or block quality of care and/or increase cost, and which may hinder the achievement of the goal(s).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5RmigN1CEeSZfdq7h5ueSA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5RnJkN1CEeSZfdq7h5ueSA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rHfC4NoxEeSOxtrN8-7DcQ" name="careIntervention" visibility="public" type="_HRcwALk9EeSvIbhHaIFeOA" association="_rHaxcNoxEeSOxtrN8-7DcQ">
          <ownedComment xmi:id="_usQKINoxEeSOxtrN8-7DcQ" annotatedElement="_rHfC4NoxEeSOxtrN8-7DcQ">
            <body>Pointer to a set of actions or interventions intended to fulfill the the Care Plan.&#xD;
&quot;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.&quot; - HL7 FHIR, CarePlan.activity.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rHg4ENoxEeSOxtrN8-7DcQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rHhfINoxEeSOxtrN8-7DcQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_l_zccAY1EeGz0dkadElrkQ" name="carePlanGuideline" visibility="public" type="_j-V7AAY1EeGz0dkadElrkQ" association="_l_xnQAY1EeGz0dkadElrkQ">
          <ownedComment xmi:id="_APAdoO9wEeWkMe7GVfjMFQ" annotatedElement="_l_zccAY1EeGz0dkadElrkQ">
            <body>Pointer to a (set of) statement(s) expressed by a professional organization describing &quot;best practice&quot; with respect to plans of care for a particular condition.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_l_0qkAY1EeGz0dkadElrkQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_l_0qkQY1EeGz0dkadElrkQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eDCaMAY1EeGz0dkadElrkQ" name="careTeamMember" visibility="public" type="_GY1OsAY1EeGz0dkadElrkQ" association="_eDAlAAY1EeGz0dkadElrkQ">
          <ownedComment xmi:id="_dEG54H7iEeOYQJZKXKAJnw" annotatedElement="_eDCaMAY1EeGz0dkadElrkQ">
            <body>Pointer to a set of Persons or Organizations involved in the care of the Patient.&#xD;
&quot;Identifies all people and organizations who are expected to be involved in the care envisioned by this plan.&quot; - HL7 FHIR, CarePlan.participant.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eDCaMQY1EeGz0dkadElrkQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eDCaMgY1EeGz0dkadElrkQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dZZ_ANSvEeSyzs7OQneM_g" name="communication" visibility="public" type="_MGvssNfWEeSTuOyAKngSWg" association="_dZYJ0NSvEeSyzs7OQneM_g">
          <ownedComment xmi:id="_ZKlpIO66EeWGc6zSCrskfQ" annotatedElement="_dZZ_ANSvEeSyzs7OQneM_g">
            <body>Pointer to a set of Communications among individual Care Team Members as they coordinate their activities for the execution of the Care Plan.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dZbNINSvEeSyzs7OQneM_g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dZb0MNSvEeSyzs7OQneM_g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SlH_wN-1EeSQwMSQTXiDlA" name="healthConcern" visibility="public" type="_420A62FD03B6421F8AD00244" association="_SlEVYN-1EeSQwMSQTXiDlA">
          <ownedComment xmi:id="_RjIQ0O9wEeWkMe7GVfjMFQ" annotatedElement="_SlH_wN-1EeSQwMSQTXiDlA">
            <body>Pointer to the Patietn's condition or &quot;problem&quot; upon which the Care Plan is focused.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SlKcAN-1EeSQwMSQTXiDlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SlMRMN-1EeSQwMSQTXiDlA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HODKAAY2EeGz0dkadElrkQ" name="healthGoal" visibility="public" type="_rZMYcAY0EeGz0dkadElrkQ" association="_HOBU0AY2EeGz0dkadElrkQ">
          <ownedComment xmi:id="_KbqOcO_oEeOM48qnBkZzmw" annotatedElement="_HODKAAY2EeGz0dkadElrkQ">
            <body>Pointer to a set of objectives intended to be realized by the successful execution of the Care Plan. &#xD;
&quot;Describes the intended objective(s) of carrying out the Care Plan.&quot; - HL7 FHIR, CarePlan.goal.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HOEYIAY2EeGz0dkadElrkQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HOEYIQY2EeGz0dkadElrkQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Slt3wAY0EeGz0dkadElrkQ" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_SlspoAY0EeGz0dkadElrkQ">
          <ownedComment xmi:id="_LLzucO_nEeOM48qnBkZzmw" annotatedElement="_Slt3wAY0EeGz0dkadElrkQ">
            <body>&quot;Identifies the patient/subject whose intended care is described by the plan.&quot; - HL7 FHIR, CarePlan.patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Slue0AY0EeGz0dkadElrkQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Slue0QY0EeGz0dkadElrkQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bSOZYMRDEeSThJ7NwJgY1w" name="planReview" visibility="public" type="_YRZFoMRDEeSThJ7NwJgY1w" association="_bSMkMMRDEeSThJ7NwJgY1w">
          <ownedComment xmi:id="_GqcakO9xEeWkMe7GVfjMFQ" annotatedElement="_bSOZYMRDEeSThJ7NwJgY1w">
            <body>Pointer to a (set of) evaluation(s) of the overall consistency, appropriateness, completeness and effectiveness of the plan especially with respect to its efficacy towards achievement of the Care Plan Goal(s).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bSPAcMRDEeSThJ7NwJgY1w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bSPngMRDEeSThJ7NwJgY1w" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dfZbkMRDEeSThJ7NwJgY1w" name="planSteward" visibility="public" type="_cLDe0MRDEeSThJ7NwJgY1w" association="_dfYNcMRDEeSThJ7NwJgY1w">
          <ownedComment xmi:id="_bvjzIO9xEeWkMe7GVfjMFQ" annotatedElement="_dfZbkMRDEeSThJ7NwJgY1w">
            <body>Pointer to the Person or Organization accountable for maintaining some aspect of the Care Plan.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dfapsMRDEeSThJ7NwJgY1w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dfbQwMRDEeSThJ7NwJgY1w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DSq54NpFEeSOxtrN8-7DcQ" name="supportingInformation" visibility="public" type="_Wu4MgKMyEeSjK-UNpoDZuQ" association="_DSprwNpFEeSOxtrN8-7DcQ">
          <ownedComment xmi:id="_TzEKENpFEeSOxtrN8-7DcQ" annotatedElement="_DSq54NpFEeSOxtrN8-7DcQ">
            <body>&quot;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.&quot; - HL7 FHIR, CarePlan.support</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DSsIANpFEeSOxtrN8-7DcQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DSsIAdpFEeSOxtrN8-7DcQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_HOBU0AY2EeGz0dkadElrkQ" name="carePlanEpisode_healthGoal" memberEnd="_HODKAAY2EeGz0dkadElrkQ _HOGNUAY2EeGz0dkadElrkQ">
        <ownedEnd xmi:id="_HOGNUAY2EeGz0dkadElrkQ" name="" visibility="public" type="_zXMUUAY1EeGz0dkadElrkQ" association="_HOBU0AY2EeGz0dkadElrkQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_mwEawAZAEeGz0dkadElrkQ" name="ActivityOutcomeReview">
        <ownedComment xmi:id="_422QsNfSEeSTuOyAKngSWg" annotatedElement="_mwEawAZAEeGz0dkadElrkQ">
          <body>This class documents an evaluation of whether the activities that were undertaken have helped the patient meet their health goal.  In other words, &quot;did what we did make a difference?&quot;&#xD;
&quot;An activity outcome review measures the result of individual implemented action (observational or interventional) against goal success criteria. The action outcome review might address only a subset of goal success criteria.&quot; - HL7 Care Plan Domain Analysis Model&#xD;
&#xD;
WARNING: it is held by some that the efficacy of the Activity towards achieving the Goal is not necessarily knowable, rather one can only know whether the Goal was achieved or not. Therefore, it has been recommended that this class be deleted.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_8U5r8NfSEeSTuOyAKngSWg" name="comments" visibility="public">
          <ownedComment xmi:id="_8U5r8dfSEeSTuOyAKngSWg" annotatedElement="_8U5r8NfSEeSTuOyAKngSWg">
            <body>&quot;Specifies optional comments for the review&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8U5r89fSEeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8U5r8tfSEeSTuOyAKngSWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8U5r9NfSEeSTuOyAKngSWg" name="effectiveDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_8U5r9dfSEeSTuOyAKngSWg" annotatedElement="_8U5r9NfSEeSTuOyAKngSWg">
            <body>&quot;Specifies the date/time of the review&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8U5r99fSEeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8U5r9tfSEeSTuOyAKngSWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__OpDwNfTEeSTuOyAKngSWg" name="interventionEffectiveness" visibility="public">
          <ownedComment xmi:id="__OpDwdfTEeSTuOyAKngSWg" annotatedElement="__OpDwNfTEeSTuOyAKngSWg">
            <body>&quot;Indicates a judgment evaluation regarding the intervention effectiveness&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DMlFYAZGEeGz0dkadElrkQ" name="outcome" visibility="public">
          <ownedComment xmi:id="_f4Z6UNfLEeSTuOyAKngSWg" annotatedElement="_DMlFYAZGEeGz0dkadElrkQ">
            <body>&quot;Details of what's changed (or not changed).&quot; - HL7 FHIR, Goal.outcome.result[x].&#xD;
&quot;Specifies the type of outcome determined based on the review&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0dUyEO_rEeOM48qnBkZzmw" name="observationStatement" visibility="public" type="_nbH1LVaeEd6rJ7jpZ7LBFg" association="_0dULAO_rEeOM48qnBkZzmw">
          <ownedComment xmi:id="_PXnOQO_sEeOM48qnBkZzmw" annotatedElement="_0dUyEO_rEeOM48qnBkZzmw">
            <body>Pointer to an Observation of the measurable goal.  For example, if the goal was to loose weight with a target weight of 180 pounds, and the patient reached 189 pounds, this association will point to a weight measurement of 189 pounds.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0dWAMO_rEeOM48qnBkZzmw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0dWAMe_rEeOM48qnBkZzmw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_pHlrwAZAEeGz0dkadElrkQ" name="careIntervention_activityOutcomeReview" memberEnd="_pHoIAAZAEeGz0dkadElrkQ _pHqkQAZAEeGz0dkadElrkQ">
        <ownedEnd xmi:id="_pHqkQAZAEeGz0dkadElrkQ" name="" visibility="public" type="_HRcwALk9EeSvIbhHaIFeOA" association="_pHlrwAZAEeGz0dkadElrkQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_xLawkAZGEeGz0dkadElrkQ" name="GoalReview">
        <ownedComment xmi:id="_SY__0NfUEeSTuOyAKngSWg" annotatedElement="_xLawkAZGEeGz0dkadElrkQ">
          <body>An assessment of progress made toward reaching a Goal of the Care Plan.  For example, if the Goal is for the Patient to reduce their weight by 10 pounds by a certain date, an observation would be made on or near that date of the patient’s actual weight, and this weight compared to the goal weight.&#xD;
&quot;Goal reviews reference multiple action outcomes reviews which support overall assessment of a HealthGoal.&quot; - HL7 Care Plan Domain Analysis Model</body>
        </ownedComment>
        <generalization xmi:id="_MNsbgNfREeSTuOyAKngSWg" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_arkS8NfUEeSTuOyAKngSWg" name="comments" visibility="public">
          <ownedComment xmi:id="_arkS8dfUEeSTuOyAKngSWg" annotatedElement="_arkS8NfUEeSTuOyAKngSWg">
            <body>&quot;Specifies optional comments for the review&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_arkS89fUEeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_arkS8tfUEeSTuOyAKngSWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_arkS9NfUEeSTuOyAKngSWg" name="effectiveDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_arkS9dfUEeSTuOyAKngSWg" annotatedElement="_arkS9NfUEeSTuOyAKngSWg">
            <body>&quot;Specifies the date/time of the review&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_arkS99fUEeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_arkS9tfUEeSTuOyAKngSWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nEG88tfUEeSTuOyAKngSWg" name="goalAchievementState" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_nEG889fUEeSTuOyAKngSWg" annotatedElement="_nEG88tfUEeSTuOyAKngSWg">
            <body>&quot;Specifies a judgment on the goal achievement state&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6aj0QNfUEeSTuOyAKngSWg" name="nextScheduledReview" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_6aj0QdfUEeSTuOyAKngSWg" annotatedElement="_6aj0QNfUEeSTuOyAKngSWg">
            <body>&quot;Specifies the date/time of the next review&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6aj0QtfUEeSTuOyAKngSWg" name="reviewFrequency" visibility="public" type="_420A62FD03B641886F63021C">
          <ownedComment xmi:id="_6aj0Q9fUEeSTuOyAKngSWg" annotatedElement="_6aj0QtfUEeSTuOyAKngSWg">
            <body>&quot;Specifies a periodic frequency for future reviews&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_yPY6cJkzEeWp2-jxt6MtWQ" name="observation" visibility="public" type="_nbH1LVaeEd6rJ7jpZ7LBFg" association="_yPXsUJkzEeWp2-jxt6MtWQ">
          <ownedComment xmi:id="_0LLlwO93EeWkMe7GVfjMFQ" annotatedElement="_yPY6cJkzEeWp2-jxt6MtWQ">
            <body>Pointer to an Observation of the measurable goal.  For example, if the goal was to loose weight with a target weight of 180 pounds, and the patient reached 189 pounds, this association will point to a weight measurement of 189 pounds.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_yPZhgJkzEeWp2-jxt6MtWQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_yPaIkJkzEeWp2-jxt6MtWQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6WouYJkzEeWp2-jxt6MtWQ" name="activityOutcomeReview" visibility="public" type="_mwEawAZAEeGz0dkadElrkQ" association="_6WngQJkzEeWp2-jxt6MtWQ">
          <ownedComment xmi:id="_5zuNgO91EeWkMe7GVfjMFQ" annotatedElement="_6WouYJkzEeWp2-jxt6MtWQ">
            <body>Pointer to an evaluation of whether the activities that were undertaken have helped the patient meet their health goal.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6WpVcJkzEeWp2-jxt6MtWQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6WpVcZkzEeWp2-jxt6MtWQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_v7FCoOt-EeW_d52hJF-Rwg" name="goalSuccessCriterion" visibility="public" type="_8nBtoOt6EeW_d52hJF-Rwg" association="_v7D0gOt-EeW_d52hJF-Rwg">
          <ownedComment xmi:id="_h6vUQO93EeWkMe7GVfjMFQ" annotatedElement="_v7FCoOt-EeW_d52hJF-Rwg">
            <body>Pointer to a statement of a desired future state, expressed as an Observation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_v7FpsOt-EeW_d52hJF-Rwg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_v7GQwOt-EeW_d52hJF-Rwg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="__tkycAZGEeGz0dkadElrkQ" name="healthGoal_goalReview" memberEnd="__tmnoAZGEeGz0dkadElrkQ __tpq8AZGEeGz0dkadElrkQ">
        <ownedEnd xmi:id="__tpq8AZGEeGz0dkadElrkQ" name="" visibility="public" type="_rZMYcAY0EeGz0dkadElrkQ" association="__tkycAZGEeGz0dkadElrkQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_AX_7sO_pEeOM48qnBkZzmw" name="healthGoal_healthConcern" memberEnd="_AYCX8O_pEeOM48qnBkZzmw _AYENIO_pEeOM48qnBkZzmw">
        <ownedEnd xmi:id="_AYENIO_pEeOM48qnBkZzmw" name="" visibility="public" type="_rZMYcAY0EeGz0dkadElrkQ" association="_AX_7sO_pEeOM48qnBkZzmw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_0dULAO_rEeOM48qnBkZzmw" name="activityOutcomeReview_observationStatement" memberEnd="_0dUyEO_rEeOM48qnBkZzmw _0dWnQO_rEeOM48qnBkZzmw">
        <ownedEnd xmi:id="_0dWnQO_rEeOM48qnBkZzmw" name="" visibility="public" type="_mwEawAZAEeGz0dkadElrkQ" association="_0dULAO_rEeOM48qnBkZzmw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_A8TPQLPAEeS3iYN4R_wsuw" name="CareBarrier">
        <ownedComment xmi:id="_JwQOoMmtEeSWo8c3GHgn0Q" annotatedElement="_A8TPQLPAEeS3iYN4R_wsuw">
          <body>An impediment which may reduce or block quality of care and/or increase cost, and which may hinder the achievement of the goal(s).&#xD;
&quot;A barrier impacts specific interventions or other plan activities and may necessitate their modification. Barriers are situations outside the health care system which nonetheless reduce or block quality of care and also increase cost. Barrier may also impact on goals achievement if modifications to interventions cannot effectively overcome identified barriers.&quot; - HL7 Care Plan Domain Analysis Model.</body>
        </ownedComment>
        <generalization xmi:id="_sHOz8MmvEeSWo8c3GHgn0Q" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_i6vhIMmtEeSWo8c3GHgn0Q" name="category" visibility="public">
          <ownedComment xmi:id="_i6vhIcmtEeSWo8c3GHgn0Q" annotatedElement="_i6vhIMmtEeSWo8c3GHgn0Q">
            <body>&quot;Names or describes what the barrier is&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_i6vhI8mtEeSWo8c3GHgn0Q" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_i6vhIsmtEeSWo8c3GHgn0Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bXDGMMmtEeSWo8c3GHgn0Q" name="comment" visibility="public">
          <ownedComment xmi:id="_bXDGMcmtEeSWo8c3GHgn0Q" annotatedElement="_bXDGMMmtEeSWo8c3GHgn0Q">
            <body>&quot;Free form comments related to the barrier&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bXDGM8mtEeSWo8c3GHgn0Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bXDGMsmtEeSWo8c3GHgn0Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Ox4qkMmvEeSWo8c3GHgn0Q" name="effectiveDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Ox4qkcmvEeSWo8c3GHgn0Q" annotatedElement="_Ox4qkMmvEeSWo8c3GHgn0Q">
            <body>&quot;The date/time the barrier was identified&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WdDvUNfNEeSTuOyAKngSWg" name="resolvedDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_WdDvUdfNEeSTuOyAKngSWg" annotatedElement="_WdDvUNfNEeSTuOyAKngSWg">
            <body>&quot;The date/time when the barrier is either resolved or an acceptable alternative is found.&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZK-uINfNEeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZK-uIdfNEeSTuOyAKngSWg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_t21S4LPCEeS3iYN4R_wsuw" name="AcceptanceReview">
        <ownedComment xmi:id="_cpK8QNSsEeSyzs7OQneM_g" annotatedElement="_t21S4LPCEeS3iYN4R_wsuw">
          <body>&quot;Acceptance reviews capture understanding and agreement to adopt a proposal for health goals, interventional actions or the plan itself. E.g. Upon review of the goals and actions a care manager (e.g. nurse case manager, social worker, physical therapist, pharmacist), PCP, nurse and patient will indicate understanding and acceptance of the Care Plan. Acceptance reviews may be used to indicate a provider’s  authorization to perform an intervention and another’s provider acknowledgement.&quot; - HL7 Care Plan Domain Analysis Model</body>
        </ownedComment>
        <ownedAttribute xmi:id="_9uvpMtfREeSTuOyAKngSWg" name="acceptance" visibility="public">
          <ownedComment xmi:id="_9uvpM9fREeSTuOyAKngSWg" annotatedElement="_9uvpMtfREeSTuOyAKngSWg">
            <body>&quot;Indicates the type of acceptance expressed by the care team member and/or patient.&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9uvpMNfREeSTuOyAKngSWg" name="applicability" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_9uvpMdfREeSTuOyAKngSWg" annotatedElement="_9uvpMNfREeSTuOyAKngSWg">
            <body>&quot;Indicted if there is an applicable time period for the acceptance. The acceptance is invalid when outside the specified time period.&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QyuQcNfSEeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Qy3aYNfSEeSTuOyAKngSWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ilxbUNfSEeSTuOyAKngSWg" name="comments" visibility="public">
          <ownedComment xmi:id="_ilxbUdfSEeSTuOyAKngSWg" annotatedElement="_ilxbUNfSEeSTuOyAKngSWg">
            <body>&quot;Specifies optional comments for the review&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ilxbU9fSEeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ilxbUtfSEeSTuOyAKngSWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ilnqUNfSEeSTuOyAKngSWg" name="effectiveDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_ilnqUdfSEeSTuOyAKngSWg" annotatedElement="_ilnqUNfSEeSTuOyAKngSWg">
            <body>&quot;Specifies the date/time of the review&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ilnqU9fSEeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ilnqUtfSEeSTuOyAKngSWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qhRKkO0ZEeWjUp19yClo5Q" name="patientPreference" visibility="public">
          <ownedComment xmi:id="_FPqf0O0aEeWjUp19yClo5Q" annotatedElement="_qhRKkO0ZEeWjUp19yClo5Q">
            <body>A statement expressed by the patient or a proxy for the patient describing how he or she would prefered to be treated.  Note that this concept is modeled as a class in the HL7 DAM, which includes attributes such as the strength of the preference, reason, date range, and an indication of why the preference might not have been fulfilled.  The FHIM models these concepts collectively as a single text property because it was deemed to be unlikely that any current or near-future systems would need to compute on such properties of the patient's preferences.&#xD;
&#xD;
&quot;A care preference is a statement expressed by the patient, custodian or caretaker responsible for the patient in order to influence how their care is delivered. A preference expresses a personal choice and may be driven by cultural, religious and moral principles. As such it is a principal component of patient centered care and autonomy. Care preferences serve as modifiers of the Care Plan which influence how the plan is personalized for the individual. A care preference may be specified prospectively to influence future care planning and treatment or it may be expressed and recorded at arbitrary decision points during interventions. A preference expresses a request to fulfill a patient's choice or desire. The choice may be a strong and absolute statement such as an end of life directive. The request could also be a desire to be fulfilled if possible given care team capabilities and resources.&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_XoccULksEeSvIbhHaIFeOA" name="ResourceAllocation">
        <ownedComment xmi:id="_14crUNSwEeSyzs7OQneM_g" annotatedElement="_XoccULksEeSvIbhHaIFeOA">
          <body>&quot;Successful execution of any plan requires resources. Plan activities indicate resources which must be allocated in preparation for implementation of the activity which uses the resources. The achievement of plan activities requires allocation of human, asset, consumable and service resources.&quot; - HL7 Care Plan Domain Analysis Model.&#xD;
Note that the HL7 DAM has three subtypes of Resource Allocation: Asset Allocation, Consumable Allocation, and Service Allocation, whereas the FHIM currently combines these.  We may wish to split these subtypes out in the future.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_JrudgN1BEeSZfdq7h5ueSA" name="dailyAmount" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_VCjL0N1BEeSZfdq7h5ueSA" annotatedElement="_JrudgN1BEeSZfdq7h5ueSA">
            <body>&quot;Identifies the quantity expected to be consumed in a given day.&quot; - HL7 FHIR CarePlan.activity.detail.dailyAmount</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xAeaUNSxEeSyzs7OQneM_g" name="media" visibility="public">
          <ownedComment xmi:id="_xAeaUdSxEeSyzs7OQneM_g" annotatedElement="_xAeaUNSxEeSyzs7OQneM_g">
            <body>&quot;Specifies the resource type.&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_c7IeoNfQEeSTuOyAKngSWg" name="period" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_qMdx0NfQEeSTuOyAKngSWg" annotatedElement="_c7IeoNfQEeSTuOyAKngSWg">
            <body>&quot;Specifies the time period for which the asset or service needs to be available or scheduled.&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kkjuINfQEeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kkjuIdfQEeSTuOyAKngSWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_f-gwENfQEeSTuOyAKngSWg" name="quantity" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_0iMPgNfQEeSTuOyAKngSWg" annotatedElement="_f-gwENfQEeSTuOyAKngSWg">
            <body>&quot;Specifies the quantity of material or consumable.&quot; - HL7 Care Plan Domain Analysis Model&#xD;
&quot;Identifies the quantity expected to be supplied, administered or consumed by the subject.&quot; - HL7 FHIR CarePlan.activity.detail.quantity</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1i3pYNfQEeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1i3pYdfQEeSTuOyAKngSWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-ZjwwNSwEeSyzs7OQneM_g" name="resourceType" visibility="public">
          <ownedComment xmi:id="_-ZjwwdSwEeSyzs7OQneM_g" annotatedElement="_-ZjwwNSwEeSyzs7OQneM_g">
            <body>&quot;Specifies the resource type.&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_jhwMoLksEeSvIbhHaIFeOA" name="Communication">
        <ownedComment xmi:id="_d_ZJQNfWEeSTuOyAKngSWg" annotatedElement="_jhwMoLksEeSvIbhHaIFeOA">
          <body>This class documents an interaction between two or more Care Team Members regarding the Care Plan for the patient.  This is where the negotiation occurs between providers, or where the care team decides on a course of action during a periodic review.&#xD;
&#xD;
&quot;Communication is ongoing during care coordination. Care team communications is what causes the unfolding of the plan as new participants join, propose actions, change goals, record interventions, review outcomes and assess effectiveness of individual actions and of the overall plan.&quot; - HL7 Care Plan Domain Analysis Model&#xD;
Note that the DAM has a &quot;pertainsTo&quot; property which &quot;Links the communication to some clinical object which is the target of the communication&quot;. This property is of type clinical object, which the FHIM doesn't have at the moment.  It could probably be linked to Observation in the future.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_zZZ6cM8oEeSxpbhu-p7faA" name="content" visibility="public">
          <ownedComment xmi:id="_zZZ6cc8oEeSxpbhu-p7faA" annotatedElement="_zZZ6cM8oEeSxpbhu-p7faA">
            <body>&quot;Specifies the content of the communication&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zZZ6c88oEeSxpbhu-p7faA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zZZ6cs8oEeSxpbhu-p7faA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dVNqgM8oEeSxpbhu-p7faA" name="effectiveDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_dVNqgc8oEeSxpbhu-p7faA" annotatedElement="_dVNqgM8oEeSxpbhu-p7faA">
            <body>&quot;Specifies the date/time of the communication&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rLyYwM8oEeSxpbhu-p7faA" name="formId" visibility="public">
          <ownedComment xmi:id="_rLyYwc8oEeSxpbhu-p7faA" annotatedElement="_rLyYwM8oEeSxpbhu-p7faA">
            <body>&quot;Specifies a formId if the communication is a response to a structured form &quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rLyYw88oEeSxpbhu-p7faA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rLyYws8oEeSxpbhu-p7faA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KszO0M8xEeSxpbhu-p7faA" name="receiver" visibility="public" type="_GY1OsAY1EeGz0dkadElrkQ" association="_KsxZoM8xEeSxpbhu-p7faA">
          <ownedComment xmi:id="_R6jO8M8xEeSxpbhu-p7faA" annotatedElement="_KszO0M8xEeSxpbhu-p7faA">
            <body>&quot;Specifies the receiver of the communication&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ksz14M8xEeSxpbhu-p7faA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ks0c8M8xEeSxpbhu-p7faA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_A8xfMM8xEeSxpbhu-p7faA" name="source" visibility="public" type="_GY1OsAY1EeGz0dkadElrkQ" association="_A8pjYM8xEeSxpbhu-p7faA">
          <ownedComment xmi:id="_ILJxcM8xEeSxpbhu-p7faA" annotatedElement="_A8xfMM8xEeSxpbhu-p7faA">
            <body>&quot;Specifies the source or sender of the communication&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_A83l0M8xEeSxpbhu-p7faA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_A84z8M8xEeSxpbhu-p7faA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xVMnAM8oEeSxpbhu-p7faA" name="topic" visibility="public">
          <ownedComment xmi:id="_xVMnAc8oEeSxpbhu-p7faA" annotatedElement="_xVMnAM8oEeSxpbhu-p7faA">
            <body>&quot;Specifies the subject of the communication&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xVMnA88oEeSxpbhu-p7faA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xVMnAs8oEeSxpbhu-p7faA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_HRcwALk9EeSvIbhHaIFeOA" name="CareIntervention">
        <ownedComment xmi:id="_N6gNgNfPEeSTuOyAKngSWg" annotatedElement="_HRcwALk9EeSvIbhHaIFeOA">
          <body>A single action (treatment, procedure, or activity) designed to achieve an outcome for a diagnosis for which the clinician is accountable. Note that actions include the following categories: Assess/Monitor, Perform, Teach, Manage.&#xD;
&#xD;
&quot;An intervention is a combination of program elements or strategies designed to produce behavior changes or improve health status among individuals or an entire population.  interventions may include treatments and procedures, wellness activities, educational programs, new or stronger policies, improvements in the environment, or a health promotion campaign. Interventions that include multiple strategies are typically the most effective in producing desired and lasting change.&quot; - DoD/VA iEHR Care and Disease Management model.</body>
        </ownedComment>
        <generalization xmi:id="_H46moN1CEeSZfdq7h5ueSA" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_q3sNgM8nEeSxpbhu-p7faA" name="applicability" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_q3sNgc8nEeSxpbhu-p7faA" annotatedElement="_q3sNgM8nEeSxpbhu-p7faA">
            <body>&quot;Applicability time point or time frame in which the activity may be carried out.&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4fp4AM8nEeSxpbhu-p7faA" name="classification" visibility="public">
          <ownedComment xmi:id="_4fp4Ac8nEeSxpbhu-p7faA" annotatedElement="_4fp4AM8nEeSxpbhu-p7faA">
            <body>This property is used to categorize the Care Intervention.  Note that this property is currently modeled as a string because a single suitable valuset could not be identified at this time.&#xD;
&quot;A classification of the activity such as Patient Instruction, Medication Administration, Self Blood Glucose Monitoring, etc.&quot; - HL7 Care Plan Domain Analysis Model.&#xD;
&quot;High-level categorization of the type of activity in a care plan.&quot; - HL7 FHIR, CarePlan.activity.detail.category</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uwvmkNpHEeSOxtrN8-7DcQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uwvmkdpHEeSOxtrN8-7DcQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Txyo8M8nEeSxpbhu-p7faA" name="description" visibility="public">
          <ownedComment xmi:id="_Txyo8c8nEeSxpbhu-p7faA" annotatedElement="_Txyo8M8nEeSxpbhu-p7faA">
            <body>&quot;A sub-classification of an activity such as “wound care” which modifies the “patient instruction” classification.&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Txyo888nEeSxpbhu-p7faA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Txyo8s8nEeSxpbhu-p7faA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hKlPAM8nEeSxpbhu-p7faA" name="endDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_hKlPAc8nEeSxpbhu-p7faA" annotatedElement="_hKlPAM8nEeSxpbhu-p7faA">
            <body>&quot;The end date/time of the activity.&quot; - HL7 Care Plan Domain Analysis Model.&#xD;
&quot;The period, timing or frequency upon which the described activity is to occur.&quot; - HL7 FHIR, CarePlan.activity.detail.scheduled[x] (Note that FHIR allows multiple timeframes).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VlRg0NfPEeSTuOyAKngSWg" name="frequency" visibility="public" type="_420A62FD03B641886F63021C">
          <ownedComment xmi:id="_VlRg0dfPEeSTuOyAKngSWg" annotatedElement="_VlRg0NfPEeSTuOyAKngSWg">
            <body>&quot;Specification of repeating frequency of an activity.&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FErQwO_qEeOM48qnBkZzmw" name="isProhibited" visibility="public">
          <ownedComment xmi:id="_Lyw5YO_qEeOM48qnBkZzmw" annotatedElement="_FErQwO_qEeOM48qnBkZzmw">
            <body>&quot;If true, indicates that the described activity is one that must NOT be engaged in when following the plan.&quot; - HL7 FHIR CarePlan.activity.detail.prohibited</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MTox0O_qEeOM48qnBkZzmw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MTox0e_qEeOM48qnBkZzmw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZajFENpHEeSOxtrN8-7DcQ" name="kind" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ZajFEdpHEeSOxtrN8-7DcQ" annotatedElement="_ZajFENpHEeSOxtrN8-7DcQ">
            <body>&quot;Detailed description of the type of planned activity. E.g. What lab test, what procedure, what kind of encounter.&quot; - HL7 FHIR, CarePlan.activity.detail.code</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HAqo8OX_EeWMCcMdatPOjA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HAqo8eX_EeWMCcMdatPOjA" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_Gza3IOX_EeWMCcMdatPOjA" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(CarePlanActivity)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_iJDl8O_qEeOM48qnBkZzmw" name="notes" visibility="public">
          <ownedComment xmi:id="_iJDl8e_qEeOM48qnBkZzmw" annotatedElement="_iJDl8O_qEeOM48qnBkZzmw">
            <body>&quot;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.&quot; - HL7 FHIR CarePlan.activity.detail.note</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iJDl8-_qEeOM48qnBkZzmw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iJDl8u_qEeOM48qnBkZzmw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NdGSENo7EeSOxtrN8-7DcQ" name="planningStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_4dOjoO7QEeWGc6zSCrskfQ" annotatedElement="_NdGSENo7EeSOxtrN8-7DcQ">
            <body>The state of the Care Intervention with respect to the negotiation process. Possible values include: Proposed, Accepted, Rejected. This property has been modeled separately from the status property which only is used when the Care Intervention has been accepted. It is possible that these two kinds of statuses may be combined into a larger workflow-aware status, but they are modeled separately for now for compatibility with FHIR.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_i9jAEOU6EeWlUtxA-8RVeQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_i9jnIOU6EeWlUtxA-8RVeQ" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_ktTtgOU6EeWlUtxA-8RVeQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(InterventionPlanningStatus)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3A6KINfPEeSTuOyAKngSWg" name="preCondition" visibility="public">
          <ownedComment xmi:id="_3A6KIdfPEeSTuOyAKngSWg" annotatedElement="_3A6KINfPEeSTuOyAKngSWg">
            <body>&quot;Any required preconditions which must be before the activity can be carried out.&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3G3oMNfPEeSTuOyAKngSWg" name="postCondition" visibility="public">
          <ownedComment xmi:id="_3G3oMdfPEeSTuOyAKngSWg" annotatedElement="_3G3oMNfPEeSTuOyAKngSWg">
            <body>&quot;Any conditions expected to be true after the activity is carried out.&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TxzQAM8nEeSxpbhu-p7faA" name="startDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_TxzQAc8nEeSxpbhu-p7faA" annotatedElement="_TxzQAM8nEeSxpbhu-p7faA">
            <body>&quot;The actual start instant of the activity.&quot; - HL7 Care Plan Domain Analysis Model.&#xD;
&quot;The period, timing or frequency upon which the described activity is to occur.&quot; - HL7 FHIR, CarePlan.activity.detail.scheduled[x] (Note that FHIR allows multiple timeframes).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nTVVUAY_EeGz0dkadElrkQ" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_2IBrQO_pEeOM48qnBkZzmw" annotatedElement="_nTVVUAY_EeGz0dkadElrkQ">
            <body>&quot;Identifies what progress is being made for the specific activity.&quot; - HL7 FHIR CarePlan.activity.detail.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_05n-cO_pEeOM48qnBkZzmw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_05n-ce_pEeOM48qnBkZzmw" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_bV35cOX9EeWMCcMdatPOjA" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(CarePlanActivityStatus)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="__BiAgHdjEeWxwI-cgx2UYQ" name="statusText" visibility="public">
          <ownedComment xmi:id="_Ku0uEHdkEeWxwI-cgx2UYQ" annotatedElement="__BiAgHdjEeWxwI-cgx2UYQ">
            <body>Provides further detail of the state of the Care Intervention beyond simply active and inactive, which is indicated by the status property.&#xD;
&quot;Provides reason why the activity isn't yet started, is on hold, was cancelled, etc.&quot; - HL7 FHIR, CarePlan.activity.detail.statusReason</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6A5iwHdkEeWxwI-cgx2UYQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6A5iwXdkEeWxwI-cgx2UYQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wjHrgNo5EeSOxtrN8-7DcQ" name="acceptanceReview" visibility="public" type="_t21S4LPCEeS3iYN4R_wsuw" association="_wjGdYNo5EeSOxtrN8-7DcQ">
          <ownedComment xmi:id="_h_PY0O6-EeWGc6zSCrskfQ" annotatedElement="_wjHrgNo5EeSOxtrN8-7DcQ">
            <body>Pointer to a (set of) appraisals during which agreements to adopt proposed Care Plan actions are affirmed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wjISkNo5EeSOxtrN8-7DcQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wjISkdo5EeSOxtrN8-7DcQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pHoIAAZAEeGz0dkadElrkQ" name="activityOutcomeReview" visibility="public" type="_mwEawAZAEeGz0dkadElrkQ" association="_pHlrwAZAEeGz0dkadElrkQ">
          <ownedComment xmi:id="_TqucgNfLEeSTuOyAKngSWg" annotatedElement="_pHoIAAZAEeGz0dkadElrkQ">
            <body>Pointer to an Observation describing any changes that resulted from the pursuit of the HealthGoal.&#xD;
&quot;Identifies the change (or lack of change) at the point where the goal was deemed to be cancelled or achieved.&quot; - HL7 FHIR, Goal.outcome.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pHovEAZAEeGz0dkadElrkQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pHpWIAZAEeGz0dkadElrkQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JchssNpIEeSOxtrN8-7DcQ" name="healthGoal" visibility="public" type="_rZMYcAY0EeGz0dkadElrkQ" association="_JcgekNpIEeSOxtrN8-7DcQ">
          <ownedComment xmi:id="_jEPGsNpIEeSOxtrN8-7DcQ" annotatedElement="_JchssNpIEeSOxtrN8-7DcQ">
            <body>&quot;Internal reference that identifies the goals that this activity is intended to contribute towards meeting.&quot; - HL7 FHIR, CarePlan.activity.detail.goal</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JciTwNpIEeSOxtrN8-7DcQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JciTwdpIEeSOxtrN8-7DcQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TVheIXdkEeWxwI-cgx2UYQ" name="reason" visibility="public" type="_420A62FD03B6421F8AD00244" association="_TVheIHdkEeWxwI-cgx2UYQ">
          <ownedComment xmi:id="_VOGJUHdkEeWxwI-cgx2UYQ" annotatedElement="_TVheIXdkEeWxwI-cgx2UYQ">
            <body>&quot;Provides the health condition(s) or other rationale that drove the inclusion of this particular activity as part of the plan.&quot; - HL7 FHIR, CarePlan.activity.detail.reason[x]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TVheIndkEeWxwI-cgx2UYQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TVheI3dkEeWxwI-cgx2UYQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DOFXENSuEeSyzs7OQneM_g" name="resourceAllocation" visibility="public" type="_XoccULksEeSvIbhHaIFeOA" association="_DODh4NSuEeSyzs7OQneM_g">
          <ownedComment xmi:id="_559N4N1AEeSZfdq7h5ueSA" annotatedElement="_DOFXENSuEeSyzs7OQneM_g">
            <body>&quot;Identifies the food, drug or other product to be consumed or supplied in the activity.&quot; - HL7 FHIR CarePlan.activity.detail.product</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DOGlMNSuEeSyzs7OQneM_g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DOHMQNSuEeSyzs7OQneM_g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Fl8h4No2EeSOxtrN8-7DcQ" name="responsibleParty" visibility="public" type="_OnMeAHiUEd-xd69YcOIcPA" association="_Fl7TwNo2EeSOxtrN8-7DcQ">
          <ownedComment xmi:id="_IMDM8O7REeWGc6zSCrskfQ" annotatedElement="_Fl8h4No2EeSOxtrN8-7DcQ">
            <body>Identifies the Care Team Member (typically a Provider) who is responsible for the performance of the Care Intervention.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Fl9I8No2EeSOxtrN8-7DcQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Fl9wANo2EeSOxtrN8-7DcQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_YRZFoMRDEeSThJ7NwJgY1w" name="PlanReview">
        <ownedComment xmi:id="_RsGxwNSsEeSyzs7OQneM_g" annotatedElement="_YRZFoMRDEeSThJ7NwJgY1w">
          <body>&quot;Plan reviews are performed at periodic intervals to assess the overall consistency, appropriateness, completeness and effectiveness of the plan. The plan review includes comprehensive review of all the goals.&quot; - HL7 Care Plan Domain Analysis Model.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_SpigwNfVEeSTuOyAKngSWg" name="comments" visibility="public">
          <ownedComment xmi:id="_SpigwdfVEeSTuOyAKngSWg" annotatedElement="_SpigwNfVEeSTuOyAKngSWg">
            <body>&quot;Specifies optional comments for the review&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Spigw9fVEeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SpigwtfVEeSTuOyAKngSWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SpigxNfVEeSTuOyAKngSWg" name="effectiveDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_SpigxdfVEeSTuOyAKngSWg" annotatedElement="_SpigxNfVEeSTuOyAKngSWg">
            <body>&quot;Specifies the date/time of the review&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Spigx9fVEeSTuOyAKngSWg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SpigxtfVEeSTuOyAKngSWg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_y3HbgNfVEeSTuOyAKngSWg" name="outcome" visibility="public">
          <ownedComment xmi:id="_y3HbgdfVEeSTuOyAKngSWg" annotatedElement="_y3HbgNfVEeSTuOyAKngSWg">
            <body>&quot;Captures a text comment of the outcome review&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fAz_cNfVEeSTuOyAKngSWg" name="nextScheduledReview" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_fAz_cdfVEeSTuOyAKngSWg" annotatedElement="_fAz_cNfVEeSTuOyAKngSWg">
            <body>&quot;Indicates the next scheduled review date&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_EMdCkNo6EeSOxtrN8-7DcQ" name="reasonForReview" visibility="public">
          <ownedComment xmi:id="_LB-v8No6EeSOxtrN8-7DcQ" annotatedElement="_EMdCkNo6EeSOxtrN8-7DcQ">
            <body>This optional property describes the circumstances that triggered the review. The assumption is that this property would generally only be used to describe non-routine reasons why a review is/was required. Regularly scheduled reviews would not need to be indicated in this text. For example, a review might be indicated due to a change in the condition of the patient that causes a requirement to revise the care plan.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fAz_ctfVEeSTuOyAKngSWg" name="reviewFrequency" visibility="public" type="_420A62FD03B641886F63021C">
          <ownedComment xmi:id="_fAz_c9fVEeSTuOyAKngSWg" annotatedElement="_fAz_ctfVEeSTuOyAKngSWg">
            <body>&quot;Specifies a periodic frequency for future reviews&quot; - HL7 Care Plan Domain Analysis Model</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_bSMkMMRDEeSThJ7NwJgY1w" name="carePlanEpisode_planReview" memberEnd="_bSOZYMRDEeSThJ7NwJgY1w _bSRcsMRDEeSThJ7NwJgY1w">
        <ownedEnd xmi:id="_bSRcsMRDEeSThJ7NwJgY1w" name="" visibility="public" type="_zXMUUAY1EeGz0dkadElrkQ" association="_bSMkMMRDEeSThJ7NwJgY1w"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_cLDe0MRDEeSThJ7NwJgY1w" name="PlanSteward">
        <ownedComment xmi:id="_tQ0NAO65EeWGc6zSCrskfQ" annotatedElement="_cLDe0MRDEeSThJ7NwJgY1w">
          <body>A Plan Steward Is the Person or Organization accountable for maintaining some aspect of the care plan. This may be more than one organization as the plan may span the continuum of care - adapted from S&amp;I Framework Longitudinal Coordination of Care Overview to HL7 Patient Care WG</body>
        </ownedComment>
        <ownedAttribute xmi:id="_hwAf8NS8EeSyzs7OQneM_g" name="entity" visibility="public" type="_MF0JYOEVEd6EKMSYA1gKjA" association="_hv_R0NS8EeSyzs7OQneM_g">
          <ownedComment xmi:id="_tvy7IO7REeWGc6zSCrskfQ" annotatedElement="_hwAf8NS8EeSyzs7OQneM_g">
            <body>Identifies the Person or Organization who is Participating as a Plan Steward. This property is a pointer to an Entity rather than a Provider because the Plan Steward could conceivably be the Patient him/herself or a member of the Patient’s family, whereas elsewhere in the FHIM, most Participation classes assume the Participating Entity is a Provider.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hwBuENS8EeSyzs7OQneM_g" value="1"/>
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          <body>A set of Communications among individual Care Team Members as they coordinate their activities for the execution of the Care Plan. The current intent of this class is to provide a record of such communications. It is envisioned that this structure could be used in the future to record negotiations among Care Team Members (especially between members belonging to different organizations) as the Care Plan is formulated. The ability to negotiate between Care Team Members does not exist in an automated fashion today, but would be an important feature in future systems.&#xD;
&quot;A conversation organizes individual communications in a meaningful manner for the benefit and understanding of care plan stakeholders.&quot; - HL7 Care Plan Domain Analysis Model</body>
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            <body>Categorizes the set of Communications among individual Care Team Members as they coordinate their activities for the execution of the Care Plan such that the Communications can be logically grouped into this Conversation. Note that this property is currently modeled as a string rather than as a Code as no widely acceptable set of values exists for this concept at this time.&#xD;
&quot;Specifies the subject of the communication&quot; - HL7 Care Plan Domain Analysis Model.</body>
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            <language></language>
            <body>(none)</body>
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            <language></language>
            <body>(none)</body>
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&quot;Defines criteria which must be met to determine goal achievement.&quot; - HL7 Care Plan Domain Analysis Model</body>
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          <body>This class contains attributes related to the original assignment of the flag only.</body>
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            <body>Internal entry number (IEN) which is assigned to each record of this file.  [A unique identifier for the Act. (HL7 3.0)]  </body>
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            <body>Indicates if the patient record flag assignment is Active or Inactive for this Patient.  Possible values are Inactive; Active etc.  </body>
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            <body>This is a text description of the incident or reason that generated the need for this patient record flag assignment, followed by the recommended actions that should be performed by a person working with this specific patient.  </body>
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_POwKcuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64458DC050375" name="assignmentOwnedBy" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B64458DC0402FC">
          <ownedComment xmi:id="_PO57feLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64458DC050375">
            <body>Indicates the current site that owns this patient flag assignment.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PPDFYeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PPDFYuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64458DC0F0153" name="assignmentOriginatedBy" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B64458DC0E01AC">
          <ownedComment xmi:id="_PPDFZuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64458DC0F0153">
            <body>Indicates the site that initially assigned the patient record flag to this patient.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PPM2YeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PPM2YuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6444FFB3A0013" name="PatientRecordFlagAssignmentHistory">
        <eAnnotations xmi:id="_PNtoouLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PNatveLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6444FFB3A0013">
          <body>This class contains attributes related to all subsequent action of an original assignment of the flag.  This is the audit information associated with PRF Assignment.   </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B644578DA200AD" name="assignmentHistoryId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_PNj3ouLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644578DA200AD">
            <body>Internal entry number (IEN) which is assigned to each record of this file.             A unique identifier for the Act. (HL7 3.0)  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ipYggPQ5Edyj3usHGf_SVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ipYggfQ5Edyj3usHGf_SVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644578DD00371" name="assignmentDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PNj3peLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644578DD00371">
            <body>The Date and Time of either the initial ASSIGNMENT of the PATIENT RECORD FLAG or the REVIEW Date/Time of the PATIENT RECORD FLAG.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644578FAC0108" name="assignmentHistoryAction" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PNj3qOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644578FAC0108">
            <body>Indicates the event that created this PRF ASSIGNMENT HISTORY record.  Possible values are New Assignment; Continue; Inactivate; Reactivate; Entered in Error; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64468B898024D" name="assignmentHistoryComments" visibility="public">
          <ownedComment xmi:id="_PNtooOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64468B898024D">
            <body>The comments associated with the patient record flag assignment history.  The history comments should describe the reason that the history record was generated.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64457929A01D9" name="document" visibility="public" type="_420A62FD03B6420B7198029C" isUnique="false" association="_420A62FD03B64457929901EB">
          <ownedComment xmi:id="_PO57duLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64457929A01D9">
            <body>The Progress Note IEN that will be linked to this assignment history record.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PO57eOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PO57eeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1FYDEe_7Ed6OG-vjYTopTQ" name="verifier" visibility="public" type="_420A62FD03B6418A6B760063" association="_1FYDEO_7Ed6OG-vjYTopTQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1FYDEu_7Ed6OG-vjYTopTQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1FYDE-_7Ed6OG-vjYTopTQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_AGpYIe_8Ed6OG-vjYTopTQ" name="author" visibility="public" type="_420A62FD03B6418A6B760063" association="_AGpYIO_8Ed6OG-vjYTopTQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AGpYIu_8Ed6OG-vjYTopTQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AGpYI-_8Ed6OG-vjYTopTQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6445A730D0304" name="PatientRecordTask">
        <eAnnotations xmi:id="_PN2yl-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PNtopeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445A730D0304">
          <body>This class contains all attributes - supporting as well as tracking of each one's cancellation or fulfillment - related to patient tasks (Care Management).  Note that this class may not be supported by HDR but rather from other repository.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6445A80550118" name="dateTaskCreated" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PNtoqOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445A80550118">
            <body>This is the date and time the task was created.   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6445A80B2039D" name="taskSubjectDescription" visibility="public">
          <ownedComment xmi:id="_PNtoq-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445A80B2039D">
            <body>This is the subject of the task.   </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6445A83CA00F3" name="taskPriority" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PN2ykuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445A83CA00F3">
            <body>Priority for accomplishing this task.  Possible values are LOW; MEDIUM; HIGH  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6445A841C02C7" name="taskDueDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PN2yleLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445A841C02C7">
            <body>The date [and time] by which this task should be completed.    </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_c5sH4PQ7Edyj3usHGf_SVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_c5sH4fQ7Edyj3usHGf_SVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6445FABB10162" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" isUnique="false" association="_420A62FD03B6445FABAF024F">
          <ownedComment xmi:id="_PPM2ZuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445FABB10162">
            <body>The patient that this task applies to.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PPM2aOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PPM2aeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6445FB041037E" name="item" visibility="public" type="_420A62FD03B6445FB00A0343" isUnique="false" association="_420A62FD03B6445FB040037D">
          <ownedComment xmi:id="_PPWnZuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445FB041037E">
            <body>Item linked to this task.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PPWnaOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PPWnaeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XSgawO_8Ed6OG-vjYTopTQ" name="author" visibility="public" type="_420A62FD03B6418A6B760063" association="_XSXQ0O_8Ed6OG-vjYTopTQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XSgawe_8Ed6OG-vjYTopTQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XSgawu_8Ed6OG-vjYTopTQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6445FB00A0343" name="LinkedItem">
        <eAnnotations xmi:id="_POAjkeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PN2ymuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445FB00A0343">
          <body>This class contains attributes that gives context to the task. It links the task that you create to an order, for example follow up based upon lab result.   </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6445FB01D039B" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_PN2yneLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445FB01D039B">
            <body>This is an identifier for item that have been linked to this task.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gBzvYPQ7Edyj3usHGf_SVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gBzvYfQ7Edyj3usHGf_SVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qUrrMO_8Ed6OG-vjYTopTQ" name="description" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64460C2CC01EE" name="AlertTrackingEvent">
        <eAnnotations xmi:id="_POTeguLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_POAjlOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64460C2CC01EE">
          <body>This class contains attributes related to track the content and interactions with an alert.  e.g.  When the alert was generated, package id, Status, each user that the alert was sent to. Note that this class may not be supported by HDR but rather from other repository. </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6446107B10252" name="associatedPackage" visibility="public">
          <ownedComment xmi:id="_POAjneLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446107B10252">
            <body>Identifies the Package Associated to the alert.  1-30 characters in length.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vH_doPQ2Edyj3usHGf_SVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vH_dofQ2Edyj3usHGf_SVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64461092202C1" name="dataForProcessing" visibility="public">
          <ownedComment xmi:id="_POKUmOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64461092202C1">
            <body>This is a String of data elements returned to the application when the alert is selected for processing.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BDrnIPQ3Edyj3usHGf_SVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BDrnIfQ3Edyj3usHGf_SVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64461078B015D" name="dateCreated" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_POAjmuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64461078B015D">
            <body>Date and time that the alert was created.   </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uOUqsPQ2Edyj3usHGf_SVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uOUqsfQ2Edyj3usHGf_SVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446CE9F60139" name="dateAlertProcessed" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_POTegOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446CE9F60139">
            <body>Indicates the date when the processing of the alert was completed.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_B5xhoPQ3Edyj3usHGf_SVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_B5xhofQ3Edyj3usHGf_SVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64461090F0057" name="displayText" visibility="public">
          <ownedComment xmi:id="_POKUleLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64461090F0057">
            <body>Text diplayed for alert.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-pKFcPQ2Edyj3usHGf_SVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-pKFcfQ2Edyj3usHGf_SVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644610759021A" name="name" visibility="public">
          <ownedComment xmi:id="_POAjl-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644610759021A">
            <body>Name of Alert  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446107E902D5" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_POKUkuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446107E902D5">
            <body>Indicates the the status of the alert. Possible values are UNREAD-REMOVED BY DATE; COMPLETELY READ; PARTIALLY READ - REMOVED; etc.   </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9ph0cPQ2Edyj3usHGf_SVw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9ph0cfQ2Edyj3usHGf_SVw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_sqr3gOqREd64CbuBU_dxGA" name="author" visibility="public" type="_420A62FD03B6418A6B760063" association="_sqitkOqREd64CbuBU_dxGA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sqr3geqREd64CbuBU_dxGA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sqr3guqREd64CbuBU_dxGA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4VYkEeqREd64CbuBU_dxGA" name="recipientLog" visibility="public" type="_z1DMcOqREd64CbuBU_dxGA" association="_4VYkEOqREd64CbuBU_dxGA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4VYkEuqREd64CbuBU_dxGA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4VYkE-qREd64CbuBU_dxGA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6444FFB6601BB" name="patientRecordFlagAssignment_assignmentHistory" memberEnd="_420A62FD03B6444FFB6800C4 _420A62FD03B6444FFB6800C6">
        <ownedEnd xmi:id="_420A62FD03B6444FFB6800C6" name="" visibility="public" type="_420A62FD03B6444FF0FB0333" isUnique="false" association="_420A62FD03B6444FFB6601BB"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B644578A8B0042" name="patientRecordFlagAssignment_patient" memberEnd="_420A62FD03B644578A8C0061 _420A62FD03B644578A8C00C5">
        <ownedEnd xmi:id="_420A62FD03B644578A8C00C5" name="" visibility="public" type="_420A62FD03B6444FF0FB0333" isUnique="false" association="_420A62FD03B644578A8B0042">
          <ownedComment xmi:id="_POwKdOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644578A8C00C5">
            <body>Patient Record Flag Assignment</body>
          </ownedComment>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64457929901EB" name="patientRecordFlagAssignmentHistory_document" memberEnd="_420A62FD03B64457929A01D9 _420A62FD03B64457929A020B">
        <ownedEnd xmi:id="_420A62FD03B64457929A020B" name="" visibility="public" type="_420A62FD03B6444FFB3A0013" isUnique="false" association="_420A62FD03B64457929901EB"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64458DC0402FC" name="patientRecordFlagAssignment_assignmentOwnedBy" memberEnd="_420A62FD03B64458DC050375 _420A62FD03B64458DC05037F">
        <ownedEnd xmi:id="_420A62FD03B64458DC05037F" name="" visibility="public" type="_420A62FD03B6444FF0FB0333" isUnique="false" association="_420A62FD03B64458DC0402FC"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64458DC0E01AC" name="patientRecordFlagAssignment_assignmentOriginatedBy" memberEnd="_420A62FD03B64458DC0F0153 _420A62FD03B64458DC0F015D">
        <ownedEnd xmi:id="_420A62FD03B64458DC0F015D" name="" visibility="public" type="_420A62FD03B6444FF0FB0333" isUnique="false" association="_420A62FD03B64458DC0E01AC"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6445FABAF024F" name="patientRecordTask_patient" memberEnd="_420A62FD03B6445FABB10162 _420A62FD03B6445FABB101DA">
        <ownedEnd xmi:id="_420A62FD03B6445FABB101DA" name="" visibility="public" type="_420A62FD03B6445A730D0304" isUnique="false" association="_420A62FD03B6445FABAF024F">
          <ownedComment xmi:id="_PPM2a-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445FABB101DA">
            <body>The task that is associated with this patient.</body>
          </ownedComment>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6445FB040037D" name="patientRecordTask_item" memberEnd="_420A62FD03B6445FB041037E _420A62FD03B6445FB0410388">
        <ownedEnd xmi:id="_420A62FD03B6445FB0410388" name="" visibility="public" type="_420A62FD03B6445A730D0304" isUnique="false" association="_420A62FD03B6445FB040037D"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_sqitkOqREd64CbuBU_dxGA" name="alertTrackingEvent_author" memberEnd="_sqr3gOqREd64CbuBU_dxGA _sqr3g-qREd64CbuBU_dxGA">
        <ownedEnd xmi:id="_sqr3g-qREd64CbuBU_dxGA" name="" visibility="public" type="_420A62FD03B64460C2CC01EE" association="_sqitkOqREd64CbuBU_dxGA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_z1DMcOqREd64CbuBU_dxGA" name="AlertRecipientLog">
        <ownedAttribute xmi:id="_7214oOqREd64CbuBU_dxGA" name="dateTime" visibility="public" type="_420A62FD03B64244824602F5"/>
        <ownedAttribute xmi:id="_2VPRQeqREd64CbuBU_dxGA" name="recipient" visibility="public" type="_420A62FD03B6418A6B760063" association="_2VPRQOqREd64CbuBU_dxGA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2VPRQuqREd64CbuBU_dxGA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2VPRQ-qREd64CbuBU_dxGA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_2VPRQOqREd64CbuBU_dxGA" name="alertRecipientLog_recipient" memberEnd="_2VPRQeqREd64CbuBU_dxGA _2VPRROqREd64CbuBU_dxGA">
        <ownedEnd xmi:id="_2VPRROqREd64CbuBU_dxGA" name="" visibility="public" type="_z1DMcOqREd64CbuBU_dxGA" association="_2VPRQOqREd64CbuBU_dxGA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4VYkEOqREd64CbuBU_dxGA" name="alertTrackingEvent_recipientLog" memberEnd="_4VYkEeqREd64CbuBU_dxGA _4ViVEOqREd64CbuBU_dxGA">
        <ownedEnd xmi:id="_4ViVEOqREd64CbuBU_dxGA" name="" visibility="public" type="_420A62FD03B64460C2CC01EE" association="_4VYkEOqREd64CbuBU_dxGA"/>
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            <body>A code depicting the storage status of a Clinical Document. Possible Values Include: Active, Archived, Purged etc.    </body>
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            <body>&quot;Represents the title of the document. It is commonly the case that clinical documents do not have a title, and are collectively referred to by the display name of ClinicalDocument.code (e.g. a &quot;consultation&quot; or &quot;progress note&quot;). Where these display names are rendered to the clinician, or where the document has a unique title, the ClinicalDocument.title component should be used.&quot; (HL7 3.0)  </body>
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            <body>&quot;Represents the unique instance identifier of a clinical document&quot;  (HL7 3.0)</body>
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            <body>Indicates whether or not a cosignature is needed.    </body>
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            <body>In VistA, &quot;this is the Date (and time) by which the clinician will reference the document.  For Progress Notes, this will likely be the date of the provider's encounter with the patient.  For documents which have been dictated, and transcribed (e.g., discharge summaries), it will correspond to the dictation date of the record.  In all cases, this is the date by which the document will be referenced and sorted.&quot;    In CDA, this is the creation date: &quot;Signifies the document creation time, when the document first came into being. &quot; (HL7 3.0, CDA 2.0)</body>
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            <body>The current status of a given clinical document.  Possible values include: undictated, untranscribed, unreleased, unverified, unsigned, uncosigned, completed, etc.     Displayed in CPRS. And is an automatic system change when updated (never through a prompt to the user).   </body>
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            <body>&quot;An integer value used to version successive replacement documents.&quot;  (HL7 V3)    </body>
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            <body>This is the institution associated with the document. It is extracted from the document's hospital location if known; otherwise it is extracted from the user's log-on division.   Equivalent to a pointer to File #4.  </body>
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            <body>Identifies a node within a workflow process that is typically performed by the Service to facilitate collection of workload and financial information.   </body>
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            <body>The inpatient movement with which the document is associated. </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_u1XcMn_HEd-Ure_vzgD_TA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_u1XcM3_HEd-Ure_vzgD_TA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hP-2sRXkEdyN7Oa0heT2nw" name="procedureSummary" visibility="public" type="_IJWJcBXkEdyN7Oa0heT2nw" association="_hP-2sBXkEdyN7Oa0heT2nw">
          <ownedComment xmi:id="_SUdhEBtfEdy9KJgCiKQkoQ" annotatedElement="_hP-2sRXkEdyN7Oa0heT2nw">
            <body>The summary for the clinical procedure performed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hP-2shXkEdyN7Oa0heT2nw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hP-2sxXkEdyN7Oa0heT2nw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2prOMAlZEdy7_a5YNchS8Q" name="recordTarget" visibility="public" type="_420A62FD03B6418A4E500034" isUnique="false" association="_2phdMAlZEdy7_a5YNchS8Q">
          <ownedComment xmi:id="_kk7Z4AlaEdy7_a5YNchS8Q" annotatedElement="_2prOMAlZEdy7_a5YNchS8Q">
            <body>A Role of a Person as a recipient of health care services from a healthcare provider.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_syqmoH-xEd-Ure_vzgD_TA" name="relatedDocument" visibility="public" type="_haPV0H-xEd-Ure_vzgD_TA" association="_syg1oH-xEd-Ure_vzgD_TA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_syqmoX-xEd-Ure_vzgD_TA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_syqmon-xEd-Ure_vzgD_TA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6fh24X-_Ed-Ure_vzgD_TA" name="retraction" visibility="public" type="_420A62FD03B643BD69A10200" association="_6fh24H-_Ed-Ure_vzgD_TA">
          <ownedComment xmi:id="_HPN1kH_AEd-Ure_vzgD_TA" annotatedElement="_6fh24X-_Ed-Ure_vzgD_TA">
            <body>Records the retraction, or &quot;nullification&quot; of a clinical document.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6fh24n-_Ed-Ure_vzgD_TA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6fh243-_Ed-Ure_vzgD_TA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6422897A60217" name="section" visibility="public" type="_420A62FD03B64228976C03D6" isUnique="false" association="_420A62FD03B6422897A50324">
          <ownedComment xmi:id="_N3SBQeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6422897A60217">
            <body>A clinical document body is comprised of one or more document sections.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N3byMeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N3byMuLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Uq6lgQlgEdy7_a5YNchS8Q" name="service" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_Uq6lgAlgEdy7_a5YNchS8Q">
          <ownedComment xmi:id="_dZQ1sAlgEdy7_a5YNchS8Q" annotatedElement="_Uq6lgQlgEdy7_a5YNchS8Q">
            <body>The treating speciality associated with this document.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_d8i8cEW6EdyXLv7yJlGbaA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_d8stcEW6EdyXLv7yJlGbaA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Au9KMQlcEdy7_a5YNchS8Q" name="treatingSpecialty" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_Au9KMAlcEdy7_a5YNchS8Q">
          <ownedComment xmi:id="_CmBZgAlcEdy7_a5YNchS8Q" annotatedElement="_Au9KMQlcEdy7_a5YNchS8Q">
            <body>The treating speciality associated with this document.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_aAqOUEW9EdyXLv7yJlGbaA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_aAqOUUW9EdyXLv7yJlGbaA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_EMRIUX_IEd-Ure_vzgD_TA" name="visit" visibility="public" type="_420A62FD03B64239A33400D4" association="_EMRIUH_IEd-Ure_vzgD_TA">
          <ownedComment xmi:id="_Qz13YH_JEd-Ure_vzgD_TA" annotatedElement="_EMRIUX_IEd-Ure_vzgD_TA">
            <body>Indicates the visit to which the clinical document is related.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EMRIUn_IEd-Ure_vzgD_TA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EMRIU3_IEd-Ure_vzgD_TA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_G5MzAAlpEdyJN53YUEkojQ" name="visitLocation" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_G454EAlpEdyJN53YUEkojQ">
          <ownedComment xmi:id="_PEO6wAlpEdyJN53YUEkojQ" annotatedElement="_G5MzAAlpEdyJN53YUEkojQ">
            <body>This is the Admitting/Screening Clinic associated with this document     </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_axx0IEW7EdyXLv7yJlGbaA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ayqk8EW7EdyXLv7yJlGbaA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2I1tAX_LEd-Ure_vzgD_TA" name="attender" visibility="public" type="_E0a_kAq7Ed-426xscrxYmQ" association="_2I1tAH_LEd-Ure_vzgD_TA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2I1tAn_LEd-Ure_vzgD_TA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2I1tA3_LEd-Ure_vzgD_TA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2wx2wX_LEd-Ure_vzgD_TA" name="author" visibility="public" type="_hXa7cAq6Ed-426xscrxYmQ" association="_2wx2wH_LEd-Ure_vzgD_TA">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2wx2w3_LEd-Ure_vzgD_TA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_N6JXsPONEeGMQvy2b7FvNg" name="documentGroup" visibility="public" type="_420A62FD03B6422491260300" association="_N5pocPONEeGMQvy2b7FvNg">
          <ownedComment xmi:id="_SjRe8PONEeGMQvy2b7FvNg" annotatedElement="_N6JXsPONEeGMQvy2b7FvNg">
            <body>Documents can be aggregated into clinically meaningfully groups; each document in the group will usually reference the same patient.  A clinical document will typically belong to at most one Document Group.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N6QscPONEeGMQvy2b7FvNg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N6RTgPONEeGMQvy2b7FvNg" value="*"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6422491260300" name="DocumentGroup">
        <eAnnotations xmi:id="_N2sLU-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_N2iaVOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6422491260300">
          <body>This is a flat level document. The purpose of DocumentGroup class is to link a set of documents about a patient in clinically meaningful ways at the point-of-use.    &quot;Specialization of Act to add the characteristics unique to document management services.&quot; (HL7 3.0)    </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6424453AE0008" name="dateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_N2iaV-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6424453AE0008">
            <body>This is a date range of the date and time for which the 1st document in the group is created and the date and time for which the recent document in the group is created.        </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6422491510063" name="groupId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_N2iaWuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6422491510063">
            <body>A unique identifier for the Act.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642445398034E" name="groupName" visibility="public">
          <ownedComment xmi:id="_N2sLUeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642445398034E">
            <body>A textual description of a  collection of documents in clinically meaningful ways.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="___qCIX_AEd-Ure_vzgD_TA" name="document" visibility="public" type="_420A62FD03B6420B7198029C" aggregation="composite" association="___qCIH_AEd-Ure_vzgD_TA">
          <ownedComment xmi:id="_ZoIRIH_BEd-Ure_vzgD_TA" annotatedElement="___qCIX_AEd-Ure_vzgD_TA">
            <body>Documents can be aggregated into clinically meaningfully groups; each document in the group will usually reference the same patient.  A clinical document will typically belong to at most one Document Group.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="___qCIn_AEd-Ure_vzgD_TA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="___qCI3_AEd-Ure_vzgD_TA" value="*"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64228976C03D6" name="ClinicalDocumentSection">
        <eAnnotations xmi:id="_N21VSuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_N2sLVuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64228976C03D6">
          <body>This class serves the purpose of a  context that distinguishes the body of a document from the document header.  &quot;The body contains the clinical report, and can be either an unstructured blob, or can be comprised of structured markup. &quot; (HL7 3.0 CDA 2.0)  &quot;Document sections can nest, can override context propagated from the header (see CDA Context (  4.4 ), and can contain CDA entries.&quot; (HL7 3.0)  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6425EE21A000E" name="confidentiality" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_N2sLWeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6425EE21A000E">
            <body>&quot;A value for Section.confidentialityCode overrides the value propagated from StructuredBody. See CDA Context (  4.4 ) for more details.confidentialityCode is of type CE, and therefore must carry both a code and a codeSystem.&quot; (HL7 3.0 CDA 2.0)    </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6425EE23500AD" name="language" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_N2sLXOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6425EE23500AD">
            <body>&quot;Specifies the human language of character data (whether they be in contents or attribute values). The values of the attribute are language identifiers as defined by the IETF (Internet Engineering Task Force) RFC 3066: Tags for the Identification of Languages, ed. H. Alvestrand. 1995 , which obsoletes RFC 1766. &quot; (HL7 3.0, CDA 2.0) </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6425EE3210323" name="sectionTitle" visibility="public">
          <ownedComment xmi:id="_N21VReLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6425EE3210323">
            <body>&quot;Represents the label of a section. If valued, it is to be rendered as part of the narrative content of the clinical document body.&quot;   (Hl7 3.0 CDA 2.0)   </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6425EE32D0118" name="sectionType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_N21VSOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6425EE32D0118">
            <body>Corresponding to Section.Code: &quot;The code specifying the particular kind of section (e.g. Chief Complaint, Review of Systems, Assessment). The value set is drawn from LOINC, and has a CWE coding strength.&quot;Represents the label of a section. If valued, it is to be rendered as part of the narrative content of the clinical document body. &quot; (Hl7 3.0, CDA 2.0)   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6420B795101DB" name="text" visibility="public">
          <ownedComment xmi:id="_N21VQuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420B795101DB">
            <body>&quot;A textual or multimedia description (or reference to a description) of the Act.  (e.g. For act definitions, the Act.text can contain textbook-like information about that act. For act orders, the description will contain particular instructions pertaining only to that order.) Free text descriptions are used to help an individual interpret the content and context of the act, but all information relevant for automated functions must be communicated using the proper attributes and associated objects.&quot; (HL7 3.0 CDA 2.0)  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6422897A50324" name="clinicalDocumentEvent_section" memberEnd="_420A62FD03B6422897A60217 _420A62FD03B6422897A60219">
        <eAnnotations xmi:id="_szJwBH_LEd-Ure_vzgD_TA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_420A62FD03B6422897A60219" name="" visibility="public" type="_420A62FD03B6420B7198029C" isUnique="false" association="_420A62FD03B6422897A50324"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_-f4IgPgNEdurueg6idzyLQ" name="LinkedDataObject">
        <eAnnotations xmi:id="_CAbeIPgOEdurueg6idzyLQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MDuIAPgOEdurueg6idzyLQ" annotatedElement="_-f4IgPgNEdurueg6idzyLQ">
          <body>The external data object to be linked to the selected document e.g. a path to a fileserver, and a filename for the object (VA1$:[IMAGES]JR042696.BMP, or i:\images\jr042696.bmp), etc.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_MXYq4PgOEdurueg6idzyLQ" name="uri" visibility="public">
          <ownedComment xmi:id="_TSQLQPgOEdurueg6idzyLQ" annotatedElement="_MXYq4PgOEdurueg6idzyLQ">
            <body>The path to a fileserver, and a filename for the object (VA1$:[IMAGES]JR042696.BMP, or i:\images\jr042696.bmp), etc.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_XgtIsPgOEdurueg6idzyLQ" name="clinicalDocumentEvent_linkedDataObject" memberEnd="_XgtIsfgOEdurueg6idzyLQ _Xg25sPgOEdurueg6idzyLQ">
        <eAnnotations xmi:id="_szJwBn_LEd-Ure_vzgD_TA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_Xg25sPgOEdurueg6idzyLQ" name="" visibility="public" type="_420A62FD03B6420B7198029C" association="_XgtIsPgOEdurueg6idzyLQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_0YgcYPi8EduqDYxhTFYOmg" name="clinicalDocumentEvent_administrativeClosure" memberEnd="_0YgcYfi8EduqDYxhTFYOmg _0YgcYvi8EduqDYxhTFYOmg">
        <eAnnotations xmi:id="_szcq8H_LEd-Ure_vzgD_TA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_0YgcYvi8EduqDYxhTFYOmg" name="" visibility="public" type="_420A62FD03B6420B7198029C" association="_0YgcYPi8EduqDYxhTFYOmg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4CzzoBX3EdyN7Oa0heT2nw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4CzzoRX3EdyN7Oa0heT2nw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5IzOkBU3EdyxsJkKJSeTqA" name="InterdisciplinaryNoteAction">
        <ownedComment xmi:id="_E7HMsMYiEd2ZAepatfUxXw" annotatedElement="_5IzOkBU3EdyxsJkKJSeTqA">
          <body>The IN (Interdiscipl'ry Note) action is the universal action for operations on Interdisciplinary Notes.  This class contains attributes pertaining to the action (i.e., Attachment or Detachment) that was carried out for a given ID Entry.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_ejHT8BU4EdyxsJkKJSeTqA" name="action" visibility="public">
          <ownedComment xmi:id="_TpsbYEdhEdyAEMN_cocIBA" annotatedElement="_ejHT8BU4EdyxsJkKJSeTqA">
            <body>The set of codes describes the action that was carried out for a given ID Entry.    Possible valuesw are Attachment, Detachment., etc.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ejHT8RU4EdyxsJkKJSeTqA" name="date" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_VO4QgEdhEdyAEMN_cocIBA" annotatedElement="_ejHT8RU4EdyxsJkKJSeTqA">
            <body>The Date and Time at which the entry was attached to (or detached from) its ID Parent.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nlIuEBU4EdyxsJkKJSeTqA" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Xp_oEEdhEdyAEMN_cocIBA" annotatedElement="_nlIuEBU4EdyxsJkKJSeTqA">
            <body>The STATUS of the Entry at the time of the action  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_IkVTARU5EdyxsJkKJSeTqA" name="idParent" visibility="public" type="_420A62FD03B6420B7198029C" isUnique="false" association="_IkVTABU5EdyxsJkKJSeTqA">
          <ownedComment xmi:id="_vdVm0MujEd2ggPdCmUn-VA" annotatedElement="_IkVTARU5EdyxsJkKJSeTqA">
            <body>Identifies the Parent Document when the action occurred.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ikec8BU5EdyxsJkKJSeTqA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ikec8RU5EdyxsJkKJSeTqA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-_mu0X_KEd-Ure_vzgD_TA" name="author" visibility="public" type="_420A62FD03B6418A6B760063" association="_-_mu0H_KEd-Ure_vzgD_TA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-_mu0n_KEd-Ure_vzgD_TA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-_mu03_KEd-Ure_vzgD_TA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_IkVTABU5EdyxsJkKJSeTqA" name="interdisciplinaryNoteAction_idParent" memberEnd="_IkVTARU5EdyxsJkKJSeTqA _Ikec8hU5EdyxsJkKJSeTqA">
        <eAnnotations xmi:id="_szvl5H_LEd-Ure_vzgD_TA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_Ikec8hU5EdyxsJkKJSeTqA" name="" visibility="public" type="_5IzOkBU3EdyxsJkKJSeTqA" association="_IkVTABU5EdyxsJkKJSeTqA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_IJWJcBXkEdyN7Oa0heT2nw" name="ProcedureSummary">
        <ownedComment xmi:id="_fV2-ABtjEdy9KJgCiKQkoQ" annotatedElement="_IJWJcBXkEdyN7Oa0heT2nw">
          <body>This class contains attributes pertaining to the clinical procedure peformed indentified in this document.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_MP5vIBXkEdyN7Oa0heT2nw" name="procedureSummaryCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_cEikABqvEdy9IMWyfVr5Ww" annotatedElement="_MP5vIBXkEdyN7Oa0heT2nw">
            <body>It contains the summary code for this procedure once it is complete. Possible Values include: Normal, Abnormal, Borderline, Incomplete, etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_UgS4ABXkEdyN7Oa0heT2nw" name="procedureDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_nhrVsBqvEdy9IMWyfVr5Ww" annotatedElement="_UgS4ABXkEdyN7Oa0heT2nw">
            <body>The Date/Time when the procedure was performed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UxJkUPd5EdyItpxrjHceWA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UxTVUPd5EdyItpxrjHceWA" value="1"/>
        </ownedAttribute>
      </packagedElement>
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            <body>The date/time that the document was closed by amended.</body>
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            <body>Identifies the person who ammended the document.</body>
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          <body>This class contains attributes associated with the closure of a document by an Administrative Action.  Whether the document was closed manually by an administrative person (in order to satisfy authentication requirements), or automatically by scanning a paper document bearing the signature of the patient (e.g., Consents, Advanced Directives, etc.) and not requiring the signature of an author. </body>
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            <body>Contains any remarks about the administrative closure.</body>
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            <body>The date/time that the document was closed by administrative action.</body>
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            <body>Indicates whether the document was closed manually by an administrative person (in order to satisfy authentication requirements), or automatically by scanning a paper document bearing the signature of the patient (e.g., Consents, Advanced Directives, etc.) and not requiring the signature of an author.  Possible values include Manual or Scanned document</body>
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            <body>Provides a reason why the document was administratively closed.</body>
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            <body>Identifies the person who closed the document.</body>
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    <packagedElement xmi:type="uml:Package" xmi:id="_nbBsIFaeEd6rJ7jpZ7LBFg" name="ClinicalObservation">
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      <packagedElement xmi:type="uml:Class" xmi:id="_eWYXgO3MEeCFZuasLkncZQ" name="InterpretationEvent">
        <ownedComment xmi:id="_jT1YELskEeGZTLDYkoM_Sw" annotatedElement="_eWYXgO3MEeCFZuasLkncZQ">
          <body>This class represents an assessment of the value or result of the Clinical Observation or Laboratory Test.  For example, a blood pressure measurement of an adult at rest with a value of 147/94 mmHg would be considered abnormally high (i.e., falls within the definition of high blood pressure).  For chemistry tests, provides an indication of the result (usually automated), based upon &quot;normal&quot; values as indicated by the reference range.  Examples include High, Low, Critically High, Critically Low, etc.  For antibiotic sensitivity tests, provides an indication of the susceptibility of the identified organism to the test antibiotic.  Possible values include: Intermediate, Moderately Susceptible, Resistant, Susceptible.  In addition, Not Tested may occasionally used when an antibiotic that would commonly be tested was not for some reason.&#xD;
&#xD;
&quot;One or more codes specifying a categorical assessment of the observation value, such as &quot;Normal&quot;, &quot;Abnormal&quot;, &quot;Positive&quot;, &quot;Negative&quot;, &quot;Resistant&quot;, &quot;Susceptible&quot;, etc....&quot; - HL7 Version 2.8, OBX-8.&#xD;
&quot;The assessment made based on the result of the observation.&quot; - HL7 FHIR, Observation resource.</body>
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        <ownedAttribute xmi:id="_420A62FD03B64263C9AE023E" name="interpretation" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <body>&quot;One or more codes specifying a categorical assessment of the observation value, such as &quot;Normal&quot;, &quot;Abnormal&quot;, &quot;Positive&quot;, &quot;Negative&quot;, &quot;Resistant&quot;, &quot;Susceptible&quot;, etc....&quot; - HL7 Version 2.8, OBX-8&#xD;
&#xD;
For chemistry tests, provides an automated indication of the result, based upon &quot;normal&quot; values as indicated by the reference range.  Examples include High, Low, Critically High, Critically Low, etc.  For antibiotic sensitivity tests, provides an indication of the susceptibility of the identified organism to the test antibiotic.  Possible values include: Intermediate, Moderately Susceptible, Resistant, Susceptible.  In addition, Not Tested may occasionally used when an antibiotic that would commonly be tested was not for some reason.</body>
          </ownedComment>
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            <language></language>
            <body>(Observation Interpretation)</body>
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        </ownedAttribute>
        <ownedAttribute xmi:id="_DsDIsBJdEeKEjrc2hUE4_Q" name="interpretatationText" visibility="public">
          <ownedComment xmi:id="_RzejkEU4EeKmiJoj9rWMSg" annotatedElement="_DsDIsBJdEeKEjrc2hUE4_Q">
            <body>Contains the clinician's assessment based on the observation.  This property is used for textual assessments as opposed to a coded interpretation.  This property is used more often for pathology observations where pathologist's interpretation may be several sentences long, as opposed to &quot;chemistry&quot; tests, which are often automated and which produce a coded interpretation.&#xD;
&#xD;
When used with a &quot;Vital Sign&quot; Observation, this text is an abbreviated interpretation of the Vital Sign Observation, e.g., Normal, Abnormal, High, etc.  Required by the Public Health Reporting Initiative, 10/5/2012.</body>
          </ownedComment>
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        </ownedAttribute>
        <ownedAttribute xmi:id="_r6RaUO3MEeCFZuasLkncZQ" name="assistantResultInterpreter" visibility="public" type="_420A62FD03B6418A6B760063" association="_r6PlIO3MEeCFZuasLkncZQ">
          <ownedComment xmi:id="_HQUlcO3NEeCFZuasLkncZQ" annotatedElement="_r6RaUO3MEeCFZuasLkncZQ">
            <body>&quot;Identifies the clinical observer who assisted with the interpretation of this study.&quot; - HL7 Version 2.8, OBR-33.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_r6SocO3MEeCFZuasLkncZQ"/>
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        </ownedAttribute>
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          <ownedComment xmi:id="_QnbewO3NEeCFZuasLkncZQ" annotatedElement="_oiRjwO3MEeCFZuasLkncZQ">
            <body>&quot;Identifies the physician or other clinician who interpreted the observation and is responsible for the report content.&quot; - HL7 Version 2.8, OBR-32.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oiSK0O3MEeCFZuasLkncZQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oiSx4O3MEeCFZuasLkncZQ" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_nbH1BlaeEd6rJ7jpZ7LBFg" name="ObservationSet">
        <eAnnotations xmi:id="_sswqwHy_EeSWGIFkX6Zyfg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_nbH1B1aeEd6rJ7jpZ7LBFg" annotatedElement="_nbH1BlaeEd6rJ7jpZ7LBFg">
          <body>This class is a PLACEHOLDER for some kind of panel of related observations</body>
        </ownedComment>
        <ownedAttribute xmi:id="_nbH1FFaeEd6rJ7jpZ7LBFg" name="type" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
        <ownedAttribute xmi:id="_Xe_pUH_gEd-Ure_vzgD_TA" name="clinicalObservation" visibility="public" type="_nbH1LVaeEd6rJ7jpZ7LBFg" aggregation="shared" association="_Xe14UH_gEd-Ure_vzgD_TA">
          <ownedComment xmi:id="_YLZcUH_gEd-Ure_vzgD_TA" annotatedElement="_Xe_pUH_gEd-Ure_vzgD_TA">
            <body>A clinical observation being done by a practioner for a patient</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Xe_pUX_gEd-Ure_vzgD_TA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Xe_pUn_gEd-Ure_vzgD_TA" value="*"/>
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        <ownedAttribute xmi:id="_k1uZ4X_gEd-Ure_vzgD_TA" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_k1uZ4H_gEd-Ure_vzgD_TA">
          <ownedComment xmi:id="_lnDJIH_gEd-Ure_vzgD_TA" annotatedElement="_k1uZ4X_gEd-Ure_vzgD_TA">
            <body>Pointer to the (Person or Animal in the Role of) Patient whose problems are being  observed and documented.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_k1uZ4n_gEd-Ure_vzgD_TA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_k1uZ43_gEd-Ure_vzgD_TA" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_nbH1LVaeEd6rJ7jpZ7LBFg" name="Observation">
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        <ownedComment xmi:id="_YbedUF-WEd67Z-0RDQoqiA" annotatedElement="_nbH1LVaeEd6rJ7jpZ7LBFg">
          <body>An event in which a Clinical Observation is recorded.&#xD;
&#xD;
&quot;Measurements and simple assertions made about a patient, device or other subject.&quot; - HL7 FHIR, Observation resource.</body>
        </ownedComment>
        <generalization xmi:id="_Vt3yQMQ-EeSThJ7NwJgY1w" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_nbH1L1aeEd6rJ7jpZ7LBFg" name="bodySite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_aR5vkH-0EeOzENpLs8HIcg" annotatedElement="_nbH1L1aeEd6rJ7jpZ7LBFg">
            <body>A code specifying detail about the anatomical site or system that is the focus of the Observation.&#xD;
&quot;Indicates the site on the subject's body where the observation was made ( i.e. the target site).&quot; - HL7 FHIR, Observation.bodySite.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nbH1MVaeEd6rJ7jpZ7LBFg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nbH1MFaeEd6rJ7jpZ7LBFg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_EpMB8HywEeSWGIFkX6Zyfg" name="dataAbsentReason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_EpMB8XywEeSWGIFkX6Zyfg" annotatedElement="_EpMB8HywEeSWGIFkX6Zyfg">
            <body>&quot;Provides a reason why the expected value in [value] is missing&quot; - HL7 FHIR, Observation.dataAbsentReason.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EpMB83ywEeSWGIFkX6Zyfg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EpMB8nywEeSWGIFkX6Zyfg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nbH1NVaeEd6rJ7jpZ7LBFg" name="dateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_KverIHyhEeOHq5zPTCjDoQ" annotatedElement="_nbH1NVaeEd6rJ7jpZ7LBFg">
            <body>The date (and optionally, time) that the Observation took place.  Note that this is the clinically-relevant time, for example, the clinically relevant time of a result of a lab test on a blood sample is the time the blood was drawn, not when the test was run.  Note that in FHIR this can be either a point in time or a period (i.e., a TimeInterval).  In the FHIM, this is currently modeled as only a point in time.  Note also that when used by the Condition sub-type of Observation, this is the date that the Condition was first detected or asserted.&#xD;
&#xD;
&quot;This field is required in two circumstances.  The first is when the observations reported beneath one report header have different dates/times.  This could occur in the case of queries, timed test sequences, or clearance studies where one measurement within a battery may have a different time than another measurement....  The observation date-time is the physiologically relevant date-time or the closest approximation to that date-time.  In the case of tests performed on specimens, the relevant date-time is the specimen’s collection date-time.  In the case of observations taken directly on the patient (e.g., X-ray images, history and physical), the observation date-time is the date-time that the observation was performed.&quot; - HL7 Version 2.8, OBX-14.&#xD;
&quot;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.&quot; - HL7 FHIR, Observation.applies.&#xD;
&#xD;
&quot;Contains the date/time when the corresponding problem was initially identified by the caregiver.&quot; - HL7 Version 2.8, PRB-7&#xD;
&quot;Estimated or actual date the condition/problem/diagnosis was first detected/suspected.&quot; - HL7 FHIR, Condition resource.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nbH1QlaeEd6rJ7jpZ7LBFg" name="observationMethod" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_uy5ucH-0EeOzENpLs8HIcg" annotatedElement="_nbH1QlaeEd6rJ7jpZ7LBFg">
            <body>Provides additional detail about the means or technique used to ascertain the Observation.  The method used may affect how the observation value is interpreted.&#xD;
&quot;Indicates the mechanism used to perform the observation.&quot; - HL7 FHIR, Observation.method.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nbH1RFaeEd6rJ7jpZ7LBFg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nbH1Q1aeEd6rJ7jpZ7LBFg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qRz1UBcbEeOL3Nw-k5HkNw" name="observedCharacteristic" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_qRz1URcbEeOL3Nw-k5HkNw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_qRz1UxcbEeOL3Nw-k5HkNw" annotatedElement="_qRz1UBcbEeOL3Nw-k5HkNw">
            <body>Indicates what was observed.  This property may be re-defined in sub-classes to explictly describe a particular kind of observation (e.g., Heart Rate).&#xD;
&quot;Describes what was observed. Sometimes this is called the observation code.&quot; - HL7 FHIR, Observation.code.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qRz1VRcbEeOL3Nw-k5HkNw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qRz1VBcbEeOL3Nw-k5HkNw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nbH1TFaeEd6rJ7jpZ7LBFg" name="reliability" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Loux4HyiEeOHq5zPTCjDoQ" annotatedElement="_nbH1TFaeEd6rJ7jpZ7LBFg">
            <body>&quot;An estimate of the degree to which quality issues have impacted on the value reported.&quot; - HL7 FHIR, Observation.reliability.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XaTe4JpkEeOswd2lHBTpDQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XaUF8JpkEeOswd2lHBTpDQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VCEnMPOOEeGMQvy2b7FvNg" name="value" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
          <ownedComment xmi:id="_b8pzsPOOEeGMQvy2b7FvNg" annotatedElement="_VCEnMPOOEeGMQvy2b7FvNg">
            <body>Contains the value of the Clinical Observation.  This property is modeled as an Any datatype in the generic Observation; specific subtypes are expected to re-define this property to the appropriate datatype.&#xD;
&quot;The information determined as a result of making the observation, if the information has a simple value.&quot; - HL7 FHIR, Observation.value.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_B66X0HyZEeOHq5zPTCjDoQ" name="commentEvent" visibility="public" type="_420A62FD03B642C044DB02ED" association="_B65JsHyZEeOHq5zPTCjDoQ">
          <ownedComment xmi:id="_MUy_wJnEEeOY14GUwwUH5Q" annotatedElement="_B66X0HyZEeOHq5zPTCjDoQ">
            <body>Pointer to any remarks about the Clinical Observation.&#xD;
&quot;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.&quot; - HL7 FHIR, Observation.comments.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_B66-4HyZEeOHq5zPTCjDoQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_B66-4XyZEeOHq5zPTCjDoQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PKp3ABybEeOR-a0_xUg6BQ" name="encounter" visibility="public" type="_420A62FD03B64213F5B40316" association="_PKmzsBybEeOR-a0_xUg6BQ">
          <ownedComment xmi:id="_h8NRAJpcEeOswd2lHBTpDQ" annotatedElement="_PKp3ABybEeOR-a0_xUg6BQ">
            <body>Pointer to the Encounter during which the Observation was made.  When used by the Condition Statement sub-type of Observation Statement, this is the Encounter during which the Condition was first asserted.&#xD;
&quot;Encounter during which the condition was first asserted.&quot; - HL7 FHIR, Condition resource.&#xD;
&quot;The healthcare event (e.g. a patient and healthcare provider interaction) that relates to this observation.&quot; - HL7 FHIR, Observation.encounter.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PKrFIBybEeOR-a0_xUg6BQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PKrsMBybEeOR-a0_xUg6BQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_l45L8BcpEeOL3Nw-k5HkNw" name="interpretationEvent" visibility="public" type="_eWYXgO3MEeCFZuasLkncZQ" association="_l4390BcpEeOL3Nw-k5HkNw">
          <ownedComment xmi:id="_ITTgQJnEEeOY14GUwwUH5Q" annotatedElement="_l45L8BcpEeOL3Nw-k5HkNw">
            <body>Pointer to an assessment of the value or result of the Clinical Observation.&#xD;
&quot;The assessment made based on the result of the observation.&quot; - HL7 FHIR, Observation.interpretation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_l46aEBcpEeOL3Nw-k5HkNw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_l46aERcpEeOL3Nw-k5HkNw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5HiSQRcBEeOL3Nw-k5HkNw" name="observationQualifier" visibility="public" type="_wBabQBcBEeOL3Nw-k5HkNw" association="_5HiSQBcBEeOL3Nw-k5HkNw">
          <ownedComment xmi:id="_caNfQBcOEeOL3Nw-k5HkNw" annotatedElement="_5HiSQRcBEeOL3Nw-k5HkNw">
            <body>A pointer to a set (zero to many) of observations or information that may provide additional context to the owning clinical observation (i.e., the owning ClinicalStatement class).  This information may likely alter a clinician's interpretation of the value in the owning ClinicalStatement class.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5HiSQhcBEeOL3Nw-k5HkNw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5HiSQxcBEeOL3Nw-k5HkNw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eviX4BcOEeOL3Nw-k5HkNw" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_evZN8BcOEeOL3Nw-k5HkNw">
          <ownedComment xmi:id="_h-_WcBcOEeOL3Nw-k5HkNw" annotatedElement="_eviX4BcOEeOL3Nw-k5HkNw">
            <body>Pointer to the (Person or Animal in the Role of) Patient for which the Clinical Observation was made.&#xD;
&quot;The thing the observation is being made about.&quot; - HL7 FHIR, Observation.subject.  Note that FHIR allows observations to be made about Patients, Groups, Devices, or Locations, but in the FHIM, observations are currently limited to Patients.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eviX4RcOEeOL3Nw-k5HkNw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eviX4hcOEeOL3Nw-k5HkNw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LYGwEPDOEeO_Te8vAbT_YQ" name="referenceRange" visibility="public" type="_xCtwsPDNEeO_Te8vAbT_YQ" association="_LYFh8PDOEeO_Te8vAbT_YQ">
          <ownedComment xmi:id="_4FD8oPDOEeO_Te8vAbT_YQ" annotatedElement="_LYGwEPDOEeO_Te8vAbT_YQ">
            <body>Pointer to a set of normal or recommended ranges that can be used to compare against the value of the actual observation or test results.&#xD;
&quot;Guidance on how to interpret the value by comparison to a normal or recommended range.&quot; - HL7 FHIR, Observation.referenceRange.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LYHXIPDOEeO_Te8vAbT_YQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LYHXIfDOEeO_Te8vAbT_YQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qijIoHQ_Eea-QbLMzz1SwA" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ" redefinedProperty="_nbH1P1aeEd6rJ7jpZ7LBFg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qijIoXQ_Eea-QbLMzz1SwA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qijIonQ_Eea-QbLMzz1SwA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_C5zK4HRBEea-QbLMzz1SwA" name="recordStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" redefinedProperty="_nbH1TVaeEd6rJ7jpZ7LBFg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_C5zK4XRBEea-QbLMzz1SwA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_C5zK4nRBEea-QbLMzz1SwA" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_C5zK43RBEea-QbLMzz1SwA" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ActInstanceStatus)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_C51nIHRBEea-QbLMzz1SwA" name="provenance1" visibility="public" type="_terqkLxzEeSLwM7JIxbinw" subsettedProperty="__VzpALOzEeS3iYN4R_wsuw" association="_C52OMHRBEea-QbLMzz1SwA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_C51nIXRBEea-QbLMzz1SwA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_C51nInRBEea-QbLMzz1SwA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Xe14UH_gEd-Ure_vzgD_TA" name="observationSet_clinicalObservation" memberEnd="_Xe_pUH_gEd-Ure_vzgD_TA _Xe_pU3_gEd-Ure_vzgD_TA">
        <ownedEnd xmi:id="_Xe_pU3_gEd-Ure_vzgD_TA" name="" visibility="public" type="_nbH1BlaeEd6rJ7jpZ7LBFg" association="_Xe14UH_gEd-Ure_vzgD_TA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_k1uZ4H_gEd-Ure_vzgD_TA" name="observationSet_patient" memberEnd="_k1uZ4X_gEd-Ure_vzgD_TA _k1uZ5H_gEd-Ure_vzgD_TA">
        <ownedEnd xmi:id="_k1uZ5H_gEd-Ure_vzgD_TA" name="" visibility="public" type="_nbH1BlaeEd6rJ7jpZ7LBFg" association="_k1uZ4H_gEd-Ure_vzgD_TA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_wBabQBcBEeOL3Nw-k5HkNw" name="ObservationQualifier">
        <ownedComment xmi:id="_zmpAEBcCEeOL3Nw-k5HkNw" annotatedElement="_wBabQBcBEeOL3Nw-k5HkNw">
          <body>This class contains observations or information that may provide additional context to the owning clinical observation (i.e., the owning Observation class).  The information recorded in this class may likely alter a clinician's interpretation of the value in the owning Observation class.  For example, a blood pressure of 140/95 would be considered abnormal if the patient was sitting and resting, but normal if the patient had just been on a treadmill for five minutes.  In this example, the blood pressure of 140/95 is in the owning Observation class, the observation that the blood pressure was taken while patient was sitting and resting or immediately after five minutes on a treadmill would be recorded in this ObservationQualifier class.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_yzWXYBcBEeOL3Nw-k5HkNw" name="observedCharacteristic" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_nG6TgBcDEeOL3Nw-k5HkNw" annotatedElement="_yzWXYBcBEeOL3Nw-k5HkNw">
            <body>Identifies the qualifying information (an observation) that may affect the interpretation of the owning clinical Observation.  For example, if the owning clinical Observation is a blood pressure, this class may contain information about the patient's state (i.e., whether sitting and resting, prone, after exercise, etc.).  In this example, the observedCharacteristic indicates the kind of observation that qualifies the owning Observation (e.g., &quot;patient state&quot;, &quot;cuff size&quot;), while the value contains the corresponding data for the observation (e.g., &quot;after exercise&quot;, &quot;large adult cuff&quot;).</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_9i0b8MQbEeSaFayJQBK5xQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ObservationQualifier)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2qwGwBcBEeOL3Nw-k5HkNw" name="value" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
          <ownedComment xmi:id="_yb94gBcJEeOL3Nw-k5HkNw" annotatedElement="_2qwGwBcBEeOL3Nw-k5HkNw">
            <body>Contains the data describing the qualifying information (an observation) that may affect the interpretation of the owning clinical Observation.  For example, if the owning Observation is a blood pressure, this class may contain information about the patient's state (i.e., whether sitting and resting, prone, after exercise, etc.).  In this example, the category indicates the kind of observation that qualifies the owning Observation (e.g., &quot;patient state&quot;, &quot;cuff size&quot;), while the value contains the corresponding data for the observation (e.g., &quot;after exercise&quot;, &quot;large adult cuff&quot;).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AuTeQBchEeOL3Nw-k5HkNw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AuTeQRchEeOL3Nw-k5HkNw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5HiSQBcBEeOL3Nw-k5HkNw" name="observationStatement_observationQualifier" memberEnd="_5HiSQRcBEeOL3Nw-k5HkNw _5HiSRBcBEeOL3Nw-k5HkNw">
        <ownedEnd xmi:id="_5HiSRBcBEeOL3Nw-k5HkNw" name="" visibility="public" type="_nbH1LVaeEd6rJ7jpZ7LBFg" association="_5HiSQBcBEeOL3Nw-k5HkNw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_evZN8BcOEeOL3Nw-k5HkNw" name="observationStatement_patient" memberEnd="_eviX4BcOEeOL3Nw-k5HkNw _eviX4xcOEeOL3Nw-k5HkNw">
        <ownedEnd xmi:id="_eviX4xcOEeOL3Nw-k5HkNw" name="" visibility="public" type="_nbH1LVaeEd6rJ7jpZ7LBFg" association="_evZN8BcOEeOL3Nw-k5HkNw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_l4390BcpEeOL3Nw-k5HkNw" name="observationStatement_interpretationEvent" memberEnd="_l45L8BcpEeOL3Nw-k5HkNw _l47oMBcpEeOL3Nw-k5HkNw">
        <ownedEnd xmi:id="_l47oMBcpEeOL3Nw-k5HkNw" name="" visibility="public" type="_nbH1LVaeEd6rJ7jpZ7LBFg" association="_l4390BcpEeOL3Nw-k5HkNw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_PKmzsBybEeOR-a0_xUg6BQ" name="observationStatement_encounter" memberEnd="_PKp3ABybEeOR-a0_xUg6BQ _PKsTQBybEeOR-a0_xUg6BQ">
        <ownedEnd xmi:id="_PKsTQBybEeOR-a0_xUg6BQ" name="" visibility="public" type="_nbH1LVaeEd6rJ7jpZ7LBFg" association="_PKmzsBybEeOR-a0_xUg6BQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_B65JsHyZEeOHq5zPTCjDoQ" name="observationStatement_commentEvent" memberEnd="_B66X0HyZEeOHq5zPTCjDoQ _B66-4nyZEeOHq5zPTCjDoQ">
        <ownedEnd xmi:id="_B66-4nyZEeOHq5zPTCjDoQ" name="" visibility="public" type="_nbH1LVaeEd6rJ7jpZ7LBFg" association="_B65JsHyZEeOHq5zPTCjDoQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_xCtwsPDNEeO_Te8vAbT_YQ" name="ReferenceRange">
        <ownedComment xmi:id="_KE2YcPDOEeO_Te8vAbT_YQ" annotatedElement="_xCtwsPDNEeO_Te8vAbT_YQ">
          <body>The range of normal values (low and high) determined for a test or an observation.  For toxicology, this range is the theraputic range.&#xD;
&#xD;
&quot;When the observation quantifies the amount of a toxic substance, then the upper limit of the range identifies the toxic limit.  If the observation quantifies a drug, the lower limits identify the lower therapeutic bounds and the upper limits represent the upper therapeutic bounds above which toxic side effects are common.&quot; - HL7 Version 2.8, OBX-7.&#xD;
&quot;Guidance on how to interpret the value by comparison to a normal or recommended range.&quot; - HL7 FHIR, Observation Resource.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_4ZqJEPDNEeO_Te8vAbT_YQ" name="high" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_BLQFEPDPEeO_Te8vAbT_YQ" annotatedElement="_4ZqJEPDNEeO_Te8vAbT_YQ">
            <body>&quot;The value of the high bound of the reference range. If this is omitted, the high bound of the reference range is assumed to be meaningless. E.g. >5.&quot; - HL7 FHIR, Observation.referenceRange.high.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7IuXYPDNEeO_Te8vAbT_YQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7Iu-cPDNEeO_Te8vAbT_YQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zW9EMPDNEeO_Te8vAbT_YQ" name="low" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_9J-oAPDOEeO_Te8vAbT_YQ" annotatedElement="_zW9EMPDNEeO_Te8vAbT_YQ">
            <body>&quot;The value of the low bound of the reference range. If this is omitted, the low bound of the reference range is assumed to be meaningless. E.g. &lt;2.3.&quot; - HL7 FHIR, Observation.referenceRange.low.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8BqKgPDNEeO_Te8vAbT_YQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8BqxkPDNEeO_Te8vAbT_YQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__GqzoPDNEeO_Te8vAbT_YQ" name="meaning" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="__GqzofDNEeO_Te8vAbT_YQ" annotatedElement="__GqzoPDNEeO_Te8vAbT_YQ">
            <body>&quot;Code for the meaning of the reference range.&quot; - HL7 FHIR, Observation.referenceRange.meaning.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__Gqzo_DNEeO_Te8vAbT_YQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__GqzovDNEeO_Te8vAbT_YQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6IeGAN13EeSq65vB-N1vxw" name="text" visibility="public">
          <ownedComment xmi:id="_GoQAcN14EeSq65vB-N1vxw" annotatedElement="_6IeGAN13EeSq65vB-N1vxw">
            <body>&quot;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 normal values.&quot; - HL7 FHIR, Observation.referenceRange.text.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HSq2cN14EeSq65vB-N1vxw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HSrdgN14EeSq65vB-N1vxw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_LYFh8PDOEeO_Te8vAbT_YQ" name="observationStatement_referenceRange" memberEnd="_LYGwEPDOEeO_Te8vAbT_YQ _LYH-MPDOEeO_Te8vAbT_YQ">
        <ownedEnd xmi:id="_LYH-MPDOEeO_Te8vAbT_YQ" name="" visibility="public" type="_nbH1LVaeEd6rJ7jpZ7LBFg" association="_LYFh8PDOEeO_Te8vAbT_YQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_oiPHgO3MEeCFZuasLkncZQ" name="interpretationEvent_principalResultInterpreter" memberEnd="_oiRjwO3MEeCFZuasLkncZQ _oiUAAO3MEeCFZuasLkncZQ">
        <ownedEnd xmi:id="_oiUAAO3MEeCFZuasLkncZQ" name="" visibility="public" type="_eWYXgO3MEeCFZuasLkncZQ" association="_oiPHgO3MEeCFZuasLkncZQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_r6PlIO3MEeCFZuasLkncZQ" name="interpretationEvent_assistantResultInterpreter" memberEnd="_r6RaUO3MEeCFZuasLkncZQ _r6UdoO3MEeCFZuasLkncZQ">
        <ownedEnd xmi:id="_r6UdoO3MEeCFZuasLkncZQ" name="" visibility="public" type="_eWYXgO3MEeCFZuasLkncZQ" association="_r6PlIO3MEeCFZuasLkncZQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_NmeRkMNzEeSFjdDJNF9NPA" client="_nbH1LVaeEd6rJ7jpZ7LBFg">
        <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_9MaIUMNxEeSFjdDJNF9NPA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_6814MMQbEeSaFayJQBK5xQ" client="_wBabQBcBEeOL3Nw-k5HkNw">
        <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_3TO_IMQZEeSaFayJQBK5xQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_B64igOd1EeSKGaa1qzZLJg" client="_eWYXgO3MEeCFZuasLkncZQ">
        <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_B2WXEGhEEeOywMcrK34nEA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_C52OMHRBEea-QbLMzz1SwA" memberEnd="_C51nIHRBEea-QbLMzz1SwA _C521QHRBEea-QbLMzz1SwA">
        <ownedEnd xmi:id="_C521QHRBEea-QbLMzz1SwA" type="_nbH1LVaeEd6rJ7jpZ7LBFg" association="_C52OMHRBEea-QbLMzz1SwA"/>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B6422C7466026C" name="Common">
      <eAnnotations xmi:id="_MFcQLeLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_MFvLEuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_PY-a0FAdEeCNoo8JCSlflA" annotatedElement="_JoESsFx_EeCsbYJDFyCu_A _420A62FD03B6426545CB0072">
        <body>This construct is meant to convey that the Orderable Pharmacy Item is a code (more specifically, an RxNorm code).  Since the code is in effect a pointer to a particular product, the association and the code are performing the same function.</body>
      </ownedComment>
      <ownedComment xmi:id="_badHMNXiEeGG7JUIKyvuAg" annotatedElement="_SH75INNUEeGRnPi2MLPE0g">
        <body>The Common Product package contains medications and devices</body>
      </ownedComment>
      <ownedComment xmi:id="_e0-ngLx5EeSLwM7JIxbinw" annotatedElement="_9dxdILx2EeSLwM7JIxbinw">
        <body>We need to be able to track when a record was exceprted from or derived from another record.  This things could be handled by the Medical Record Provenance</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_xTt2IMIxEeGx0M-CyAbegA" name="InformationReporter">
        <ownedComment xmi:id="_FOSHIMIyEeGx0M-CyAbegA" annotatedElement="_xTt2IMIxEeGx0M-CyAbegA">
          <body>The Person who reported information on the Patient's behalf.  This may be the Patient him/herself, a spouse or relative, or another clinician.&#xD;
&#xD;
Note that because all we need is the Person's name and contact information (name, address, phone numbers), this class does not have an association to the Person class (although logically it should).  This is because the other properties of Person, such as sex and date of birth, are irrelevant to the usage.  The HL7 Role class allows for names and addresses on the Role, which technically should be only those names or addresses as the relate to the role (i.e., as they differ from those in Person class), but since these are available for use, we are utilizing them in this manner.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_acZDoMIyEeGx0M-CyAbegA" name="legalName" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ">
          <eAnnotations xmi:id="_acZDocIyEeGx0M-CyAbegA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_acZDosIyEeGx0M-CyAbegA" annotatedElement="_acZDoMIyEeGx0M-CyAbegA">
            <body>The name of the Person who provided the clinically relevant information.  Note that the datatype for this property is a PersonName, which includes the various parts that make up a person's name such as family name, prefixes, suffixes, etc.&#xD;
&#xD;
&quot;Contains the name of the person reporting the allergy to a caregiver at the time reported in [dateReported]&quot; - HL7 Version 2.8, IAM-14</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_acZDpMIyEeGx0M-CyAbegA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_acZDo8IyEeGx0M-CyAbegA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_acZqsMIyEeGx0M-CyAbegA" name="relationshipCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_acZqscIyEeGx0M-CyAbegA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_acZqssIyEeGx0M-CyAbegA" annotatedElement="_acZqsMIyEeGx0M-CyAbegA">
            <body>&quot;Contains the personal relationship that the person reporting the allergy has to the patient.&quot; - HL7 Version 2.8, IAM-15.  HL7 Version 2 suggested values (table 63) include: Self; Spouse; Parent; Friend, etc.   </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_acZqtMIyEeGx0M-CyAbegA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_acZqs8IyEeGx0M-CyAbegA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_W_aIoBb8EeOL3Nw-k5HkNw" name="ClinicalProvenance">
        <ownedComment xmi:id="_jmeaAHioEeODk9Eid2o3dQ" annotatedElement="_W_aIoBb8EeOL3Nw-k5HkNw">
          <body>The term &quot;provenance&quot; originally refers to the chronology of the ownership, custody or location of a historical object, but has come to mean any information about the history of any object.  This class conveys information about who provided the information about a clinically relevant assertion (such as a Clinical Observation), and when that information was recorded, entered, verified, etc.</body>
        </ownedComment>
        <generalization xmi:id="_vO_KkLxzEeSLwM7JIxbinw" general="_terqkLxzEeSLwM7JIxbinw"/>
        <ownedAttribute xmi:id="_JR8mUMIxEeGx0M-CyAbegA" name="dateReported" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_JR8mUcIxEeGx0M-CyAbegA" annotatedElement="_JR8mUMIxEeGx0M-CyAbegA">
            <body>The date that the Clinical Observation was reported to the Practitioner who &quot;owns&quot; the record of the observation.  This date is potentially different from the time that the underlying condition occurred or was actually observed.&#xD;
&quot;Contains the date/time the allergy was reported to a caregiver.&quot; - HL7 Version 2.8, IAM-13</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JR8mU8IxEeGx0M-CyAbegA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JR8mUsIxEeGx0M-CyAbegA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FtH2kBb-EeOL3Nw-k5HkNw" name="informationSource" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_FtH2kRb-EeOL3Nw-k5HkNw" annotatedElement="_FtH2kBb-EeOL3Nw-k5HkNw">
            <body>The property categorizes the source of the clinically relevant information.  This categorization provides an indication of the trustworthiness of the information.  For example, a Practitioner might place a higher degree of confidence in information provided by another Practitioner over information provide by a Patient's relative.  Possible values include: Patient, Patient Guardian, Other Practitioner, Records Review, Clinical Evidence, etc.  When the information source is someone other than the Author of the record (i.e., the Practitioner who &quot;owns&quot; the record, or the Patient, the name of that Person may be recorded in the Information Reporter class.&#xD;
&#xD;
Note that in VistA, this concept is generally called Observed if observed by a clinician, or Historical if patient-reported.</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_tJjj8N71EeSx5bpydj26Wg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(InformationSource)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DFXLMGGFEeKL0cZcPmQjWw" name="isPatientReported" visibility="public" isDerived="true">
          <ownedComment xmi:id="_5Bzg4HitEeODk9Eid2o3dQ" annotatedElement="_DFXLMGGFEeKL0cZcPmQjWw">
            <body>This property indicates whether the clinically relevant information was provided by the Patient (or by a Patient's relative or guardian), and therefore provides an indication of the trustworthiness of the information.  Note that this property can be derived from the informationSource property, and therefore might not be stored as a separate concept in some implementations.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_e3iwQHipEeODk9Eid2o3dQ" name="informationReporter" visibility="public" type="_xTt2IMIxEeGx0M-CyAbegA" association="_e3hiIHipEeODk9Eid2o3dQ">
          <ownedComment xmi:id="_GsXwQHiqEeODk9Eid2o3dQ" annotatedElement="_e3iwQHipEeODk9Eid2o3dQ">
            <body>Pointer to a Person who reported information on the patient's behalf.  This may be the Patient him/herself, a spouse or relative, or another clinician.&#xD;
&quot;Contains the name of the person reporting the allergy to a caregiver at the time reported in Reported Date/Time.&quot; - HL7 Version 2.8, IAM-14.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_e3jXUHipEeODk9Eid2o3dQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_e3jXUXipEeODk9Eid2o3dQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JGgF0RcBEeOL3Nw-k5HkNw" name="serviceDeliveryLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_JGgF0BcBEeOL3Nw-k5HkNw">
          <ownedComment xmi:id="_u0i8UHilEeODk9Eid2o3dQ" annotatedElement="_JGgF0RcBEeOL3Nw-k5HkNw">
            <body>Pointer to the Service Delivery Location at which or under whose auspices the Clinical Information was created.  This pointer implies which Organization &quot;owns&quot; the Clinical Information record.&#xD;
&#xD;
&#xD;
Represents &quot;the section of the diagnostic service where the observation was performed.  If the study was performed by an outside service, the identification of that service should be recorded here&quot; - HL7 Version 2.8, OBR-24.&#xD;
&quot;Contains the name of the organization/service responsible for performing the service.&quot; - HL7 Version 2.8, OBX-23.&#xD;
&quot;Contains the address of the organization/service responsible for performing the service.&quot; - HL7 Version 2.8, OBX-24.&#xD;
&#xD;
&quot;Contains the name of the organization providing the update to the allergy&quot; - HL7 Version 2.8, IAM-19.&#xD;
&quot;Contains the name of the organization that initially recorded the allergy&quot; - HL7 Version 2.8, IAM-28.&#xD;
&quot;Contains the name of the organization that modified the allergy&quot; - HL7 Version 2.8, IAM-29.&#xD;
&quot;Contains the name of the organization that inactivated the allergy&quot; - HL7 Version 2.8, IAM-30.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JGgF0hcBEeOL3Nw-k5HkNw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JGgF0xcBEeOL3Nw-k5HkNw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Wu4MgKMyEeSjK-UNpoDZuQ" name="ClinicalInformation" isAbstract="true">
        <ownedComment xmi:id="_IGg4IKM2EeSjK-UNpoDZuQ" annotatedElement="_Wu4MgKMyEeSjK-UNpoDZuQ">
          <body>This abstract class provides properties and behaviors common to all medical records, or in terms of the HL7 QIDAM, to all &quot;statements of occurance&quot; as well as &quot;statements of non-occurance&quot;.  This class allows for common representations data provenance, including the Author, the Data Enterer, the Verifier, etc.</body>
        </ownedComment>
        <ownedAttribute xmi:id="__VzpALOzEeS3iYN4R_wsuw" name="provenance" visibility="public" type="_terqkLxzEeSLwM7JIxbinw" association="__Vv-oLOzEeS3iYN4R_wsuw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__V1eMLOzEeS3iYN4R_wsuw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__V2FQLOzEeS3iYN4R_wsuw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nbH1P1aeEd6rJ7jpZ7LBFg" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_3F9DoHycEeOHq5zPTCjDoQ" annotatedElement="_nbH1P1aeEd6rJ7jpZ7LBFg">
            <body>Uniquely identifies the Clinical Information/Record.  This property is akin to a record number.  While the record number by itself may not be unique outside of the organization that created it, the Id datatype allows for an assigning authority, which when combined with the local identifier should make the Id unique.  Among other purposes, the id property enables other records to be linked together.  This is particularly needful for Condiions (a sub type of Observations), where on-going Observations made on the same initial Health Concern (aka Problem) or Intolerance Condition can be tracked.&#xD;
&#xD;
&quot;Contains a value that uniquely identifies a single allergy for a person&quot; - HL7 Version 2.8, IAM-7&#xD;
&quot;Contains the identifier assigned by an initiating system to an instance of a problem.&quot; - HL7 Version 2.8, PRB-4&#xD;
&quot;A unique identifier for the simple observation.&quot; - HL7 FHIR, Observation.identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nbH1QVaeEd6rJ7jpZ7LBFg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nbH1QFaeEd6rJ7jpZ7LBFg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nbH1TVaeEd6rJ7jpZ7LBFg" name="recordStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PkyNUBcAEeOL3Nw-k5HkNw" annotatedElement="_nbH1TVaeEd6rJ7jpZ7LBFg">
            <body>The state of the Clinical Information record, as defined in the state-transition model in the HL7 RIM.  Possible values include: Aborted, Active, Cancelled, Completed, Held, New, Nullified, Obsolete.  Note that this property represents the state of the clinical record, not the state of the thing being recorded (which is an especially important distinction when dealing with Observations).  When the state of the thing being obverved is needed (e.g., in remission), a separate property will be used.  Note also that VistA and RPMS have the concept of being &quot;Entered in Error&quot; which is equivalent to a status of Nullified.  For the Condition subtype of Observation, this property summarizes the current state of the Condition (or subtype such as Health Concern (aka Problem) or Intolerance Condition), as indicated by the last observation made on the Condition.&#xD;
&#xD;
&quot;Indicates the verification status for the allergy.&quot; - HL7 Version 2.8, IAM-17.  HL7 Version 2 has the following suggested values (table 438): Unconfirmed; Pending; Suspect; Confirmed or verified; Confirmed but inactive; Erroneous; Doubt raised.&#xD;
&quot;Contains the observation result status.... This field reflects the current completion status of the results for one Observation Identifier....&quot; - HL7 Version 2.8, OBX-11.&#xD;
&quot;Contains the current status of the problem at this particular date/time (e.g., active, active-improving, active-stable, active-worsening, inactive, resolved, etc.).&quot; - HL7 Version 2.8, PRB-14&#xD;
&quot;The status of the result value.&quot; - HL7 FHIR, Observation.status.  Note that the possible values for status in FHIR are: Registered, Preliminary, Final, Amended, Cancelled, Entered in Error.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nbH1T1aeEd6rJ7jpZ7LBFg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nbH1TlaeEd6rJ7jpZ7LBFg" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_Maw2MOd_EeSlqtEJq7r6DQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ActInstanceStatus)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_A_6W8LkxEeSvIbhHaIFeOA" name="relatedClinicalInformation" visibility="public" type="_8qnKoLkwEeSvIbhHaIFeOA" association="_A_03YLkxEeSvIbhHaIFeOA">
          <ownedComment xmi:id="_q8l3cLk1EeSvIbhHaIFeOA" annotatedElement="_A_6W8LkxEeSvIbhHaIFeOA">
            <body>Pointer to other Clinical Information record(s) to which this Clinical Information record is related in some manner.&#xD;
&#xD;
&quot;Related observations - either components, or previous observations, or statements of derivation.&quot; - HL7 FHIR, Observation.related.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_A_8MILkxEeSvIbhHaIFeOA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_A_8MIbkxEeSvIbhHaIFeOA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_ZOqIEHGiEeSUPN3DMaTGrQ" name="PersonOrOrganizationChoice">
        <ownedComment xmi:id="_eAhPYHG0EeSUPN3DMaTGrQ" annotatedElement="_ZOqIEHGiEeSUPN3DMaTGrQ">
          <body>This class represents an &quot;Entity Choice&quot;, which is used when an association is needed to either a Person or an Organization.  This class will be used by various Roles where it is not known at design time whether the Entity playing a Role is a Person or an Organization.  It is noted that for most Roles modeled in the FHIM, it can be known beforehand whether a person or organization is expected.  For example, a DataEnterer is always a person.  It is also noted that there are two prominent classes which deal with this issue in a different manner: Patient has two subtypes for Person and Animal patients; HealthcareProvider has subtypes for Organizational Provider and Individual Provider.  These two hierarchies are modeled differently because different properties are needed depending on whether the related entity is a person or not.  This generic structure is used when there is no other distinctions between organization and person entities.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_ksWTYHGiEeSUPN3DMaTGrQ" name="organization" visibility="public" type="_420A62FD03B6418AA15801A9" association="_ksT3IHGiEeSUPN3DMaTGrQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ksXhgHGiEeSUPN3DMaTGrQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ksYIkHGiEeSUPN3DMaTGrQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lC7AUHGiEeSUPN3DMaTGrQ" name="person" visibility="public" type="_420A62FD03B6425125E800E0" association="_lC5yMHGiEeSUPN3DMaTGrQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lC7nYHGiEeSUPN3DMaTGrQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lC7nYXGiEeSUPN3DMaTGrQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_GY1OsAY1EeGz0dkadElrkQ" name="CareTeamMember">
        <ownedComment xmi:id="_rxlQYH7hEeOYQJZKXKAJnw" annotatedElement="_GY1OsAY1EeGz0dkadElrkQ">
          <body>&quot;In an advanced primary care model the care team would include anyone actively involved in the patient's care such as the PCMH team, the patient’s designees, entities providing care and all additional caregivers designated by the PCP or designated provider.&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_S9o1oH7hEeOYQJZKXKAJnw" name="role" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_QP5AgH7iEeOYQJZKXKAJnw" annotatedElement="_S9o1oH7hEeOYQJZKXKAJnw">
            <body>&quot;The role on the care team. Includes non-physician providers such as physical therapist, LCSW, nutritionist, who might be part of care team.&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.  Note that this property is used distinguish between the roles a person might be playing, rather than the degree or specialty that they have.  So, despite the implication in the CEDD defintion above, this property might contain Primary Care Physician or Designated Provider, but specialty information like LCSW or Physical Therapist would be in the provider's specialty instance.&#xD;
&quot;Indicates specific responsibility of an individual within the care plan. E.g. &quot;Primary physician&quot;, &quot;Team coordinator&quot;, &quot;Caregiver&quot;, etc.&quot; - HL7 FHIR, CarePlan.participant.role.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XyjWIH7hEeOYQJZKXKAJnw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Xyj9MH7hEeOYQJZKXKAJnw" value="*"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_Lq-PAO0dEeWjUp19yClo5Q" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(CareTeamMemberRole)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8a-YoNS6EeSyzs7OQneM_g" name="healthcareProvider" visibility="public" type="_aW26cBsbEd--ZY2-pbJ-Pw" association="_8a9KgNS6EeSyzs7OQneM_g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8a-_sNS6EeSyzs7OQneM_g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8a-_sdS6EeSyzs7OQneM_g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_J-M3oNS8EeSyzs7OQneM_g" name="entity" visibility="public" type="_MF0JYOEVEd6EKMSYA1gKjA" association="_J-MQkNS8EeSyzs7OQneM_g">
          <ownedComment xmi:id="_oqIo4O7REeWGc6zSCrskfQ" annotatedElement="_J-M3oNS8EeSyzs7OQneM_g">
            <body>Identifies the Person or Organization who is Participating as a Care Team Member. This property is a pointer to an Entity rather than a Provider because the Care Team Member might be the Patient him/herself or a member of the Patient’s family, whereas elsewhere in the FHIM, most Participation classes assume the Participating Entity is a Provider.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_J-NesNS8EeSyzs7OQneM_g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_J-NesdS8EeSyzs7OQneM_g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_aDMjgFZMEeCNYNwvTI8hbQ" name="practitionerParticipation_individualProvider" memberEnd="_ZlCn7VZMEeCNYNwvTI8hbQ _aDMjgVZMEeCNYNwvTI8hbQ">
        <ownedEnd xmi:id="_aDMjgVZMEeCNYNwvTI8hbQ" name="" visibility="public" type="_ZlCn4FZMEeCNYNwvTI8hbQ" association="_aDMjgFZMEeCNYNwvTI8hbQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_r6v0YIsdEeGv9r5ZNThaOw" name="Indication">
        <ownedComment xmi:id="_H1u0cNEuEeG6d5ozG3gSdw" annotatedElement="_r6v0YIsdEeGv9r5ZNThaOw">
          <body>&quot;Identifies the condition or problem for which the drug/treatment was prescribed.&quot; - HL7 Version 2.8, RXO-20.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_CLergIseEeGv9r5ZNThaOw" name="indicationCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_K3cR8NEuEeG6d5ozG3gSdw" annotatedElement="_CLergIseEeGv9r5ZNThaOw">
            <body>&quot;Identifies the condition or problem for which the drug/treatment was prescribed.&quot; - HL7 Version 2.8, RXO-20.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_W2UwsIx3EeCBU92aoqPk5w" name="PrimaryCareProvider">
        <ownedComment xmi:id="_iJaC8IyBEeCBU92aoqPk5w" annotatedElement="_W2UwsIx3EeCBU92aoqPk5w">
          <body>A doctor selected by the patient to be the first physician contacted for any medical problem. The doctor acts as the patient's regular physician and coordinates any other care the patient needs, such as a visit to a specialist or hospitalization.</body>
        </ownedComment>
        <generalization xmi:id="_4V59gGjxEeONEO0K4laCwA" general="_420A62FD03B6418CF92600E1"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642DBE3F101E7" name="Specimen">
        <eAnnotations xmi:id="_M_s48-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_M_Z-CuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642DBE3F101E7">
          <body>&quot;A physical entity that is an individual, a group, an item, or a part representative of a larger group, class or whole that is the target of an observation or analysis for the purpose of drawing conclusions about the group, class, or whole. This can be used to code a component of the specimen that the observation diagnosis relates to. Note that any physical entity in the universe has the potential to become a specimen.&quot; - HL7 V3.  This model attempts to distinguish between that which is collected from the patient (or other entity), and that portion of such material that may have been further divided or modified in some way before testing. For example, (whole) blood is taken from the patient, but the object of the test may be only the plasma or redblood cells taken (spun down) from the blood.  The specimen that undergoes testing may be the unaltered specimen that was collected, or may have undergone some sort of processing.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_0mIPkP8sEd-Koe9flR96lw" name="dangerCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_QNljkBHgEeCBuOUrBnIXmQ" annotatedElement="_0mIPkP8sEd-Koe9flR96lw">
            <body>&quot;Contains any known or suspected specimen hazards, e.g., exceptionally infectious agent or blood from a hepatitis patient.&quot; - HL7 Version 2.8, SPM-16.  Possible values include (from HL7 Table 489): Biological; Corrosive; Escape Risk; Aggressive; MaterialDangerInflammable; Explosive; MaterialDangerInfectious; Biohazard; Injury Hazard; Poison; Radioactive.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_d510QJ_tEeOScYv3wgSwlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_d52bUJ_tEeOScYv3wgSwlA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6456B46A2001C" name="description" visibility="public">
          <ownedComment xmi:id="_M_jvCuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6456B46A2001C">
            <body>&quot;A text field that allows additional information specifically about the specimen&quot; - HL7 Version 2.8, SPM-14.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eu5pIuLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eu5pI-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0jvp8P8sEd-Koe9flR96lw" name="handlingCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Awh_sBHgEeCBuOUrBnIXmQ" annotatedElement="_0jvp8P8sEd-Koe9flR96lw">
            <body>&quot;Describes how the specimen and/or container need to be handled from the time of collection through the initiation of testing.&quot; - HL7 Version 2.8, SPM-15.  Possible values include (from HL7 Table 376): Body temperature; Ambient temperature; Critical ambient temperature; Refrigerated temperature; Critical refrigerated temperature; Frozen temperature; Critical frozen temperature; Deep frozen; Ultra frozen; Liquid nitrogen; Protect from light; Protect from air; Dry; No shock; Do not shake; Upright; Metal Free.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cLCJEJ_tEeOScYv3wgSwlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cLCwIJ_tEeOScYv3wgSwlA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586B8830199" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_M_Z-DeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586B8830199">
            <body>&quot;Unique identifier for the specimen as referenced by the Placer application, the Filler application, or both.&quot; - HL7 Version 2.8, SPM-2&#xD;
&quot;Contains other identifier(s) for the specimen ... in addition to those identified in [SPM-2, Specimen ID].  In may cases other applications involved in the collection, transportation or testing of the specimen will assign additional specimen identifiers.&quot; - HL7 Version 2.8, SPM-31.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WOoG0AljEeGe4v7RnpTDUQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WOoG0QljEeGe4v7RnpTDUQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QvNKsLxJEeCjnsq0FtkmeA" name="specimenExpirationDateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_QvNKsbxJEeCjnsq0FtkmeA" annotatedElement="_QvNKsLxJEeCjnsq0FtkmeA">
            <body>&quot;The date and time the specimen can no longer be used for the purpose implied by the order....&quot; - HL7 Version 2.8, SPM-19.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QX_cMBSUEeKpJeaG5gXc6Q" name="specimenOrigin" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_nFDC8BSUEeKpJeaG5gXc6Q" annotatedElement="_QX_cMBSUEeKpJeaG5gXc6Q">
            <body>Domain from which the specimen comes (e.g., human, animal, environmental).  Added for Public Health Reporting Initiative 10/12/12.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MqHUQPvQEd-3ndaGus2qMA" name="specimenRole" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_hM_ZEBHiEeCBuOUrBnIXmQ" annotatedElement="_MqHUQPvQEd-3ndaGus2qMA">
            <body>Provides an indication of how this sample relates to other aspects of the overall workflow and/or to other specimens gathered or processed during the workflow.  This property is populated from HL7 V2 user-defined Table 0369, which contains a mish-mash of concepts including &quot;group&quot; and &quot;pool&quot; which relate to aliquotting, &quot;calibarator&quot;, &quot;verifying calibrator&quot;, &quot;operator testing&quot;, etc. which relate to laboratory quality assurance, etc.&#xD;
&#xD;
&quot;Indicates the role of the sample.&quot; - HL7 Version 2.8, SPM-11.  Possible values include (from HL7 Table 369):&#xD;
Blind Sample;&#xD;
Calibrator, used for initial setting of calibration;&#xD;
Electronic QC, used with manufactured reference providing signals that simulate QC results;&#xD;
Specimen used for testing proficiency of the organization performing the testing (Filler);&#xD;
Group (where a specimen consists of multiple individual elements that are not individually identified);&#xD;
Pool (aliquots of individual specimens combined to form a single specimen representing all of the components.);&#xD;
Specimen used for testing Operator Proficiency;&#xD;
Patient (default if blank component value);&#xD;
Control specimen;&#xD;
Replicate (of patient sample as a control);&#xD;
Verifying Calibrator, used for periodic calibration checks.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gEUHwJ_tEeOScYv3wgSwlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gEUu0J_tEeOScYv3wgSwlA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642DBE407001C" name="specimenType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_M_jvBOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642DBE407001C">
            <body>&quot;Describes the precise nature of the entity that will be the source material for the observation.  Any physical entity that may have observations made about it may qualify as a specimen.  The entry in this attribute describes the specific entity as precisely as possible, whether that is a complex organism (e.g., an ostrich) or a specific cellular mass (e.g., a specific muscle biopsy).&quot; - HL7 Version 2.8, SPM-4.  Note that HL7 identifies a Code Table (Table 487) for this property, which currently contains 271 suggested values.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_v2X84P8hEd-Koe9flR96lw" name="specimenTypeModifier" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_v2X84f8hEd-Koe9flR96lw" annotatedElement="_v2X84P8hEd-Koe9flR96lw">
            <body>&quot;Contains modifying or qualifying description(s) about the specimen type.  The use of this attribute is to modify, qualify or further specify, the entity described by [SpecimenType].  This is particularly useful when the code set used in [SpecimenType] does not provide the precision required to fully describe the specimen.  For example, if the specimen was precisely described as capillary venous blood but the code set employed only provided venous blood, this attribute could be employed to add the modifier capillary.&quot; - HL7 Version 2.8, SPM-5.  Note that HL7 identifies a Code Table (Table 541) for this property, but does not provide any suggested values.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dQNoIP8jEd-Koe9flR96lw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dQOPMP8jEd-Koe9flR96lw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Y6MwoPZQEd-e1vPpWfL-Bw" name="specimenContainer" visibility="public" type="_iI8NkPZPEd-e1vPpWfL-Bw" association="_Y6KUYPZQEd-e1vPpWfL-Bw">
          <ownedComment xmi:id="_yUB54BHfEeCBuOUrBnIXmQ" annotatedElement="_Y6MwoPZQEd-e1vPpWfL-Bw">
            <body>Identifies the object in which the specimen is contained, such as the capacity, etc.  Some containers are manufactured such that they contain a pre-defined substance that may act to preserve, maintain or enhance the particular nature or component of the specimen. For example, a &quot;blue top tube&quot; typically contains an anticoagulant such as citrate. It is therefore important to know what kind of container the sample is in, as the condition of the sample may be affected.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Y6N-wPZQEd-e1vPpWfL-Bw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Y6N-wfZQEd-e1vPpWfL-Bw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642DBE47D00A0" name="specimenCollectionEvent" visibility="public" type="_420A62FD03B64263CF150098" isUnique="false" association="_420A62FD03B642DBE479028D">
          <ownedComment xmi:id="_NEBYROLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642DBE47D00A0">
            <body>Association from Specimen to SpecimenCollectionEvent procedure to get collection date.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kWISYKqYEeGeRqsN3l6jrA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kWISYaqYEeGeRqsN3l6jrA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_J28rIcp7EeC9Pb3leltpqQ" name="definedPatientEvent" visibility="public" type="_rWnUoMHPEeCdLPayeDTWtA" association="_J28rIMp7EeC9Pb3leltpqQ">
          <ownedComment xmi:id="_0RecwM6GEeCM-vbOXYpzjw" annotatedElement="_J28rIcp7EeC9Pb3leltpqQ">
            <body>The specific patient-related event to which a specimen collection or collections (and subsequently, any tests performed on that specimen) are related or affected by time, sequence, directive, intent, etc.  Examples might include drug administration (peak and trough), beginning of fasting (lipids, FBS), glucose challenge (tolerances) or meal (postprandial), admission (pre- or post-admission studies), scheduled surgery/transfusion (compatibility testing), onset of symptoms (acute and convalescent), Last Menstrual Period (pregnancy test, Pap smear), lumbar puncture (CSF tubes 1, 2, and 3), treatment completion (test of cure, post-transfusion H&amp;H), use/ingestion (BAT, toxicology), start of 24-hour urine pooling (creatinine clearance), etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_J28rIsp7EeC9Pb3leltpqQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_J28rI8p7EeC9Pb3leltpqQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_orQfkKqYEeGeRqsN3l6jrA" name="specimenProcessingEvent" visibility="public" type="_wb_GYKqXEeGeRqsN3l6jrA" association="_orMOIKqYEeGeRqsN3l6jrA">
          <ownedComment xmi:id="_4y5O0EWWEeKmiJoj9rWMSg" annotatedElement="_orQfkKqYEeGeRqsN3l6jrA">
            <body>Actions performed on a specimen in order to prepare it for future testing.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_orRGoKqYEeGeRqsN3l6jrA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_orRtsKqYEeGeRqsN3l6jrA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_e4dl4AgVEd6eWYJXJewDdQ" name="DiagnosisListEntry">
        <ownedComment xmi:id="_Pk6nAPGUEd-ZlYn0p4HjQw" annotatedElement="_e4dl4AgVEd6eWYJXJewDdQ">
          <body>This class provides a mechanism to associate a record with multiple diagnoses.  Rather than have the traditional &quot;primary diagnosis&quot;, &quot;secondary diagnosis&quot;, etc. in a record, the record will contain a zero-to-many pointer to this class, which then has a one-to-one pointer to a diagnosis, with a precedence property to indicate primary, secondary, tertiary, etc.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_kdpFsAgVEd6eWYJXJewDdQ" name="precedence" visibility="public">
          <ownedComment xmi:id="_h9SsgPGUEd-ZlYn0p4HjQw" annotatedElement="_kdpFsAgVEd6eWYJXJewDdQ">
            <body>Provides an indication of whether the diagnosis is primary, secondary, tertiary, etc.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kLK5sd39Ed6yatlejfcw_g" name="diagnosis" visibility="public" type="_420A62FD03B6424070DB0209" association="_kLK5sN39Ed6yatlejfcw_g">
          <ownedComment xmi:id="_cYlt0PGUEd-ZlYn0p4HjQw" annotatedElement="_kLK5sd39Ed6yatlejfcw_g">
            <body>Indicates the diagnosis associated with this entry in the list.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kLK5st39Ed6yatlejfcw_g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kLK5s939Ed6yatlejfcw_g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_rr-pACaOEdyiJKb4ZqIfnw" name="Procedure">
        <eAnnotations xmi:id="_Fic3wCaPEdyiJKb4ZqIfnw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_xmVg4BH0EeCBuOUrBnIXmQ" annotatedElement="_rr-pACaOEdyiJKb4ZqIfnw">
          <body>&quot;An Act whose immediate and primary outcome (post-condition) is the alteration of the physical condition of the subject.&quot; - HL7 V3.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_COnToBJYEeKEjrc2hUE4_Q" name="dateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_E6GpgBJYEeKEjrc2hUE4_Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_E6HQkBJYEeKEjrc2hUE4_Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6438D2BF7003D" name="procedureCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_zCt_UBH0EeCBuOUrBnIXmQ" annotatedElement="_420A62FD03B6438D2BF7003D">
            <body>Contains a code indicating a procedure or a non-procedural event involving the patient. This code could come from various coding systems; typically the Common Procedure Terminology (CPT) is used, but other coding systems might be employed, especially to capture workload-related data.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Ttn-oN38Ed6yatlejfcw_g" name="procedureModifier" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ok1YEBHcEeCBuOUrBnIXmQ" annotatedElement="_Ttn-oN38Ed6yatlejfcw_g">
            <body>Contains an optional modifier to further describe the procedure.  Some coding systems employ combinations of procedure codes and modifiers, while others do not.  This property accomodates those systems which do permit the use of a modifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XO00gN38Ed6yatlejfcw_g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XO00gd38Ed6yatlejfcw_g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QeYlABJYEeKEjrc2hUE4_Q" name="reasonNotPerformed" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TxHhEBJYEeKEjrc2hUE4_Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TxIIIBJYEeKEjrc2hUE4_Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LvIAkBJYEeKEjrc2hUE4_Q" name="reasonPerformed" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OpqfEBJYEeKEjrc2hUE4_Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OprGIBJYEeKEjrc2hUE4_Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SHW5gN3-Ed6yatlejfcw_g" name="timesPerformed" visibility="public">
          <ownedComment xmi:id="_AvDgYBHdEeCBuOUrBnIXmQ" annotatedElement="_SHW5gN3-Ed6yatlejfcw_g">
            <body>Indicates the number of times this procedure was performed for the patient at one setting.  Most procedures are only performed (and recorded) once; this property allows for the recording of multiple procedures in order to remove the necessity to record the same procedure multiple times.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6418CF92600E1" name="PractitionerParticipationLite">
        <eAnnotations xmi:id="_L88beOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_L8fvieLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6418CF92600E1">
          <body>&quot;An association between an Act and a Role with an Entity playing that Role. Each Entity (in a Role) involved in an Act in a certain way is linked to the act by one Participation-instance.&quot; - HL7 V3.  This class contains the minimal data (date/time, comments, and a pointer to IndividualProvider) that is most commonly needed for participations that involve and entity playing the role of Practitioner.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642EE6DAE01D4" name="comment" visibility="public">
          <eAnnotations xmi:id="_L8pghOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_L8pgguLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642EE6DAE01D4">
            <body>&quot;Contains any comments or notes made by the practitioner in reference to the action in which they participated.&quot; - HL7 V3.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_etabYeLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_etabYuLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6418CF94003C4" name="time" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_L88bceLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_L8zRjuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6418CF94003C4">
            <body>&quot;An interval of time specifying the time during which the participant is involved in the act through this Participation.&quot; - HL7 V3.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_etabaeLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_etabauLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1_OF4Qq6Ed-426xscrxYmQ" name="practitioner" visibility="public" type="_420A62FD03B6418A6B760063" association="_1_OF4Aq6Ed-426xscrxYmQ">
          <ownedComment xmi:id="_5zTEoBHbEeCBuOUrBnIXmQ" annotatedElement="_1_OF4Qq6Ed-426xscrxYmQ">
            <body>Represents information about a person who is authorized to provide health care services in the role of practitioner for a health care provider organization.  The role of practitioner includes all functions performed for a health care provider organization in order to provide patient care and treatment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1_OF4gq6Ed-426xscrxYmQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1_OF4wq6Ed-426xscrxYmQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643BD69A10200" name="NullifyAct">
        <eAnnotations xmi:id="_MArE4-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_txSxYOw2Ed-kfrmay8LxLw" annotatedElement="_420A62FD03B643BD69A10200">
          <body>Records the nullification of an Act. Typically used when an erroneous record is &quot;deleted&quot;. Because medical  records should never be deleted, the record is instead &quot;nullified&quot;, and is rendered not visible to typical users, but still  exists in the system for the purpose of audit trails, etc.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_ttchoNYwEd62cosTNS-_lw" name="comment" visibility="public">
          <ownedComment xmi:id="_OePfUIlIEd-pqcFAwb-XNw" annotatedElement="_ttchoNYwEd62cosTNS-_lw">
            <body>Any comments or remarks regarding the nullification of the Activity record or Order.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4xnEkNYuEd62cosTNS-_lw" name="dateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Xj2Y8IlIEd-pqcFAwb-XNw" annotatedElement="_4xnEkNYuEd62cosTNS-_lw">
            <body>The date/time the Activity record or Order was nullified.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zpNVcNYwEd62cosTNS-_lw" name="reason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_h58DAIlIEd-pqcFAwb-XNw" annotatedElement="_zpNVcNYwEd62cosTNS-_lw">
            <body>The reason why the Order or Activity record was nullified.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3U6LINYwEd62cosTNS-_lw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3U6LIdYwEd62cosTNS-_lw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6kmaQdYwEd62cosTNS-_lw" name="author" visibility="public" type="_420A62FD03B6418A6B760063" association="_6kmaQNYwEd62cosTNS-_lw">
          <ownedComment xmi:id="_JmH6EPGkEd-ZlYn0p4HjQw" annotatedElement="_6kmaQdYwEd62cosTNS-_lw">
            <body>Indicates the practitioner who created the nullification record. In other words, the practitioner who nullified the action.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6kvkMNYwEd62cosTNS-_lw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6kvkMdYwEd62cosTNS-_lw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643D7C2360379" name="ManufacturedMaterial">
        <eAnnotations xmi:id="_MA0O0eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MArE5uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7C2360379">
          <body>&quot;A subtype of Material representing an Entity or combination of Entities transformed for a particular purpose by a non-natural or manufacturing process.&quot; (HL7) </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B645E3197901FF" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_1ZKdoBHFEeCBuOUrBnIXmQ" annotatedElement="_420A62FD03B645E3197901FF">
            <body>Uniquely identifies the manufactured material.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645E319790200" name="name" visibility="public">
          <ownedComment xmi:id="_3gjA4BHFEeCBuOUrBnIXmQ" annotatedElement="_420A62FD03B645E319790200">
            <body>The name of the manufactured material.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6424070DB0209" name="Diagnosis">
        <eAnnotations xmi:id="_MCm-l-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <eAnnotations xmi:id="_9kSx0B6gEdyNJKpxCqdJAQ" source="uml2.diagrams"/>
        <ownedComment xmi:id="_MCdNleLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6424070DB0209">
          <body>&quot;a.The act or process of identifying or determining the nature and cause of a disease or injury through evaluation of patient history, examination, and/or review of laboratory data. b.The opinion derived from such an evaluation&quot;  American Heritage Dictionary</body>
        </ownedComment>
        <ownedAttribute xmi:id="_1khOcLxhEeSyBtXdDFDzRA" name="contextCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_aqQyALxiEeSyBtXdDFDzRA" annotatedElement="_1khOcLxhEeSyBtXdDFDzRA">
            <body>This optional code is used to categorize the Diagnosis in such a manner as to accommodate LOINC codes that are required by certain implementations (especially CDA).  In the FHIM, the &quot;type&quot; of diagnosis is conveyed by the context of the class pointing to this class.  For example, an association from Surgery to Diagnosis might have a role name of &quot;pre-operative diagnosis&quot;.  This mechanism, however, does not allow binding to the a coded terminology such as LOINC.  This property provides the ability to bind the diagnosis to such a code.  Possible values include:&#xD;
59769-0  Postprocedure diagnosis &#xD;
11535-2  Hospital discharge diagnosis&#xD;
46241-6  Admission diagnosis&#xD;
29308-4  Diagnosis (used for Encounter Diagnosis template)&#xD;
10219-4  Preoperative Diagnosis&#xD;
10218-6  Postoperative Diagnosis</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_45UAALxhEeSyBtXdDFDzRA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_45UnELxhEeSyBtXdDFDzRA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64240710C0054" name="diagnosisCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_M_w_IPGTEd-ZlYn0p4HjQw" annotatedElement="_420A62FD03B64240710C0054">
            <body>Contains a code that most closely identifies the condition or the diagnosis. This code will come from one of several  commonly used coding systems, depending on the branch of medicine involved (e.g., clinical medicine, dentistry, mental  health), and on the purpose (e.g., clinical, billing). The code will likely come from one of the following:  Structured Nomenclature for Medicine (SNOMED), International Classifications of Diseases (ICD), Diagnostic and Statistical  Manual of Mental Disorders (DSM).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xTlWgBWAEd6k0oda9Q09hg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xTlWgRWAEd6k0oda9Q09hg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cozwkBWAEd6k0oda9Q09hg" name="diagnosisModifier" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_mR1gUPGTEd-ZlYn0p4HjQw" annotatedElement="_cozwkBWAEd6k0oda9Q09hg">
            <body>Contains a &quot;modifier&quot; that more precisely identifies the condition or the diagnosis. Some coding schemes, such as the  International Classifications of Diseases version 9, support the notion of a &quot;modifier&quot;, while others do not. This  property is only to be used when the code property is using a coding scheme that supports a modifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_s6_loBWAEd6k0oda9Q09hg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_s6_loRWAEd6k0oda9Q09hg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642C044DB02ED" name="CommentEvent">
        <eAnnotations xmi:id="_MEGMUeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_EP6hYBHEEeCBuOUrBnIXmQ" annotatedElement="_420A62FD03B642C044DB02ED">
          <body>This class is used to capture remarks about an Activity which might be made by various practitioners during the course of that Activity.&#xD;
&#xD;
Note that this class used to contain an optional property called commentCategory, which was intended to provide an categorization of the comment for grouping purposes or to identify the situation in which the comment occured.  The FHIM terminology team decided to remove this property in January 2013 as no values could be identified for the comment category.  This property may be reinstated in the future should a desired set of categories be identified.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642C044F30323" name="comment" visibility="public">
          <ownedComment xmi:id="_HYT1sBHEEeCBuOUrBnIXmQ" annotatedElement="_420A62FD03B642C044F30323">
            <body>This property contains the comment text.&#xD;
&quot;Contains the comment contained in the segment.&quot; - HL7 Version 2.8, NTE-3.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_a7ka0PTqEdy4NNd432ztnw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_a7ka0fTqEdy4NNd432ztnw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642FBA95D02D0" name="dateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Osyv8BHEEeCBuOUrBnIXmQ" annotatedElement="_420A62FD03B642FBA95D02D0">
            <body>The date and time the comment was entered.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dAT18dYwEd62cosTNS-_lw" name="author" visibility="public" type="_420A62FD03B6418A6B760063" association="_dAT18NYwEd62cosTNS-_lw">
          <ownedComment xmi:id="_IFLRQPGPEd-ZlYn0p4HjQw" annotatedElement="_dAT18dYwEd62cosTNS-_lw">
            <body>Indicates the practitioner who created the comment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dAT18tYwEd62cosTNS-_lw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dAT189YwEd62cosTNS-_lw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_dAT18NYwEd62cosTNS-_lw" name="commentEvent_author" memberEnd="_dAT18dYwEd62cosTNS-_lw _dAT19NYwEd62cosTNS-_lw">
        <ownedEnd xmi:id="_dAT19NYwEd62cosTNS-_lw" name="" visibility="public" type="_420A62FD03B642C044DB02ED" association="_dAT18NYwEd62cosTNS-_lw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_6kmaQNYwEd62cosTNS-_lw" name="nullifyAct_author" memberEnd="_6kmaQdYwEd62cosTNS-_lw _6kvkMtYwEd62cosTNS-_lw">
        <eAnnotations xmi:id="_szmb8H_LEd-Ure_vzgD_TA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_6kvkMtYwEd62cosTNS-_lw" name="" visibility="public" type="_420A62FD03B643BD69A10200" association="_6kmaQNYwEd62cosTNS-_lw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_kLK5sN39Ed6yatlejfcw_g" name="diagnosisList_diagnosis" memberEnd="_kLK5sd39Ed6yatlejfcw_g _kLUqsN39Ed6yatlejfcw_g">
        <eAnnotations xmi:id="_qr2YcN39Ed6yatlejfcw_g" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_kLUqsN39Ed6yatlejfcw_g" name="" visibility="public" type="_e4dl4AgVEd6eWYJXJewDdQ" association="_kLK5sN39Ed6yatlejfcw_g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_dP9loN3-Ed6yatlejfcw_g" name="ProcedureListEntry">
        <ownedComment xmi:id="_MqqWwBHdEeCBuOUrBnIXmQ" annotatedElement="_dP9loN3-Ed6yatlejfcw_g">
          <body>This class provides a mechanism to associate a record with multiple procedures. Rather than have the traditional  &quot;primary procedure&quot;, &quot;secondary procedure&quot;, etc. in a record, the record will contain a zero-to-many pointer to this class,  which then has a one-to-one pointer to a procedure, with a precedence property to indicate primary, secondary, tertiary,  etc.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_g73PoN3-Ed6yatlejfcw_g" name="precedence" visibility="public">
          <ownedComment xmi:id="_SUpeEBHdEeCBuOUrBnIXmQ" annotatedElement="_g73PoN3-Ed6yatlejfcw_g">
            <body>Provides an indication of whether the procedure is primary, secondary, tertiary, etc.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_joRLgd3-Ed6yatlejfcw_g" name="procedure" visibility="public" type="_rr-pACaOEdyiJKb4ZqIfnw" association="_joRLgN3-Ed6yatlejfcw_g">
          <eAnnotations xmi:id="_lr2M0N3-Ed6yatlejfcw_g" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_a6QpABHdEeCBuOUrBnIXmQ" annotatedElement="_joRLgd3-Ed6yatlejfcw_g">
            <body>Indicates the procedure associated with this entry in the list.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_joRLgt3-Ed6yatlejfcw_g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_joRLg93-Ed6yatlejfcw_g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_joRLgN3-Ed6yatlejfcw_g" name="procedureList_procedure" memberEnd="_joRLgd3-Ed6yatlejfcw_g _joRLhN3-Ed6yatlejfcw_g">
        <eAnnotations xmi:id="_5vuVAOd5Ed6qdqXtvR-ZHQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_joRLhN3-Ed6yatlejfcw_g" name="" visibility="public" type="_dP9loN3-Ed6yatlejfcw_g" association="_joRLgN3-Ed6yatlejfcw_g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_NtYkIOEVEd6EKMSYA1gKjA" name="Material">
        <ownedComment xmi:id="__zBzgAINEd-VSqNkiZ4fOA" annotatedElement="_NtYkIOEVEd6EKMSYA1gKjA">
          <body>&quot;A subtype of Entity that is inanimate and locationally independent. Materials are entities that are neither Living  Subjects nor places. Manufactured or processed products are considered material, even if they originate as living matter.  Materials come in a wide variety of physical forms and can pass through different states (ie. Gas, liquid, solid) while  still retaining their physical composition and material characteristics.&quot; - HL7 V3.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_ByrVsBB1Ed-qbLlW6Q3SSQ" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_keQ2oPGjEd-ZlYn0p4HjQw" annotatedElement="_ByrVsBB1Ed-qbLlW6Q3SSQ">
            <body>Uniquely identifies the material.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_hXa7cAq6Ed-426xscrxYmQ" name="Author">
        <ownedComment xmi:id="_RvGgsOwwEd-kfrmay8LxLw" annotatedElement="_hXa7cAq6Ed-426xscrxYmQ">
          <body>&quot;A party that originates the Act and therefore has responsibility for the information given in the Act and ownership of this Act.&quot; - HL7 Version 3 (ParticipationType->author (originator))</body>
        </ownedComment>
        <generalization xmi:id="_93Fv8NXhEeGG7JUIKyvuAg" general="_420A62FD03B6418CF92600E1"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_1_OF4Aq6Ed-426xscrxYmQ" name="practitionerParticipationLite_individualProvider" memberEnd="_1_OF4Qq6Ed-426xscrxYmQ _1_X24Aq6Ed-426xscrxYmQ">
        <ownedEnd xmi:id="_1_X24Aq6Ed-426xscrxYmQ" name="" visibility="public" type="_420A62FD03B6418CF92600E1" association="_1_OF4Aq6Ed-426xscrxYmQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_E0a_kAq7Ed-426xscrxYmQ" name="Attender">
        <ownedComment xmi:id="_YuTHcOwwEd-kfrmay8LxLw" annotatedElement="_E0a_kAq7Ed-426xscrxYmQ">
          <body>&quot;The practitioner that has responsibility for overseeing a patient's care during a patient encounter.&quot; - HL7 Version 3 (ParticipationType->attender)</body>
        </ownedComment>
        <generalization xmi:id="_GKiM0NXiEeGG7JUIKyvuAg" general="_420A62FD03B6418CF92600E1"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_HxX44Aq7Ed-426xscrxYmQ" name="DataEnterer">
        <ownedComment xmi:id="_9aqtoP2HEd-vp-CAyKeWfQ" annotatedElement="_HxX44Aq7Ed-426xscrxYmQ">
          <body>&quot;A person entering the data into the originating system. The data entry person is collected optionally for internal quality control purposes. This includes the transcriptionist for dictated text.&quot; - HL7 Version 3 (ParticipationType->data entry person)</body>
        </ownedComment>
        <generalization xmi:id="_GtVX4NXiEeGG7JUIKyvuAg" general="_420A62FD03B6418CF92600E1"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_HzdjkAq7Ed-426xscrxYmQ" name="Referer">
        <ownedComment xmi:id="_HlpvAOwxEd-kfrmay8LxLw" annotatedElement="_HzdjkAq7Ed-426xscrxYmQ">
          <body>&quot;A person having referred the subject of the service to the performer (referring physician). Typically, a referring physician will receive a report.&quot; - HL7 Version 3 (ParticipationType->referrer)</body>
        </ownedComment>
        <generalization xmi:id="_-_ka8NXhEeGG7JUIKyvuAg" general="_420A62FD03B6418CF92600E1"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_H1ZdQAq7Ed-426xscrxYmQ" name="Verifier">
        <ownedComment xmi:id="_9WOGkOwwEd-kfrmay8LxLw" annotatedElement="_H1ZdQAq7Ed-426xscrxYmQ">
          <body>&quot;A person who verifies the correctness and appropriateness of the service (plan, order, event, etc.) and hence takes on accountability&quot; - HL7 Version 3 (ParticipationType->verifier)</body>
        </ownedComment>
        <generalization xmi:id="_J0hLQNXiEeGG7JUIKyvuAg" general="_420A62FD03B6418CF92600E1"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_H3VW8Aq7Ed-426xscrxYmQ" name="Instructor">
        <ownedComment xmi:id="_P3G-UP2JEd-vp-CAyKeWfQ" annotatedElement="_H3VW8Aq7Ed-426xscrxYmQ">
          <body>&quot;A person who instructs; teacher&quot; - Dictionary.com.  This participation identifies the clinician who provided instruction to another person, typically the patient.</body>
        </ownedComment>
        <generalization xmi:id="_HPlwYNXiEeGG7JUIKyvuAg" general="_420A62FD03B6418CF92600E1"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_OnMeAHiUEd-xd69YcOIcPA" name="ResponsibleParty">
        <ownedComment xmi:id="_SsNzwOwxEd-kfrmay8LxLw" annotatedElement="_OnMeAHiUEd-xd69YcOIcPA">
          <body>&quot;The person or organization that has primary responsibility for the act. The responsible party is not necessarily present in an action, but is accountable for the action through the power to delegate, and the duty to review actions with the performing actor after the fact. This responsibility may be ethical, legal, contractual, fiscal, or fiduciary in nature.&quot; - HL7 Version 3 (ParticipationType->responsible party)</body>
        </ownedComment>
        <generalization xmi:id="__lRwENXhEeGG7JUIKyvuAg" general="_420A62FD03B6418CF92600E1"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_ciFhEHpAEd-44ra0dfiJCw" name="LegalAuthenticator">
        <ownedComment xmi:id="_ri4AwOwwEd-kfrmay8LxLw" annotatedElement="_ciFhEHpAEd-44ra0dfiJCw">
          <body>&quot;A verifier who legally authenticates the accuracy of an act. An example would be a staff physician who sees a patient and dictates a note, then later signs it. Their signature constitutes a legal authentication.&quot; - HL7 Version 3 (ParticipationType->legal authenticator)</body>
        </ownedComment>
        <generalization xmi:id="_crkYEBCVEeGYNskcagX10g" general="_H1ZdQAq7Ed-426xscrxYmQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_7NSfgH_lEd-Ure_vzgD_TA" name="PrimaryPerformer">
        <ownedComment xmi:id="_eRE-EOwxEd-kfrmay8LxLw" annotatedElement="_7NSfgH_lEd-Ure_vzgD_TA">
          <body>&quot;The principal or primary performer of the act.&quot; - HL7 Version 3 (ParticipationType->primary performer)</body>
        </ownedComment>
        <generalization xmi:id="_H76q4NXiEeGG7JUIKyvuAg" general="_420A62FD03B6418CF92600E1"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Y6KUYPZQEd-e1vPpWfL-Bw" name="specimen_container" memberEnd="_Y6MwoPZQEd-e1vPpWfL-Bw _Y6Pz8PZQEd-e1vPpWfL-Bw">
        <ownedEnd xmi:id="_Y6Pz8PZQEd-e1vPpWfL-Bw" name="" visibility="public" type="_420A62FD03B642DBE3F101E7" association="_Y6KUYPZQEd-e1vPpWfL-Bw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Y6QbAPZQEd-e1vPpWfL-Bw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Y6RCEPZQEd-e1vPpWfL-Bw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_sPa3sP2JEd-vp-CAyKeWfQ" name="Witness">
        <ownedComment xmi:id="_sPa3sf2JEd-vp-CAyKeWfQ" annotatedElement="_sPa3sP2JEd-vp-CAyKeWfQ">
          <body>&quot;Only with service events. A person witnessing the action happening without doing anything. A witness is not necessarily aware, much less approves of anything stated in the service event. Example for a witness is students watching an operation or an advanced directive witness.&quot; - HL7 Version 3 (ParticipationType->witness)</body>
        </ownedComment>
        <generalization xmi:id="_BNBxANXiEeGG7JUIKyvuAg" general="_420A62FD03B6418CF92600E1"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_bYKKMP2KEd-vp-CAyKeWfQ" name="Agent">
        <ownedComment xmi:id="_Q8VbkBHCEeCBuOUrBnIXmQ" annotatedElement="_bYKKMP2KEd-vp-CAyKeWfQ">
          <body>&quot;1. a person who acts on behalf of another person, group, business, government, etc; representative  2. a person or thing that acts or has the power to act&quot; - Collins</body>
        </ownedComment>
        <ownedAttribute xmi:id="_-Z7D0P2KEd-vp-CAyKeWfQ" name="person" visibility="public" type="_420A62FD03B6425125E800E0" association="_-Z4AgP2KEd-vp-CAyKeWfQ">
          <ownedComment xmi:id="_cVByIBHCEeCBuOUrBnIXmQ" annotatedElement="_-Z7D0P2KEd-vp-CAyKeWfQ">
            <body>Pointer to the Person playing the Role of Agent.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-Z7D0f2KEd-vp-CAyKeWfQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-Z7D0v2KEd-vp-CAyKeWfQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_-Z4AgP2KEd-vp-CAyKeWfQ" name="agent_person" memberEnd="_-Z7D0P2KEd-vp-CAyKeWfQ _-Z-HIP2KEd-vp-CAyKeWfQ">
        <ownedEnd xmi:id="_-Z-HIP2KEd-vp-CAyKeWfQ" name="" visibility="public" type="_bYKKMP2KEd-vp-CAyKeWfQ" association="_-Z4AgP2KEd-vp-CAyKeWfQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-Z-HIf2KEd-vp-CAyKeWfQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-Z-HIv2KEd-vp-CAyKeWfQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_ZlCn4FZMEeCNYNwvTI8hbQ" name="PractitionerParticipation">
        <eAnnotations xmi:id="_ZlCn4VZMEeCNYNwvTI8hbQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_ZlCn4lZMEeCNYNwvTI8hbQ" annotatedElement="_ZlCn4FZMEeCNYNwvTI8hbQ">
          <body>&quot;An association between an Act and a Role with an Entity playing that Role. Each Entity (in a Role) involved in an Act in a certain way is linked to the act by one Participation-instance.&quot; - HL7 V3.  This class speficially points to IndividualProvider to handle participations in which the participation is by a clinician and contains those HL7 attributes most commonly used.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_ZlCn41ZMEeCNYNwvTI8hbQ" name="comment" visibility="public">
          <eAnnotations xmi:id="_ZlCn5FZMEeCNYNwvTI8hbQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_ZlCn5VZMEeCNYNwvTI8hbQ" annotatedElement="_ZlCn41ZMEeCNYNwvTI8hbQ">
            <body>&quot;Contains any comments or notes made by the practitioner in reference to the action in which they participated.&quot; - HL7 V3.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZlCn51ZMEeCNYNwvTI8hbQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZlCn5lZMEeCNYNwvTI8hbQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-mMfAFZPEeCNYNwvTI8hbQ" name="modeCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_-mMfAVZPEeCNYNwvTI8hbQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_-mMfAlZPEeCNYNwvTI8hbQ" annotatedElement="_-mMfAFZPEeCNYNwvTI8hbQ">
            <body>&quot;The modality by which the Entity playing the Role is participating in the Act.  UsageNotes: For author (originator) participants, this is used to specify whether the information represented by the act was initially provided verbally, (hand-)written, or electronically. Examples: Physically present, over the telephone, written communication.&quot; - HL7 V3</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-mMfBFZPEeCNYNwvTI8hbQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-mMfA1ZPEeCNYNwvTI8hbQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZlCn7VZMEeCNYNwvTI8hbQ" name="practitioner" visibility="public" type="_420A62FD03B6418A6B760063" association="_aDMjgFZMEeCNYNwvTI8hbQ">
          <ownedComment xmi:id="_ZlCn7lZMEeCNYNwvTI8hbQ" annotatedElement="_ZlCn7VZMEeCNYNwvTI8hbQ">
            <body>Represents information about a person who is authorized to provide health care services in the role of practitioner for a health care provider organization.  The role of practitioner includes all functions performed for a health care provider organization in order to provide patient care and treatment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZlCn8FZMEeCNYNwvTI8hbQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZlCn71ZMEeCNYNwvTI8hbQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uDH1oFZMEeCNYNwvTI8hbQ" name="signatureCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_uDH1oVZMEeCNYNwvTI8hbQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_uDH1olZMEeCNYNwvTI8hbQ" annotatedElement="_uDH1oFZMEeCNYNwvTI8hbQ">
            <body>&quot;Whether the participant has attested participation through a signature, or whether such a signature is needed.&quot; - HL7 V3</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uDH1pFZMEeCNYNwvTI8hbQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uDH1o1ZMEeCNYNwvTI8hbQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lujXYFZMEeCNYNwvTI8hbQ" name="signatureText" visibility="public">
          <eAnnotations xmi:id="_lujXYVZMEeCNYNwvTI8hbQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_lujXYlZMEeCNYNwvTI8hbQ" annotatedElement="_lujXYFZMEeCNYNwvTI8hbQ">
            <body>&quot;A textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode.&quot; - HL7 V3</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lujXZFZMEeCNYNwvTI8hbQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lujXY1ZMEeCNYNwvTI8hbQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZlCn6FZMEeCNYNwvTI8hbQ" name="time" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_ZlCn6VZMEeCNYNwvTI8hbQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_ZlCn6lZMEeCNYNwvTI8hbQ" annotatedElement="_ZlCn6FZMEeCNYNwvTI8hbQ">
            <body>&quot;An interval of time specifying the time during which the participant is involved in the act through this Participation.&quot; - HL7 V3.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZlCn7FZMEeCNYNwvTI8hbQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZlCn61ZMEeCNYNwvTI8hbQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_oZ07wFZVEeCNYNwvTI8hbQ" name="ManagedParticipation">
        <ownedComment xmi:id="_QttPQFZWEeCNYNwvTI8hbQ" annotatedElement="_oZ07wFZVEeCNYNwvTI8hbQ">
          <body>&quot;A participation that will be operated on over time and thus whose state and identity must be managed&quot; - HL7 V3</body>
        </ownedComment>
        <generalization xmi:id="_2LdfoFZVEeCNYNwvTI8hbQ" general="_ZlCn4FZMEeCNYNwvTI8hbQ"/>
        <ownedAttribute xmi:id="_rEw4AFZVEeCNYNwvTI8hbQ" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_bWDG8FZWEeCNYNwvTI8hbQ" annotatedElement="_rEw4AFZVEeCNYNwvTI8hbQ">
            <body>&quot;The status of the ManagedParticipation.  Examples: Pending, active, complete, cancelled&quot; - HL7 V3</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_rLLfAF7aEeCcBvMgXNMeOQ" name="Admitter">
        <ownedComment xmi:id="_rLLfAV7aEeCcBvMgXNMeOQ" annotatedElement="_rLLfAF7aEeCcBvMgXNMeOQ">
          <body>&quot;The practitioner who is responsible for admitting a patient to a patient encounter.&quot; - HL7 Version 3 (ParticipationType->admitter)</body>
        </ownedComment>
        <generalization xmi:id="_Fijm0NXiEeGG7JUIKyvuAg" general="_420A62FD03B6418CF92600E1"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_YV5E0I8nEeG2ar1Lc1hB1g" name="Transcriber">
        <ownedComment xmi:id="_yJBEoI8nEeG2ar1Lc1hB1g" annotatedElement="_YV5E0I8nEeG2ar1Lc1hB1g">
          <body>&quot;An entity entering the data into the originating system. The data entry entity is collected optionally for internal quality control purposes. This includes the transcriptionist for dictated text transcribed into electronic form.&quot; - HL7 Version 3 (ParticipationType->transcriber)</body>
        </ownedComment>
        <generalization xmi:id="_AR0tANXiEeGG7JUIKyvuAg" general="_420A62FD03B6418CF92600E1"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_orMOIKqYEeGeRqsN3l6jrA" name="specimen_specimenProcessingEvent" memberEnd="_orQfkKqYEeGeRqsN3l6jrA _orVYEKqYEeGeRqsN3l6jrA">
        <ownedEnd xmi:id="_orVYEKqYEeGeRqsN3l6jrA" name="" visibility="public" type="_420A62FD03B642DBE3F101E7" association="_orMOIKqYEeGeRqsN3l6jrA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_orWmMKqYEeGeRqsN3l6jrA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_orWmMaqYEeGeRqsN3l6jrA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_XmQE8LWlEeGePaUJ9YIobg" name="Supervisor">
        <ownedComment xmi:id="_Sfa_cD0oEeK9mqm0blk9EQ" annotatedElement="_XmQE8LWlEeGePaUJ9YIobg">
          <body>&quot;A person who supervises workers or the work done by others.&quot; - dictionary.com.  This participation identifies the person to whom the person performing the act reports.</body>
        </ownedComment>
        <generalization xmi:id="_JCDMgNXiEeGG7JUIKyvuAg" general="_420A62FD03B6418CF92600E1"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_rSyhALWlEeGePaUJ9YIobg" name="Assistant">
        <ownedComment xmi:id="_sMv2ED0kEeK9mqm0blk9EQ" annotatedElement="_rSyhALWlEeGePaUJ9YIobg">
          <body>&quot;A person assisting in an act through his substantial presence and involvement This includes: assistants, technicians, associates, or whatever the job titles may be.&quot; - HL7 Version 3 (ParticipationType->secondary performer)</body>
        </ownedComment>
        <generalization xmi:id="_9PrxsNXhEeGG7JUIKyvuAg" general="_420A62FD03B6418CF92600E1"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Package" xmi:id="_SH75INNUEeGRnPi2MLPE0g" name="CommonProduct">
        <eAnnotations xmi:id="_SH9uUNNUEeGRnPi2MLPE0g" source="uml2.diagrams"/>
        <ownedComment xmi:id="_kEvs4NNoEeGRnPi2MLPE0g" annotatedElement="_9SrG0M_2Ed-YeMSrwW6svA">
          <body>RxNorm, CVX, or NDF-RT</body>
        </ownedComment>
        <ownedComment xmi:id="_Y_ZToNNpEeGRnPi2MLPE0g" annotatedElement="_dF5SQKEREeGnfe88WF3uxw _aOUBIKEREeGnfe88WF3uxw">
          <body>XOR</body>
        </ownedComment>
        <ownedComment xmi:id="_eQYFENNpEeGRnPi2MLPE0g" annotatedElement="_oOUB0GRXEeCsvJrE4KlOMA _pUmUcGRXEeCsvJrE4KlOMA">
          <body>XOR</body>
        </ownedComment>
        <ownedComment xmi:id="_FiVSYJxpEeKr3rM97UE05g">
          <body>Note that there can be other kinds of products (i.e., subtypes) besides Medicines and Devices, such as Food Items and Cosmetics, which are not modeled here yet.</body>
        </ownedComment>
        <packagedElement xmi:type="uml:Class" xmi:id="_0j3qsF7wEeCcBvMgXNMeOQ" name="LocallyManufacturedProduct">
          <ownedComment xmi:id="_MquHACw_EeKmqZ4YenSzAg" annotatedElement="_0j3qsF7wEeCcBvMgXNMeOQ">
            <body>A product that was created by a pharmacist or by a clinician by compounding two or more ingredients.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_25WKUGuTEeCZQ_Ui4wPHHw" name="compoundType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
          <ownedAttribute xmi:id="_l5ozAGRjEeCsvJrE4KlOMA" name="dispenseUnitType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
          <ownedAttribute xmi:id="_Kh2igGRjEeCsvJrE4KlOMA" name="doseForm" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
          <ownedAttribute xmi:id="_GJaYEGRiEeCsvJrE4KlOMA" name="preparationTime" visibility="public" type="_420A62FD03B64239FAA800D9"/>
          <ownedAttribute xmi:id="_LgYpwF7xEeCcBvMgXNMeOQ" name="additive" visibility="public" type="_-zRd8F7wEeCcBvMgXNMeOQ" association="_LgXboF7xEeCcBvMgXNMeOQ">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LgZQ0F7xEeCcBvMgXNMeOQ" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LgZQ0V7xEeCcBvMgXNMeOQ" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_K8QB8F7xEeCcBvMgXNMeOQ" name="vehicle" visibility="public" type="_Af_ecF7xEeCcBvMgXNMeOQ" association="_K8Oz0F7xEeCcBvMgXNMeOQ">
            <ownedComment xmi:id="_t-cbcNEvEeG6d5ozG3gSdw" annotatedElement="_K8QB8F7xEeCcBvMgXNMeOQ">
              <body>&quot;Defines the volume measurement in which the drug strength concentration is contained.  For example, Acetaminophen 120 MG/5ML Elixir means that 120 MG of the drug is in a solution with a volume of 5 ML.&quot; - HL7 Version 2.8, RXO-25.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_K8QB8V7xEeCcBvMgXNMeOQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_K8QpAF7xEeCcBvMgXNMeOQ" value="*"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_ddsuwM_1Ed-YeMSrwW6svA" name="Product">
          <ownedComment xmi:id="_1_zX0O6PEd-crcWiXVDZrQ" annotatedElement="_ddsuwM_1Ed-YeMSrwW6svA">
            <body>&quot;The product, e.g., a medicine or device or food item, that is the primary unit which is manufactured and the object of an intended administration.  It represents an entity, either in its real or actual form as something made, or described specifically, or more conceptually, generically, or &quot;virtually&quot;.&#xD;
A product must be distinguished from one that is just packaging.  Examples for products are tablet, capsule, solution for injection, powder, and device.  Conversely, vial, bottle, pouch, and carton are containers, which though sometimes necessary for handling of the product, are not themselves administered, but emptied into some other container, or used with an injection or inhalation device.  Even though a capsule can be considered a container holding granules, a capsule is still considered primary Product not PackagedProduct, because the capsule is the unit normally intended for administration, and so the capsule is the Product.  In this way, a solution packaged in an administration unit, such as a dragee or a prefilled syringe may be considered primary Product rather than PackagedProduct, if it is intended to be applied completely as one unit, and not subdivided.  This requires that the ingredients of such products are specified as a total amount per complete application rather than as a concentration.&#xD;
Examples for devices are chest tube, wound dressing, dental chair, and ventilator machine.  Devices are any kind of product  used for medical purposes or in conjunction with medical services, including, but not limited to, direct use for  therapeutic purposes (e.g., orthopedic screw), diagnostic purposes (e.g. EKG machine), usage as applicator devices for the administration of medicines (e.g., syringes), or as tools (e.g., dental chair).  [Note, while it may seem unusual to classify a wound dressing as a device, this is the practice in the regulatory context, in other contexts, these items are sometimes called &quot;supplies&quot;].&#xD;
A kit is a product that contains multiple parts administered together or used together in some intricate way.  Some of the parts of a kit may be medicinal substances (medicines), and others may be devices, e.g., applicator devices.  Kits are described as a primary product of form code meaning &quot;kit&quot; with parts.&quot;  - HL7 Version 3 (ManufacturedMaterial->Product).</body>
          </ownedComment>
          <ownedAttribute xmi:id="_kp2MYs_1Ed-YeMSrwW6svA" name="brandName" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_kp2MY8_1Ed-YeMSrwW6svA" annotatedElement="_kp2MYs_1Ed-YeMSrwW6svA">
              <body>“The name of the product kind described.  If this is a specific manufactured (brand) product, this would be the proprietary name.  For general product class descriptions this would be a non-proprietary name.  This attribute may sometimes be used instead of a code and descriptive data elements when no suitable coding system is available.  The data type for the name allows for suffixes and also other name parts, which might hold proprietary dose form (e.g., &quot;capsil&quot;, &quot;discus&quot;, &quot;injection system&quot;) or other name parts which may be required for recognition of the product among health professionals.  Note that these name parts are never to be used instead of proper descriptive data elements (formCode, ingredients and their quantities, etc.).” - HL7 Version 3 (ManufacturedMaterial.name).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ca2GwO6REd-crcWiXVDZrQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ca2Gwe6REd-crcWiXVDZrQ" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_BsxwEM_2Ed-YeMSrwW6svA" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_8Z008O6PEd-crcWiXVDZrQ" annotatedElement="_BsxwEM_2Ed-YeMSrwW6svA">
              <body>“The code given to this kind of product, i.e., NDC code to medicines in the U.S., EAN or UPC codes to food items or devices.  A code given to a device may also be known as &quot;unique device identifier&quot;.  Unlike a device instance identifier, however, this is a code for the specific kind of device analogously to the NDC code or UPC code that is a code of a manufactured kind of product respectively.  The words &quot;product code&quot; &quot;unique device identifiers&quot; may have certain specific connotations in different regulatory contexts, to side-step such unwanted connotations, one may call this code the &quot;Item Code&quot;, for it is the code for the item (product, medicine, thing, or class thereof) that is so described.” - HL7 Version 3 (ManufacturedMaterial.code).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BsxwFM_2Ed-YeMSrwW6svA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BsxwE8_2Ed-YeMSrwW6svA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_kp2MYM_1Ed-YeMSrwW6svA" name="description" visibility="public">
            <ownedComment xmi:id="_kp2MYc_1Ed-YeMSrwW6svA" annotatedElement="_kp2MYM_1Ed-YeMSrwW6svA">
              <body>“A text description of the product….  The description attribute is mainly to be used for brief descriptions which users of product catalogs can use to quickly distinguish this product from other similar products in a list of products.” - HL7 Version 3 (ManufacturedMaterial.desc).</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_EWFUoM_2Ed-YeMSrwW6svA" name="formCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_EWFUoc_2Ed-YeMSrwW6svA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
            <ownedComment xmi:id="_guwaYM_2Ed-YeMSrwW6svA" annotatedElement="_EWFUoM_2Ed-YeMSrwW6svA">
              <body>“The principle form of a product, such as dosage form of a medicine.  Values may be drawn from the MaterialForm HL7 vocabulary table or from other external code value sources.  Notice the difference between an (Administered) Medicine and a PackagedMedicine.  Both have formCodes.  A box or vial is usually not a medicine Product.formCode but a PackageProduct.formCode, unless the entire box or the entire vial is meant for direct administration as a single unit.  In principle, the formCode is a very coarsely-grained (high level) product class that focuses on physical appearance.  At the top, it usually distinguishes between physical state of matter (solid, liquid, gaseous), and, because solids may be amorphous (e.g., powders), would allow distinguishing solid shaped from amorphous masses.  The former can be individually handled and counted, whereas the latter (amorphous masses) can only be measured and require primary containers for handling.  Thus the formCode has implications for how the product is quantified (counted vs. measured) and whether a primary container (e.g., vial) may be expected.” - HL7 Version 3 (ManufacturedMaterial.formCode).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EWFUo8_2Ed-YeMSrwW6svA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EWFUos_2Ed-YeMSrwW6svA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_EZpmAM_2Ed-YeMSrwW6svA" name="handlingCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_EZpmAc_2Ed-YeMSrwW6svA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
            <ownedComment xmi:id="_chUwoM_2Ed-YeMSrwW6svA" annotatedElement="_EZpmAM_2Ed-YeMSrwW6svA">
              <body>“An indicator of special handling requirements for the product, e.g., keep at room temperature, store upright.” - HL7 Version 3 (ManufacturedMaterial.handlingCode).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EZpmA8_2Ed-YeMSrwW6svA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EZpmAs_2Ed-YeMSrwW6svA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_EUJa8M_2Ed-YeMSrwW6svA" name="riskCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_EUJa8c_2Ed-YeMSrwW6svA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
            <ownedComment xmi:id="_PEEhUM_2Ed-YeMSrwW6svA" annotatedElement="_EUJa8M_2Ed-YeMSrwW6svA">
              <body>“Indicates a type of hazard or threat associated with the product.” - HL7 Version 3 (ManufacturedMaterial.riskCode).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EUJa88_2Ed-YeMSrwW6svA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EUJa8s_2Ed-YeMSrwW6svA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_aLY-kM_3Ed-YeMSrwW6svA" name="shelfLife" visibility="public" type="_420A62FD03B64239FAA800D9">
            <ownedComment xmi:id="_2nX4sO6QEd-crcWiXVDZrQ" annotatedElement="_aLY-kM_3Ed-YeMSrwW6svA">
              <body>“The amount of time after date of manufacture that the manufacturer no longer ensures the safety, quality, and/or proper functioning of the material.  Only the interval width is valued.” - HL7 Version 3 (ManufacturedMaterial.expirationTime).</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_tTX8gPQcEd-ZkqyOlLYO5g" name="equivalentTo" visibility="public" type="_ql3uEPQUEd-ZkqyOlLYO5g" association="_tTU5MPQcEd-ZkqyOlLYO5g">
            <ownedComment xmi:id="_5Ed5gPbSEeGoRqAZLJ6Mwg" annotatedElement="_tTX8gPQcEd-ZkqyOlLYO5g">
              <body>“A code specifying in what way the equivalent entity (player) is considered equivalent to its reference entity (scoper). This is used to reference materials submitted from another source (e.g., repackagers, OTC, etc.)  Examples: No known or suspected bioequivalence problems; Potential bioequivalence problems have been resolved with evidence supporting bioequivalence; Bioequivalence problems have not been fully resolved.” – HL7 Version 3 (Role.code).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tTZxsPQcEd-ZkqyOlLYO5g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tTZxsfQcEd-ZkqyOlLYO5g" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_QcrMEPQeEd-ZkqyOlLYO5g" name="specializationOf" visibility="public" type="_ql3uEPQUEd-ZkqyOlLYO5g" association="_Qcov0PQeEd-ZkqyOlLYO5g">
            <ownedComment xmi:id="_Oc5PoPbTEeGoRqAZLJ6Mwg" annotatedElement="_QcrMEPQeEd-ZkqyOlLYO5g">
              <body>“May specify a certain use of the generalization relationship.  Since things may be classified in various ways, this code may be used to allow systems with limited understanding of the classes to show the classes in distinguished slots (e.g., product by effect, by mechanism of action, by chemical nature, etc.) Note that this code cannot influence the simple interpretation of the relationship as an &quot;is-a&quot; relationship, i.e., the specialized kind role should not be used to indicate classes that may sometimes hold but not all the time, or that only hold under specific considerations.  The latter might be an example of a similarity relationship, for which the &quot;equivalent entity&quot; role should be used instead.” – HL7 Version 3 (Role.code).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QcrzIPQeEd-ZkqyOlLYO5g"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QcsaMPQeEd-ZkqyOlLYO5g" value="*"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_oDnb8AF2EeC0SO5AWIN0Qg" name="MedicinalProduct">
          <generalization xmi:id="_rTtYgDlBEeCOabXzDmEF2w" general="_ddsuwM_1Ed-YeMSrwW6svA"/>
          <ownedAttribute xmi:id="_420A62FD03B64592CBFB02A3" name="auxilliaryLabel" visibility="public">
            <ownedComment xmi:id="_NdgPS-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592CBFB02A3">
              <body>Contains remarks to personnel handling the medication.  Examples include: Do not freeze, Keep refrigerated, Do not use after [a certain] date, Do not take if pregnant.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UIjLcDh7EeC17O99ZX8o-w"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UIjLcTh7EeC17O99ZX8o-w" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B6424083C50135" name="controlledSubstanceSchedule" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_MDM0eeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
            <ownedComment xmi:id="_MDM0d-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6424083C50135">
              <body>A code that represents the special regulations of a drug based upon its degree of potential abuse and level of federal control as specified by the Drug Enforcement Administration (DEA) in accordance with the Controlled Substance Act. This attribute should contain a number between 1 and 5, with 1 representing the most controlled drugs (illegal drugs) and 5 representing the least controlled drugs.  In addition a value of 0 is valid for drugs having no schedule.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ettWY-LjEdutr_MT9HkPyQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ettWZOLjEdutr_MT9HkPyQ" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B6430CEF2C0176" name="investigationalNewDrugId" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_MDWlduLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
            <ownedComment xmi:id="_MDWldOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6430CEF2C0176">
              <body>The unique identifier for the manufacturer's investigational new drug.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_et3HUeLjEdutr_MT9HkPyQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_et3HUuLjEdutr_MT9HkPyQ" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B6457470690094" name="isOverTheCounter" visibility="public">
            <eAnnotations xmi:id="_MDWle-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
            <ownedComment xmi:id="_MDWleeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6457470690094">
              <body>Indicates whether this medication is sold over the counter.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_et3HU-LjEdutr_MT9HkPyQ" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_et3HVOLjEdutr_MT9HkPyQ" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B6430CEF38017D" name="newDrugApplicationId" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_MDpgYeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
            <ownedComment xmi:id="_MDgWfOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6430CEF38017D">
              <body>The unique identifier for the manufacturer's new drug application for this medicine.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_et3HWeLjEdutr_MT9HkPyQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_et3HWuLjEdutr_MT9HkPyQ" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_gjVYEc_3Ed-YeMSrwW6svA" name="genericMedicine" visibility="public" type="_9SrG0M_2Ed-YeMSrwW6svA" association="_gjVYEM_3Ed-YeMSrwW6svA">
            <ownedComment xmi:id="_XYWQ4O6QEd-crcWiXVDZrQ" annotatedElement="_gjVYEc_3Ed-YeMSrwW6svA">
              <body>&quot;The non-proprietary, generic substance as which the same medicines is known in the literature independent of a specific  manufacturer.&quot; - HL7 V3</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gjeiAM_3Ed-YeMSrwW6svA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gjeiAc_3Ed-YeMSrwW6svA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_fQ2XoNrbEd-fKY5dgJoxiA" name="ingredient" visibility="public" type="_jToVcM_3Ed-YeMSrwW6svA" association="_fQz7YNrbEd-fKY5dgJoxiA">
            <ownedComment xmi:id="_XDzu0O6REd-crcWiXVDZrQ" annotatedElement="_fQ2XoNrbEd-fKY5dgJoxiA">
              <body>&quot;Relates a product (typically a medicine) to a substance which it contains as an ingredient.&quot; - HL7 Version 3.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fQ3lwNrbEd-fKY5dgJoxiA" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fQ3lwdrbEd-fKY5dgJoxiA" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_kq7w4DlFEeCOabXzDmEF2w" name="drugClass" visibility="public" type="_420A62FD03B645919EF10138" association="_kq57sDlFEeCOabXzDmEF2w">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kq8_ADlFEeCOabXzDmEF2w"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kq8_ATlFEeCOabXzDmEF2w" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_1SfIMVAeEeCNoo8JCSlflA" name="packagedMedicinalProduct" visibility="public" type="_NlR-MM_tEd-YeMSrwW6svA" association="_1SfIMFAeEeCNoo8JCSlflA">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1SfIMlAeEeCNoo8JCSlflA" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1SfIM1AeEeCNoo8JCSlflA" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64592E9E3037C" name="MedicinalProductInstance">
          <eAnnotations xmi:id="_NejYMOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NeZnKuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592E9E3037C">
            <body>This class contains information about the actual drug produced, dispensed, or administered.&#xD;
&#xD;
&quot;A product instance is (a) an individual product instance, i.e., an individually identified thing with a serial number; (b) a product lot, i.e., a set of things of the same kind (e.g., 1000 for expressing a number of tablets) or an  amorphous mass (e.g., 100 L of a liquid raw material), or  (c) any subset, member, or portion of a product lot. The  distinction between an individual thing and a lot is made in the quantity attribute, which is set to 1 (one) for  individual items, or any number e.g., 1000 or amount 100 L for sets of things or amorphous masses respectively.&quot; - HL7 Version 3.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_QvxZYO6bEd-crcWiXVDZrQ" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
            <ownedComment xmi:id="_kNwcEO6bEd-crcWiXVDZrQ" annotatedElement="_QvxZYO6bEd-crcWiXVDZrQ">
              <body>&quot;A unique identifier for this instance. If the product instance represents a single individual product (quantity = 1) then this id is also called the &quot;serial number&quot;.  If the product instance represents a product lot, the id is also called the &quot;lot number&quot;.&quot; - HL7 V3</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XqFkADumEeCQ7Mi7IS1BrQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XqGLEDumEeCQ7Mi7IS1BrQ" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_7ClXIDh7EeC17O99ZX8o-w" name="storageCondition" visibility="public">
            <ownedComment xmi:id="_HfZzsPbAEeGoRqAZLJ6Mwg" annotatedElement="_7ClXIDh7EeC17O99ZX8o-w">
              <body>Describes the conditions under which the product was stored (e.g., temperature, humidity).  This property is currently a string, but will likely be replaced by a structured class in the future.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TG8IADh8EeC17O99ZX8o-w"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TG8IATh8EeC17O99ZX8o-w" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B64592E95A01B1" name="unitPrice" visibility="public" type="_420A62FD03B641886F630160">
            <ownedComment xmi:id="_NeZnLeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592E95A01B1">
              <body>This is the price of the medication per dispense unit.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VJ5roPVBEdyqkvQ4FycnSQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VJ5rofVBEdyqkvQ4FycnSQ" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_MrYJ4GRaEeCsvJrE4KlOMA" name="drugPricing" visibility="public" type="_Lc8A0GRaEeCsvJrE4KlOMA" association="_MrVGkGRaEeCsvJrE4KlOMA">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MrYJ4WRaEeCsvJrE4KlOMA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MrYJ4mRaEeCsvJrE4KlOMA" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_0UVNAac1EeCkJ6Eur_P0ag" name="manufacturingLot" visibility="public" type="_2iS00FPwEeC3dvg3Ss2k0Q" association="_0UVNAKc1EeCkJ6Eur_P0ag">
            <ownedComment xmi:id="_XNc4ADNoEeKkw_YjK6aRcw" annotatedElement="_0UVNAac1EeCkJ6Eur_P0ag">
              <body>Identifies a batch of material or products that were manufactured over a defined time period.  Identifies the batch or lot in which the medicinal product was manufactured.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0UYQUKc1EeCkJ6Eur_P0ag"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0UYQUac1EeCkJ6Eur_P0ag" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_8_X7Y1AeEeCNoo8JCSlflA" name="packagedMedicinalProduct" visibility="public" type="_NlR-MM_tEd-YeMSrwW6svA" association="_8_OKYFAeEeCNoo8JCSlflA">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8_X7ZFAeEeCNoo8JCSlflA" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8_X7ZVAeEeCNoo8JCSlflA" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6425C11CB017B" name="NuclearMedicine">
          <eAnnotations xmi:id="_Naq9teLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_Nahz0OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6425C11CB017B">
            <body>A radiopharmaceutical used in the diagnosis, management, and treatment of disease.</body>
          </ownedComment>
          <generalization xmi:id="_YvlMsDO0EeCBme_1raFDzg" general="_420A62FD03B64592E9E3037C"/>
          <ownedAttribute xmi:id="_420A62FD03B6425C125E02EF" name="activity" visibility="public" type="_420A62FD03B641886F630221">
            <ownedComment xmi:id="_Naq9s-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6425C125E02EF">
              <body>The measured quantity of the radioactivity of the radiopharmaceutical used.</body>
            </ownedComment>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6426545CB0072" name="OrderablePharmacyItem">
          <eAnnotations xmi:id="_NIyjiOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NIyjguLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6426545CB0072">
            <body>&quot;This field identifies the treatment product or treatment ordered to be given to the patient; it is analogous to OBR-4-universal service ID in function. Examples of treatments products include medications and certain devices or supplies, e.g., inhaler spacers, blood glucose monitors, syringes, infusion sets, which might require prescription.&quot; - HL7 Version 2.8, RXO-1</body>
          </ownedComment>
          <ownedAttribute xmi:id="_JoESsVx_EeCsbYJDFyCu_A" name="product" visibility="public" type="_ddsuwM_1Ed-YeMSrwW6svA" association="_JoESsFx_EeCsbYJDFyCu_A">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JoESslx_EeCsbYJDFyCu_A" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JoESs1x_EeCsbYJDFyCu_A" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_NlR-MM_tEd-YeMSrwW6svA" name="PackagedMedicinalProduct">
          <ownedComment xmi:id="_IVY9IO6SEd-crcWiXVDZrQ" annotatedElement="_NlR-MM_tEd-YeMSrwW6svA">
            <body>&quot;A product in a container, or package. Represents the entirety of a product that has been packaged in a container for sale  or supply; this representation of the Packaged Medicine may be in its real or actual form as something made, or described  more conceptually, generically, or virtually, but it must represent a product contained in a package.&quot; - HL7 V3</body>
          </ownedComment>
          <ownedAttribute xmi:id="_frGpMM_vEd-YeMSrwW6svA" name="capType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_2tYS4Pa9EeGoRqAZLJ6Mwg" annotatedElement="_frGpMM_vEd-YeMSrwW6svA">
              <body>“The type of container cap.  In some cases, it is important for this to be consistent with decapping, piercing or other automated manipulation.  Notions such as &quot;child-proof cap&quot; or &quot;resealable bag&quot; may also be indicated here.” - HL7 Version 3 (PackagedProduct.capTypeCode).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OKaBIPKkEeG3H88UD2nPJw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OKcdYPKkEeG3H88UD2nPJw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_fhhUAGRbEeCsvJrE4KlOMA" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_06Be4Pa9EeGoRqAZLJ6Mwg" annotatedElement="_fhhUAGRbEeCsvJrE4KlOMA">
              <body>This property is used to identify the packaged product (or “sale-able item”), using any coding system except the National Drug Code (NDC), as we have created a separate property for NDC.  HL7 and NCPDP both have a single property (which could be multi-valued) to hold any and all such codes in one place, but in the FHIM, we identify the NDC separately due to its importance in federal implementations.&#xD;
&#xD;
“The item code for a packaged product (e.g., complete National Drug Code [NDC] in the U.S.)” - HL7 Version 3 (PackagedProduct.code).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jcnQkGRbEeCsvJrE4KlOMA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jcnQkWRbEeCsvJrE4KlOMA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_3t60UGRgEeCsvJrE4KlOMA" name="codeModifier" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_zKT0wPa9EeGoRqAZLJ6Mwg" annotatedElement="_3t60UGRgEeCsvJrE4KlOMA">
              <body>This property is used to further identify the packaged product (or “sale-able item”), when the coding system used in the “code” property uses separate code modifiers.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Tb-20GRhEeCsvJrE4KlOMA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Tb-20WRhEeCsvJrE4KlOMA" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_W52ZgM_wEd-YeMSrwW6svA" name="description" visibility="public">
            <ownedComment xmi:id="_xiilsPa9EeGoRqAZLJ6Mwg" annotatedElement="_W52ZgM_wEd-YeMSrwW6svA">
              <body>“A text description of the packaged product.  This may include a discussion of the container.” - HL7 Version 3 (PackagedProduct.desc).</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_9MH3EM_vEd-YeMSrwW6svA" name="name" visibility="public">
            <ownedComment xmi:id="_vp0wkPa9EeGoRqAZLJ6Mwg" annotatedElement="_9MH3EM_vEd-YeMSrwW6svA">
              <body>“A name for the packaged product, usually the same as the name of the product (except where the name contains some reference to the packaging (e.g., &quot;tempo super-pack&quot;, &quot;tic-tac easy-box&quot;)).” - HL7 Version 3 (PackagedProduct.name).</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_6zyTkEwHEdyVYrcEhQ5TbQ" name="nationalDrugCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_6zyTkUwHEdyVYrcEhQ5TbQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
            <ownedComment xmi:id="_6zyTkkwHEdyVYrcEhQ5TbQ" annotatedElement="_6zyTkEwHEdyVYrcEhQ5TbQ">
              <body>&quot;Each drug product listed under Section 510 of the Federal Food, Drug, and Cosmetic Act is assigned a unique 10-digit, 3-segment number. This number, known as the National Drug Code (NDC), identifies the labeler/vendor, product, and trade package size.&quot; - FDA.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6zyTlEwHEdyVYrcEhQ5TbQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6zyTk0wHEdyVYrcEhQ5TbQ" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_rHleIM_wEd-YeMSrwW6svA" name="packageCapacity" visibility="public" type="_420A62FD03B641886F630221">
            <ownedComment xmi:id="_t26BcPa9EeGoRqAZLJ6Mwg" annotatedElement="_rHleIM_wEd-YeMSrwW6svA">
              <body>&quot;Contains the size of package to be dispensed.&quot; - HL7 Version 2.8, RXD-22.&#xD;
&quot;Contains the units in which [packageCapacity] is denominated.  The advertised number of units in the manufacturer's package, i.e., the package as it comes from the supplier.&quot; - HL7 Version 2.8, RXD-23.&#xD;
“Captures the number of product units the package would contain if fully loaded.” - HL7 Version 3 (PackagedProduct.capacityQuantity).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QcZ48PKkEeG3H88UD2nPJw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QcagAPKkEeG3H88UD2nPJw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_AAUu8M_uEd-YeMSrwW6svA" name="packageType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_cRlvsM_vEd-YeMSrwW6svA" annotatedElement="_AAUu8M_uEd-YeMSrwW6svA">
              <body>“The package type, such as &quot;box&quot; or &quot;bottle&quot;.” - HL7 Version 3 (PackagedProduct.formCode).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RK-PIPKkEeG3H88UD2nPJw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RK-PIfKkEeG3H88UD2nPJw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_QQ5xkXpnEd-44ra0dfiJCw" name="manufacturer" visibility="public" type="_420A62FD03B6419905DB00FB" association="_QQ5xkHpnEd-44ra0dfiJCw">
            <ownedComment xmi:id="_RoYGINOSEeGputPQx0HXoA" annotatedElement="_QQ5xkXpnEd-44ra0dfiJCw">
              <body>&quot;Contains the manufacturer of the medical substance administered when it is a manufactured substance.&quot; - HL7 Version 2.8, RXD-20.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QQ5xknpnEd-44ra0dfiJCw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QQ5xk3pnEd-44ra0dfiJCw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_1SfINFAeEeCNoo8JCSlflA" name="medicinalProduct" visibility="public" type="_oDnb8AF2EeC0SO5AWIN0Qg" association="_1SfIMFAeEeCNoo8JCSlflA">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1SfINVAeEeCNoo8JCSlflA" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1SfINlAeEeCNoo8JCSlflA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_8_X7YFAeEeCNoo8JCSlflA" name="productInstance" visibility="public" type="_420A62FD03B64592E9E3037C" association="_8_OKYFAeEeCNoo8JCSlflA">
            <ownedComment xmi:id="_GLwcUCw7EeKmqZ4YenSzAg" annotatedElement="_8_X7YFAeEeCNoo8JCSlflA">
              <body>Represents instances of a Packaged Medicinal Product, which will be identified by a serial number or a lot number.&#xD;
&#xD;
&quot;A product instance is (a) an individual product instance, i.e., an individually identified thing with a serial number; (b) a product lot, i.e., a set of things of the same kind (e.g., 1000 for expressing a number of tablets) or an  amorphous mass (e.g., 100 L of a liquid raw material), or  (c) any subset, member, or portion of a product lot. The  distinction between an individual thing and a lot is made in the quantity attribute, which is set to 1 (one) for  individual items, or any number e.g., 1000 or amount 100 L for sets of things or amorphous masses respectively.&quot; - HL7 Version 3.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8_X7YVAeEeCNoo8JCSlflA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8_X7YlAeEeCNoo8JCSlflA" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_dDAAsIAfEeGE1-mzJa42fw" name="labeler" visibility="public" type="_XteGcIAfEeGE1-mzJa42fw" association="_dC7IMIAfEeGE1-mzJa42fw">
            <ownedComment xmi:id="_w6z8IDNqEeKkw_YjK6aRcw" annotatedElement="_dDAAsIAfEeGE1-mzJa42fw">
              <body>Pointer to an organization that repackages medicinal products for sale.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dDBO0IAfEeGE1-mzJa42fw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dDB14IAfEeGE1-mzJa42fw" value="*"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_Nhp3UPQcEd-ZkqyOlLYO5g" name="ProductActivation">
          <ownedComment xmi:id="_YW1RIPQcEd-ZkqyOlLYO5g" annotatedElement="_Nhp3UPQcEd-ZkqyOlLYO5g">
            <body>Placeholder for some act that causes the &quot;countdown&quot; to start where a product must be used within a certain time (e.g., use  within 30 days of opening the package).</body>
          </ownedComment>
          <ownedAttribute xmi:id="_FNpwEDOyEeCBme_1raFDzg" name="dateActivated" visibility="public" type="_420A62FD03B64244824602F5"/>
          <ownedAttribute xmi:id="_fuzNcQFzEeC0SO5AWIN0Qg" name="productInstance" visibility="public" type="_420A62FD03B64592E9E3037C" association="_fuzNcAFzEeC0SO5AWIN0Qg">
            <ownedComment xmi:id="_-rqH8Cw6EeKmqZ4YenSzAg" annotatedElement="_fuzNcQFzEeC0SO5AWIN0Qg">
              <body>Identifies the medicinal product that was activated.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fuzNcgFzEeC0SO5AWIN0Qg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fuzNcwFzEeC0SO5AWIN0Qg" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_Af_ecF7xEeCcBvMgXNMeOQ" name="Vehicle">
          <ownedComment xmi:id="_s_JhoNEvEeG6d5ozG3gSdw" annotatedElement="_Af_ecF7xEeCcBvMgXNMeOQ">
            <body>&quot;Defines the volume measurement in which the drug strength concentration is contained.  For example, Acetaminophen 120 MG/5ML Elixir means that 120 MG of the drug is in a solution with a volume of 5 ML.&quot; - HL7 Version 2.8, RXO-25.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_fQ4_0F7xEeCcBvMgXNMeOQ" name="volume" visibility="public" type="_420A62FD03B641886F630221">
            <ownedComment xmi:id="_sZdaoNEvEeG6d5ozG3gSdw" annotatedElement="_fQ4_0F7xEeCcBvMgXNMeOQ">
              <body>&quot;Defines the volume measurement in which the drug strength concentration is contained. For example, Acetaminophen 120 MG/5ML Elixir means that 120 MG of the drug is in a solution with a volume of 5 ML.&quot; - HL7 Version 2.8, RXO-25.&#xD;
&quot;Indicates the volumetric unit associated with [Drug Strength Volume].&quot; - HL7 Version 2.8, RXO-26.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_FHHakF7xEeCcBvMgXNMeOQ" name="productInstance" visibility="public" type="_420A62FD03B64592E9E3037C" association="_FHGMcF7xEeCcBvMgXNMeOQ">
            <ownedComment xmi:id="_pGlc8Cw6EeKmqZ4YenSzAg" annotatedElement="_FHHakF7xEeCcBvMgXNMeOQ">
              <body>Identifies the medicinal product used as a vehicle in a locally manufactured product.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FHHakV7xEeCcBvMgXNMeOQ" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FHIBoF7xEeCcBvMgXNMeOQ" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_-zRd8F7wEeCcBvMgXNMeOQ" name="Additive">
          <ownedAttribute xmi:id="_ENS2oF7xEeCcBvMgXNMeOQ" name="productInstance" visibility="public" type="_420A62FD03B64592E9E3037C" association="_ENRogF7xEeCcBvMgXNMeOQ">
            <ownedComment xmi:id="_qmnsUCw6EeKmqZ4YenSzAg" annotatedElement="_ENS2oF7xEeCcBvMgXNMeOQ">
              <body>Identifies the medicinal product used as a additive in a locally manufactured product.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ENTdsF7xEeCcBvMgXNMeOQ" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ENTdsV7xEeCcBvMgXNMeOQ" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_nrvsQF7xEeCcBvMgXNMeOQ" name="amount" visibility="public" type="_420A62FD03B641886F630221"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_OaEXAKEREeGnfe88WF3uxw" name="AdministeredDrug">
          <ownedComment xmi:id="_pHGBwLyFEeGK2djLWlLFew" annotatedElement="_OaEXAKEREeGnfe88WF3uxw">
            <body>&quot;Contains the identifier of the medical substance/treatment administered....  If the substance administered is a vaccine, CVX codes may be used to code this field....&quot; - HL7 Version 2.8, RXA-5&#xD;
“A role for the product when merely refered to as one that might be administered.  This is the role through which the product model would be entered for electronic prescribing.” – HL7 Version 3 (Role->AdministerableMaterial).</body>
          </ownedComment>
          <ownedAttribute xmi:id="_wM_fAL2ZEeG_PZtvUC92nw" name="administeredBarcodeId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
            <ownedComment xmi:id="_5uIeEL2ZEeG_PZtvUC92nw" annotatedElement="_wM_fAL2ZEeG_PZtvUC92nw">
              <body>&quot;This field contains the pharmacy system's assigned barcode number for the give occurrence.  For IV orders, many pharmacy systems generate a barcode number to identify a specific bag/bottle of the order. This number can be an instance identifier; unique for the patient, drug combination, and schedule instance or it may be just a drug identifier.&quot; - HL7 Version 2.8, RXA-25</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KYeNEL2dEeG_PZtvUC92nw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KYe0IL2dEeG_PZtvUC92nw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_F4VpwL2dEeG_PZtvUC92nw" name="administrationTagId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
            <ownedComment xmi:id="_SUCVcL2dEeG_PZtvUC92nw" annotatedElement="_F4VpwL2dEeG_PZtvUC92nw">
              <body>&quot;Contains an identifier for the individual product instance for the dispense occurrence.  This may represent a barcode, RFID or other means of automatically-readable product instance.  Repetitions represent the same instance where more than one barcode, RFID or other identification is present.&quot; - HL7 Version 2.8, RXA-29</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JzjiIL2dEeG_PZtvUC92nw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JzkJML2dEeG_PZtvUC92nw" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_aOXrgKEREeGnfe88WF3uxw" name="productInstance" visibility="public" type="_420A62FD03B64592E9E3037C" association="_aOUBIKEREeGnfe88WF3uxw">
            <ownedComment xmi:id="_8jdFUCw6EeKmqZ4YenSzAg" annotatedElement="_aOXrgKEREeGnfe88WF3uxw">
              <body>Identifies the medicinal product administered.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_aOY5oKEREeGnfe88WF3uxw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_aOY5oaEREeGnfe88WF3uxw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_dF9jsKEREeGnfe88WF3uxw" name="pharmacyManufacturedProduct" visibility="public" type="_0j3qsF7wEeCcBvMgXNMeOQ" association="_dF5SQKEREeGnfe88WF3uxw">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dF-x0KEREeGnfe88WF3uxw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dF-x0aEREeGnfe88WF3uxw" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6425C004E004C" name="Device">
          <eAnnotations xmi:id="_L-4VJeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_yYUYQBHEEeCBuOUrBnIXmQ" annotatedElement="_420A62FD03B6425C004E004C">
            <body>&quot;A contrivance or an invention serving a particular purpose, especially a machine used to perform one or more relatively simple tasks.&quot; (The American Heritage Stedman's Medical Dictionary).   &quot;A ManufacturedMaterial used in an activity without being substantially changed through that activity.&quot; - HL7 V3</body>
          </ownedComment>
          <generalization xmi:id="_qYoq4OrLEeCgerddwRbJUw" general="_ddsuwM_1Ed-YeMSrwW6svA"/>
          <ownedAttribute xmi:id="_Z9aEEBFvEeKu1LfuaJwFHw" name="cataloglId" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_Z9aEEhFvEeKu1LfuaJwFHw" annotatedElement="_Z9aEEBFvEeKu1LfuaJwFHw">
              <body>Identifies the kind of the product, as assigned by a distributor or other organization responsible for ordering and supplying of equipment.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Z9aEFBFvEeKu1LfuaJwFHw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Z9aEExFvEeKu1LfuaJwFHw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_mGRZMKMZEeOzLfgeAZKSFA" name="commonDeviceName" visibility="public">
            <ownedComment xmi:id="_G39toKMaEeOzLfgeAZKSFA" annotatedElement="_mGRZMKMZEeOzLfgeAZKSFA">
              <body>A generic name for the device, as opposed to a brand name specific to a particular manufacturer's product.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_yXtVoKMZEeOzLfgeAZKSFA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_yXujwKMZEeOzLfgeAZKSFA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B6425C00A30062" name="modelId" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_4cLYIBHEEeCBuOUrBnIXmQ" annotatedElement="_420A62FD03B6425C00A30062">
              <body>Identifies the kind of the product, as assigned by the manufacturer.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_etkMceLjEdutr_MT9HkPyQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_etkMcuLjEdutr_MT9HkPyQ" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B646116A080288" name="modelName" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_L-vLN-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
            <ownedComment xmi:id="_3jf8wPGQEd-ZlYn0p4HjQw" annotatedElement="_420A62FD03B646116A080288">
              <body>&quot;The human designated moniker for a device, assigned by the manufacturer&quot; - HL7 V3</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_etkMc-LjEdutr_MT9HkPyQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_etkMdOLjEdutr_MT9HkPyQ" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_sY7OcPbnEeGoRqAZLJ6Mwg" name="name" visibility="public">
            <ownedComment xmi:id="_sY7OcfbnEeGoRqAZLJ6Mwg" annotatedElement="_sY7OcPbnEeGoRqAZLJ6Mwg">
              <body>“The name of the product kind described.  If this is a specific manufactured (brand) product, this would be the proprietary name.  For general product class descriptions this would be a non-proprietary name.  This attribute may sometimes be used instead of a code and descriptive data elements when no suitable coding system is available.  The data type for the name allows for suffixes and also other name parts, which might hold proprietary dose form (e.g., &quot;capsil&quot;, &quot;discus&quot;, &quot;injection system&quot;) or other name parts which may be required for recognition of the product among health professionals.  Note that these name parts are never to be used instead of proper descriptive data elements (formCode, ingredients and their quantities, etc.).” - HL7 Version 3 (ManufacturedMaterial.name).</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sY7Oc_bnEeGoRqAZLJ6Mwg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sY7OcvbnEeGoRqAZLJ6Mwg" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_0KjMQKMZEeOzLfgeAZKSFA" name="procode" visibility="public">
            <ownedComment xmi:id="_I-D3cKMaEeOzLfgeAZKSFA" annotatedElement="_0KjMQKMZEeOzLfgeAZKSFA">
              <body>Short for FDA Product Code, this code is assigned by the FDA to categorize medical devices.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4EKiIKMZEeOzLfgeAZKSFA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ELJMKMZEeOzLfgeAZKSFA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B643FB63BE0318" name="softwareName" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_L-4VI-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
            <ownedComment xmi:id="_L-4VIeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643FB63BE0318">
              <body>&quot;The moniker, version and release of the software that operates the device as assigned by the software manufacturer or  developer.&quot; - HL7 V3</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_etkMdeLjEdutr_MT9HkPyQ"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_etkMduLjEdutr_MT9HkPyQ" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_uT7PwFPxEeC3dvg3Ss2k0Q" name="deviceInstance" visibility="public" type="_MsausFCxEeCsN-3dTKIrUA" association="_uT6BoFPxEeC3dvg3Ss2k0Q">
            <ownedComment xmi:id="_ICc4ADNpEeKkw_YjK6aRcw" annotatedElement="_uT7PwFPxEeC3dvg3Ss2k0Q">
              <body>Identifies an individual device belonging to the class of devices represented by the Device class on the other end of the association.  For example, the Device class might describe a Color LaserJet Model CMJ1312 made by Hewlett Packard.  The DeviceInstance class might describe the machine that has serial number 1234.  Other information about the device instance, such as the cost, date placed into service, date last serviced, etc. may be added to the DeviceInstance class in the future.  For now, we are just interested in the serial number (the Id property).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7Ud1QKMZEeOzLfgeAZKSFA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7UecUKMZEeOzLfgeAZKSFA" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_824gIOrREeCgerddwRbJUw" name="manufacturer" visibility="public" type="_420A62FD03B6419905DB00FB" association="_82uvIOrREeCgerddwRbJUw">
            <ownedComment xmi:id="_TFPFsNOSEeGputPQx0HXoA" annotatedElement="_824gIOrREeCgerddwRbJUw">
              <body>&quot;Contains the manufacturer of the medical substance administered when it is a manufactured substance.&quot; - HL7 Version 2.8, RXD-20.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_824gIerREeCgerddwRbJUw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_824gIurREeCgerddwRbJUw" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_MsausFCxEeCsN-3dTKIrUA" name="DeviceInstance">
          <ownedComment xmi:id="_wrmqcLskEeGZTLDYkoM_Sw" annotatedElement="_MsausFCxEeCsN-3dTKIrUA">
            <body>This class identifies an individual device.  The Id property is commonly known as a serial number.&#xD;
&quot;Identifies the Equipment Instance (e.g., Analyzer, Analyzer module, group of Analyzers, etc.) responsible for the production of the observation....&quot; - HL7 Version 2.8, OBX-18.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_xQ-ZUPGREd-ZlYn0p4HjQw" name="alertLevel" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_3DwQQPGREd-ZlYn0p4HjQw" annotatedElement="_xQ-ZUPGREd-ZlYn0p4HjQw">
              <body>&quot;The current functional status of an automated device.&quot; - HL7 V3. Possible values include: Normal, Warning, Critical, etc.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1R9igPGREd-ZlYn0p4HjQw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1R-JkPGREd-ZlYn0p4HjQw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_QfwLsIeZEeOX_brmw15GsQ" name="dateAcquired" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_arPvUIeZEeOX_brmw15GsQ" annotatedElement="_QfwLsIeZEeOX_brmw15GsQ">
              <body>&quot;Date and time equipment was installed or affixed&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_cMOZ4IeZEeOX_brmw15GsQ" name="dateDisposed" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_cMOZ4YeZEeOX_brmw15GsQ" annotatedElement="_cMOZ4IeZEeOX_brmw15GsQ">
              <body>&quot;Date and time equipment was removed or uninstalled&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5Sy6sPGREd-ZlYn0p4HjQw" name="dateLastCalibrated" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_BovR8PGSEd-ZlYn0p4HjQw" annotatedElement="_5Sy6sPGREd-ZlYn0p4HjQw">
              <body>&quot;The date and time the device was last calibrated.&quot; - HL7 V3</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EMkgoPGSEd-ZlYn0p4HjQw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EMlHsPGSEd-ZlYn0p4HjQw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_oJDGcKc2EeCkJ6Eur_P0ag" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
            <ownedComment xmi:id="_oJDGcac2EeCkJ6Eur_P0ag" annotatedElement="_oJDGcKc2EeCkJ6Eur_P0ag">
              <body>Identifies the individual device.  This may be a Serial Number assigned by the manufacturer, or some other unique identifer assigned by the owning organization (e.g., an asset control number).&#xD;
&quot;A unique identifier for this instance. If the product instance represents a single individual product (quantity = 1) then  this id is also called the &quot;serial number&quot;. If the product instance represents a product lot, the id is also called the  &quot;lot number&quot;.&quot; - HL7 V3</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oJDGc6c2EeCkJ6Eur_P0ag"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oJDGcqc2EeCkJ6Eur_P0ag" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B6425C00B1009E" name="localRemoteControlState" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_L-vLOuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6425C00B1009E">
              <body>&quot;The state of control of the device. A device can either work autonomously or it can be controlled by another system. The  control status of a device must be communicated between devices prior to remote commands being transmitted. If the device  is not in &quot;Remote&quot; status, external commands will be ignored.&quot; - HL7 V3</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_e1wYcPTqEdy4NNd432ztnw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_e1wYcfTqEdy4NNd432ztnw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_uT8d4FPxEeC3dvg3Ss2k0Q" name="device" visibility="public" type="_420A62FD03B6425C004E004C" association="_uT6BoFPxEeC3dvg3Ss2k0Q">
            <ownedComment xmi:id="_EAwuwDNqEeKkw_YjK6aRcw" annotatedElement="_uT8d4FPxEeC3dvg3Ss2k0Q">
              <body>Identifies a class of devices characterized by their manufacturer, model name/number, software version, etc.  This class differs from the Device Instance class on the other end of the association in that this class represents all instances of a kind of device whereas the Device Instance class represents one individual.  For example, the Device class might describe a Color LaserJet Model CMJ1312 made by Hewlett Packard.  The DeviceInstance class might describe the machine that has serial number 1234.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uT8d4VPxEeC3dvg3Ss2k0Q" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uT8d4lPxEeC3dvg3Ss2k0Q" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_wK9C0FPxEeC3dvg3Ss2k0Q" name="manufacturingLot" visibility="public" type="_2iS00FPwEeC3dvg3Ss2k0Q" association="_wK5_gFPxEeC3dvg3Ss2k0Q">
            <ownedComment xmi:id="_U4fy0DNoEeKkw_YjK6aRcw" annotatedElement="_wK9C0FPxEeC3dvg3Ss2k0Q">
              <body>Identifies a batch of material or products that were manufactured over a defined time period.  Identifies the batch or lot in which the device was manufactured.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wK9p4FPxEeC3dvg3Ss2k0Q"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wK-Q8FPxEeC3dvg3Ss2k0Q" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_v-sYYMyxEeO7XY1kXX1jtw" name="reprocessor" visibility="public" type="_rxvPwMyxEeO7XY1kXX1jtw" association="_v-ouAMyxEeO7XY1kXX1jtw">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_v-tmgMyxEeO7XY1kXX1jtw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_v-tmgcyxEeO7XY1kXX1jtw" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_aN6pMGRXEeCsvJrE4KlOMA" name="DispensedDrug">
          <ownedAttribute xmi:id="_eyckUGRXEeCsvJrE4KlOMA" name="isCompounded" visibility="public">
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_oOXFIGRXEeCsvJrE4KlOMA" name="pharmacyManufacturedProduct" visibility="public" type="_0j3qsF7wEeCcBvMgXNMeOQ" association="_oOUB0GRXEeCsvJrE4KlOMA">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oOXFIWRXEeCsvJrE4KlOMA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oOXFImRXEeCsvJrE4KlOMA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_pUpXwGRXEeCsvJrE4KlOMA" name="productInstance" visibility="public" type="_420A62FD03B64592E9E3037C" association="_pUmUcGRXEeCsvJrE4KlOMA">
            <ownedComment xmi:id="_2FRg8Cw6EeKmqZ4YenSzAg" annotatedElement="_pUpXwGRXEeCsvJrE4KlOMA">
              <body>Identifies the medicinal product dispensed.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pUpXwWRXEeCsvJrE4KlOMA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pUpXwmRXEeCsvJrE4KlOMA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_Od6R8NUWEeGzd-o9XtejuA" name="dispenseTagId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
            <ownedComment xmi:id="_Od6R8dUWEeGzd-o9XtejuA" annotatedElement="_Od6R8NUWEeGzd-o9XtejuA">
              <body>&quot;Contains an identifier for the individual product instance for the dispense occurrence.  This may represent a barcode, RFID or other means of automatically-readable product instance.  Repetitions represent the same instance where more than one barcode, RFID or other identification is present.&quot; - HL7 Version 2.8, RXD-35.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Od6R89UWEeGzd-o9XtejuA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Od6R8tUWEeGzd-o9XtejuA" value="*"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B645919EF10138" name="DrugClass">
          <eAnnotations xmi:id="_L7Ah0eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_SmHaAMDFEd2bZLhrQFm3Sw" annotatedElement="_420A62FD03B645919EF10138">
            <body>This class identifies the drug class that is associated with this allergy event.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_420A62FD03B645919EFB029D" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_l-hQgMFyEd2PX4K6YaHU4Q" annotatedElement="_420A62FD03B645919EFB029D">
              <body>This contains the code set that identifies the type of drug class for this patient for this Allergy.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fLMgIPTuEdy4NNd432ztnw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fLMgIfTuEdy4NNd432ztnw" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_jToVcM_3Ed-YeMSrwW6svA" name="DrugIngredient">
          <ownedComment xmi:id="_QCEKYO6REd-crcWiXVDZrQ" annotatedElement="_jToVcM_3Ed-YeMSrwW6svA">
            <body>“Relates a product (typically medicine) to a substance which it contains as an ingredient.  Ingredients can be specified for medicines or other products, including devices, but they always mean the same thing: a material (here: chemical substance) in the make-up of the main product, not a structural part or content of a container, and not a material added later into a device for operation.  For medicines and food this is obvious.  For devices, an example for ingredient would be latex in a chest tube (but not an inhalant in a nebulizer device).” – HL7 Version 3 (Role->Ingredient).</body>
          </ownedComment>
          <ownedAttribute xmi:id="_ApaHMM_5Ed-YeMSrwW6svA" name="effectiveTime" visibility="public" type="_420A62FD03B642387187004E">
            <ownedComment xmi:id="_6lgT0PblEeGoRqAZLJ6Mwg" annotatedElement="_ApaHMM_5Ed-YeMSrwW6svA">
              <body>“Sometimes used to indicate the ingredient is no longer used but was in the product during the time given. Notice that as product information is maintained over time, other information may also be outdated, and this time range may not be the most complete manner to keep this history information. If the effectiveTime is not specified (as it would usually be the case), the meaning is that there is no specific limit of validity of the ingredient information, and that the information is indeed valid at the time it was originally composed.” – HL7 Version 3 (Role.effectiveTime).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IASOIM_5Ed-YeMSrwW6svA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IASOIc_5Ed-YeMSrwW6svA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_LpGScM_6Ed-YeMSrwW6svA" name="isActiveMoiety" visibility="public">
            <ownedComment xmi:id="_uqIXUCw1EeKmqZ4YenSzAg" annotatedElement="_LpGScM_6Ed-YeMSrwW6svA">
              <body>Moiety: &quot;One of two or more parts into which something may be divided, such as the various parts of a vitamin or molecule.&quot; - The American Heritage Stedman's Medical Dictionary.&#xD;
&#xD;
This property indicates whether the ingredient represented by this class is an &quot;active ingredient&quot; of the medication.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_nBMg8IscEeGv9r5ZNThaOw" name="isAntigen" visibility="public">
            <ownedComment xmi:id="_0rPTQCw3EeKmqZ4YenSzAg" annotatedElement="_nBMg8IscEeGv9r5ZNThaOw">
              <body>Antigen: &quot;Any of various substances, including toxins, bacteria, and the cells of transplanted organs, that when introduced into the body stimulate the production of antibodies. Also called allergen , immunogen.&quot; - The American Heritage Stedman's Medical Dictionary.&#xD;
&#xD;
This property indicates whether the ingredient represented by this class is an antigen.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_b1lkIIscEeGv9r5ZNThaOw" name="isAdjuvant" visibility="public">
            <ownedComment xmi:id="_J4wPUCw3EeKmqZ4YenSzAg" annotatedElement="_b1lkIIscEeGv9r5ZNThaOw">
              <body>Adjuvant: &quot;a) A pharmacological agent added to a drug, predictably affecting the action of the drug's active ingredient. b) An immunological vehicle for enhancing antigenicity, such as a water-in-oil emulsion in which antigen solution is emulsified in mineral oil. Also called immunoadjuvant.&quot; - The American Heritage Stedman's Medical Dictionary.&#xD;
&#xD;
This property indicates whether the ingredient represented by this class is acting as an adjuvant with respect to the complete medication.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4gR5YM_3Ed-YeMSrwW6svA" name="isConfidential" visibility="public">
            <ownedComment xmi:id="_UYWzgM_4Ed-YeMSrwW6svA" annotatedElement="_4gR5YM_3Ed-YeMSrwW6svA">
              <body>“Used to indicate that the manufacturer considers the presence of the ingredient a trade secret. This could be the case for inactive ingredients.” – HL7 Version 3 (Role.confidentialityCode).</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_VAIIMIscEeGv9r5ZNThaOw" name="isDiluent" visibility="public">
            <ownedComment xmi:id="_X2jm8Cw3EeKmqZ4YenSzAg" annotatedElement="_VAIIMIscEeGv9r5ZNThaOw">
              <body>Diluent: &quot;A substance that dilutes the strength of a solution or mixture.&quot; - The American Heritage Stedman's Medical Dictionary.&#xD;
&#xD;
This property indicates whether the ingredient represented by this class is acting as an diluent with respect to the complete medication.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_YyBsgIscEeGv9r5ZNThaOw" name="isPreservative" visibility="public">
            <ownedComment xmi:id="_kCTLECw3EeKmqZ4YenSzAg" annotatedElement="_YyBsgIscEeGv9r5ZNThaOw">
              <body>Preservative: &quot;A substance added to food products or to organic solutions to prevent decomposition due to chemical change or bacterial action.&quot; - The American Heritage Stedman's Medical Dictionary.&#xD;
&#xD;
This property indicates whether the ingredient represented by this class is acting as an preservative with respect to the complete medication.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_j-wOsM_6Ed-YeMSrwW6svA" name="quantity" visibility="public" type="_2xsJQM_6Ed-YeMSrwW6svA">
            <ownedComment xmi:id="_x4rL4M_6Ed-YeMSrwW6svA" annotatedElement="_j-wOsM_6Ed-YeMSrwW6svA">
              <body>“A ratio specifying the strength of the ingredient as amount of ingredient substance (numerator) in amount of medicine (denominator).  For example, a 50 mg tablet contains 50 mg in 1 tablet; a 50 mg per 5 mL syrup contains 50 mg in 5 mL. Note that for countable dose forms (&quot;eaches&quot;) no unit is required in the denominator, i.e., the denominator is a dimensionless number with unit 1 (one, the unity).  The fact that the dose is per tablet, capsule, or whatever the dose form may be is recorded in the formCode of the scoping product, not in a unit of measureConstraint.  The quantity expressed by Role quantity numerator and denominator must always be one of the following kinds of quantity: 1) count; 2) amount of substance; 3) mass; 4) volume; 5) arbitrary unit (representing some extensive property of Entity).  In the given context these five quantities can be clearly discriminated by examination of the unit in use.  An Entity is either countable (case 1) or not countable, in which case some unit is required (cases 2-4).  This must be derivable from the Entity formCode.  The dimension of the denominator must be the same as the dimension of all of the quantity numerators of the scoper's (i.e., the product's) played roles (e.g., package content, part of kit, etc.).” – HL7 Version 3 (Role.quantity).</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_0-pXUDlCEeCOabXzDmEF2w" name="ingredientSubstance" visibility="public" type="_420A62FD03B645919F1600B4" association="_0-mUADlCEeCOabXzDmEF2w">
            <ownedComment xmi:id="_zq93ICw5EeKmqZ4YenSzAg" annotatedElement="_0-pXUDlCEeCOabXzDmEF2w">
              <body>&quot;The Substance entity is used to describe any material that functions as an ingredient of the Medicine.&quot; - HL7 Version 3.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0-p-YDlCEeCOabXzDmEF2w" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0-qlcDlCEeCOabXzDmEF2w" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_fQ5a8NrbEd-fKY5dgJoxiA" name="medicinalProduct" visibility="public" type="_oDnb8AF2EeC0SO5AWIN0Qg" association="_fQz7YNrbEd-fKY5dgJoxiA">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fQ6CANrbEd-fKY5dgJoxiA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fQ6pENrbEd-fKY5dgJoxiA" value="*"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_Lc8A0GRaEeCsvJrE4KlOMA" name="DrugPricing">
          <ownedAttribute xmi:id="_BZIkIGRbEeCsvJrE4KlOMA" name="basisOfCostDetermination" visibility="public">
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_9SrG0M_2Ed-YeMSrwW6svA" name="GenericMedicine">
          <ownedComment xmi:id="_jBY7IO6REd-crcWiXVDZrQ" annotatedElement="_9SrG0M_2Ed-YeMSrwW6svA">
            <body>&quot;The non-proprietary, generic substance as which the same medicines is known in the literature independent of a specific  manufacturer.&quot; - HL7 V3</body>
          </ownedComment>
          <ownedAttribute xmi:id="_HRzCYM_3Ed-YeMSrwW6svA" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_HRzCYc_3Ed-YeMSrwW6svA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
            <ownedComment xmi:id="_68zLYO6REd-crcWiXVDZrQ" annotatedElement="_HRzCYM_3Ed-YeMSrwW6svA">
              <body>Identifies the generic medicine using some coding system such as RxNorm or NDF-RT.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HRzCY8_3Ed-YeMSrwW6svA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HRzCYs_3Ed-YeMSrwW6svA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_JMiQwM_3Ed-YeMSrwW6svA" name="name" visibility="public">
            <ownedComment xmi:id="_JMiQwc_3Ed-YeMSrwW6svA" annotatedElement="_JMiQwM_3Ed-YeMSrwW6svA">
              <body>“The non-proprietary, generic, or &quot;established&quot; name.” – HL7 Version 3 (ManufacturedMaterial.name).</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_gjeiAs_3Ed-YeMSrwW6svA" name="product" visibility="public" type="_oDnb8AF2EeC0SO5AWIN0Qg" association="_gjVYEM_3Ed-YeMSrwW6svA">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gjeiA8_3Ed-YeMSrwW6svA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gjeiBM_3Ed-YeMSrwW6svA" value="*"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B645919F1600B4" name="Substance">
          <eAnnotations xmi:id="_L7Ah1uLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_4JOPAMDFEd2bZLhrQFm3Sw" annotatedElement="_420A62FD03B645919F1600B4">
            <body>&quot;The Substance entity is used to describe any material that functions as an ingredient of the Medicine.&quot; - HL7 Version 3.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_TkY4kM_7Ed-YeMSrwW6svA" name="ingredientIdentifier" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_Rgq-AAF3EeC0SO5AWIN0Qg" annotatedElement="_TkY4kM_7Ed-YeMSrwW6svA">
              <body>Uniquely identifies the Ingredient.  For drugs in the United States, this code should be a UNII code (Unique Ingredient Identifier), which is issued by FDA.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TkY4k8_7Ed-YeMSrwW6svA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TkY4ks_7Ed-YeMSrwW6svA" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_XteGcIAfEeGE1-mzJa42fw" name="Labeler">
          <ownedComment xmi:id="_Ug4SECzbEeKLfdgQhBZO1Q" annotatedElement="_XteGcIAfEeGE1-mzJa42fw">
            <body>A labeler is an organization that repackages medicinal products for sale.  In some cases a manufacturer is also the labeler.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_k9QhgIAfEeGE1-mzJa42fw" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
            <ownedComment xmi:id="_k9QhgYAfEeGE1-mzJa42fw" annotatedElement="_k9QhgIAfEeGE1-mzJa42fw">
              <body>Uniquely identifies the labeler.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_gwgHAKCrEeO-_tuxzOR0Jg" name="organization" visibility="public" type="_420A62FD03B6418AA15801A9" association="_gwe44KCrEeO-_tuxzOR0Jg">
            <ownedComment xmi:id="_p-wmUKCrEeO-_tuxzOR0Jg" annotatedElement="_gwgHAKCrEeO-_tuxzOR0Jg">
              <body>Pointer to the Organization (i.e., corporation) that labeled and marketed the product.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gwguEKCrEeO-_tuxzOR0Jg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gwguEaCrEeO-_tuxzOR0Jg" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6419905DB00FB" name="Manufacturer">
          <eAnnotations xmi:id="_MEZHSuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_MEZHReLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6419905DB00FB">
            <body>The organization that produced an item of interest.&#xD;
&quot;Contains the manufacturer of the medical substance administered when it is a manufactured substance.&quot; - HL7 Version 2.8, RXD-20.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_Sala4HpnEd-44ra0dfiJCw" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
            <ownedComment xmi:id="_hv2IkPGjEd-ZlYn0p4HjQw" annotatedElement="_Sala4HpnEd-44ra0dfiJCw">
              <body>Uniquely identifies the manufacturer.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B641DEA2E70318" name="name" visibility="public">
            <ownedComment xmi:id="_MEZHSOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641DEA2E70318">
              <body>&quot;Contains the manufacturer of the medical substance administered.  Note: for vaccines, the code system MVX may be used.... This field may be used if the manufacturer of the substance is not identified by (the drug code)&quot; - HL7 Version 2.8, RXA-17</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_qIKSYIAaEeGE1-mzJa42fw" name="mvx" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_n26vYCw7EeKmqZ4YenSzAg" annotatedElement="_qIKSYIAaEeGE1-mzJa42fw">
              <body>Uniquely identifies the manufacturer, for those products that are vaccines.  This property is a code from HL7 Table 0227, Manufacturers of Vaccines (MVX), which is maintained by the CDC's National Center for Immunization and Respiratory Diseases (NCIRD).</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_YZ3MMKCrEeO-_tuxzOR0Jg" name="organization" visibility="public" type="_420A62FD03B6418AA15801A9" association="_YZ1-EKCrEeO-_tuxzOR0Jg">
            <ownedComment xmi:id="_ga0K4KCrEeO-_tuxzOR0Jg" annotatedElement="_YZ3MMKCrEeO-_tuxzOR0Jg">
              <body>Pointer to the Organization (i.e., corporation) that manufactured the product.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YZ3zQKCrEeO-_tuxzOR0Jg" value="1"/>
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            <body>This class identifies a batch of material or products that were manufactured over a defined time period.  The definition of a batch or lot is determined by the manufacturer, based in part on the nature of the manufacturing process, and on the historical information that can be accessed (such as the shipment of raw materials used, the equipment used, quality assurance tests, etc.) by the use of the lot number.  The purpose of this class in the FHIM is to contain lot identifier and expiration date information about a product to facilitate inventory control processes, manufacturer recall processes, and adverse event reporting.</body>
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              <body>&quot;Contains the expiration date of the medical substance administered.  Note: vaccine expiration dates do not always have a &quot;day&quot; component; therefore, such a date may be transmitted as YYYYMM.&quot; - HL7 Version 2.8, RXA-16&#xD;
&quot;Contains the expiration date of the medical substance administered.&quot; - HL7 Version 2.8, RXD-19.&#xD;
&quot;The date and time the manufacturer no longer ensures the safety, quality, and/or proper functioning of the material.&quot; - HL7 Version 3</body>
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              <body>&quot;Contains the lot number of the medical substance administered.  Note:  The lot number is the number printed on the label attached to the container holding the substance and on the packaging which houses the container.  If the substance is a vaccine, for example, and a diluent is required, a lot number may appear on the vial containing the diluent; however, any such identifier associated with a diluent is not the identifier of interest. The substance lot number should be reported, not that of the diluent.&quot; - HL7 Version 2.8, RXA-15&#xD;
&quot;Contains the lot number of the medical substance administered.&quot; - HL7 Version 2.8, RXD-18.&#xD;
&quot;An alphanumeric string used to identify a particular batch of manufactured material.&quot; - HL7 Version 3</body>
            </ownedComment>
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              <body>Identifies the number of products manufactured as part of the manufacturing lot.  This property may be useful in regulatory filings, but is unlikely to be needed for electronic health records.</body>
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            <body>“A specification of a kind of medicine, food material, or any product for the purpose of (a) describing a specific product with classification categories and (b) referring to a kind of product or material for describing drug-drug interactions or adjunct treatments.  The classifying category may refer to any of various classifications and abstractions of products by any aspect, including, mechanism of action category, physiologic effect category, chemical structure category, or &quot;clinical drug&quot; category.  This may also be used to represent a specific material or an ingredient when specifying drug-drug interactions or adjunct treatments.” – HL7 Version 3 (Material->MaterialKind).</body>
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              <body>“Code specifying a kind of medicine, food material, or any product.  The code may refer to any of various classifications and abstractions of products by any aspect, including, mechanism of action category, physiologic effect category, chemical structure category, or &quot;clinical drug&quot; category.  It may also represent a specific material or an ingredient of material.” – HL7 Version 3 (Material.code).</body>
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        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_0-mUADlCEeCOabXzDmEF2w" name="drugIngredient_ingredient" memberEnd="_0-pXUDlCEeCOabXzDmEF2w _0-rzkDlCEeCOabXzDmEF2w">
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        </packagedElement>
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        </packagedElement>
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        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_wK5_gFPxEeC3dvg3Ss2k0Q" name="deviceInstance_manufacturingLot" memberEnd="_wK9C0FPxEeC3dvg3Ss2k0Q _wK_fEFPxEeC3dvg3Ss2k0Q">
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        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_uT6BoFPxEeC3dvg3Ss2k0Q" name="device_deviceInstance" memberEnd="_uT7PwFPxEeC3dvg3Ss2k0Q _uT8d4FPxEeC3dvg3Ss2k0Q"/>
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            <body>A reprocessor is an organization that performs additional processing and manufacturing upon a existing device that has previously been used on a patient such that it can be used again on another (or the same) patient.</body>
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            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wk8gEMyxEeO7XY1kXX1jtw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wk8gEcyxEeO7XY1kXX1jtw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_BN094MyyEeO7XY1kXX1jtw" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
            <ownedComment xmi:id="_BN094cyyEeO7XY1kXX1jtw" annotatedElement="_BN094MyyEeO7XY1kXX1jtw">
              <body>Uniquely identifies the reprocessor.</body>
            </ownedComment>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_v-ouAMyxEeO7XY1kXX1jtw" name="deviceInstance_reprocessor" memberEnd="_v-sYYMyxEeO7XY1kXX1jtw _v-uNkMyxEeO7XY1kXX1jtw">
          <ownedEnd xmi:id="_v-uNkMyxEeO7XY1kXX1jtw" name="" visibility="public" type="_MsausFCxEeCsN-3dTKIrUA" association="_v-ouAMyxEeO7XY1kXX1jtw"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_wk7R8MyxEeO7XY1kXX1jtw" name="deviceInstance_organization" memberEnd="_wk75AMyxEeO7XY1kXX1jtw _wk9uMMyxEeO7XY1kXX1jtw">
          <ownedEnd xmi:id="_wk9uMMyxEeO7XY1kXX1jtw" name="" visibility="public" type="_rxvPwMyxEeO7XY1kXX1jtw" association="_wk7R8MyxEeO7XY1kXX1jtw"/>
        </packagedElement>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ksT3IHGiEeSUPN3DMaTGrQ" name="personOrOrganizationChoice_organization" memberEnd="_ksWTYHGiEeSUPN3DMaTGrQ _ksYvoHGiEeSUPN3DMaTGrQ">
        <ownedEnd xmi:id="_ksYvoHGiEeSUPN3DMaTGrQ" name="" visibility="public" type="_ZOqIEHGiEeSUPN3DMaTGrQ" association="_ksT3IHGiEeSUPN3DMaTGrQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_lC5yMHGiEeSUPN3DMaTGrQ" name="personOrOrganizationChoice_person" memberEnd="_lC7AUHGiEeSUPN3DMaTGrQ _lC81gHGiEeSUPN3DMaTGrQ">
        <ownedEnd xmi:id="_lC81gHGiEeSUPN3DMaTGrQ" name="" visibility="public" type="_ZOqIEHGiEeSUPN3DMaTGrQ" association="_lC5yMHGiEeSUPN3DMaTGrQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_w14zEBcrEeOL3Nw-k5HkNw" name="provenance_deviceInstance" memberEnd="_w16oQBcrEeOL3Nw-k5HkNw _w19EgBcrEeOL3Nw-k5HkNw">
        <ownedEnd xmi:id="_w19EgBcrEeOL3Nw-k5HkNw" name="" visibility="public" type="_terqkLxzEeSLwM7JIxbinw" association="_w14zEBcrEeOL3Nw-k5HkNw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_UcXHoBb9EeOL3Nw-k5HkNw" name="provenance_dataEnterer" memberEnd="_UcXHoRb9EeOL3Nw-k5HkNw _UcXHpBb9EeOL3Nw-k5HkNw">
        <ownedEnd xmi:id="_UcXHpBb9EeOL3Nw-k5HkNw" name="" visibility="public" type="_terqkLxzEeSLwM7JIxbinw" association="_UcXHoBb9EeOL3Nw-k5HkNw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_JGgF0BcBEeOL3Nw-k5HkNw" name="provenance_serviceDeliveryLocation" memberEnd="_JGgF0RcBEeOL3Nw-k5HkNw _JGgF1BcBEeOL3Nw-k5HkNw">
        <ownedEnd xmi:id="_JGgF1BcBEeOL3Nw-k5HkNw" name="" visibility="public" type="_W_aIoBb8EeOL3Nw-k5HkNw" association="_JGgF0BcBEeOL3Nw-k5HkNw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_SIqmsBb9EeOL3Nw-k5HkNw" name="provenance_author" memberEnd="_SI0XsBb9EeOL3Nw-k5HkNw _SI9hohb9EeOL3Nw-k5HkNw">
        <ownedEnd xmi:id="_SI9hohb9EeOL3Nw-k5HkNw" name="" visibility="public" type="_terqkLxzEeSLwM7JIxbinw" association="_SIqmsBb9EeOL3Nw-k5HkNw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_e3hiIHipEeODk9Eid2o3dQ" name="provenance_informationReporter" memberEnd="_e3iwQHipEeODk9Eid2o3dQ _e3j-YHipEeODk9Eid2o3dQ">
        <ownedEnd xmi:id="_e3j-YHipEeODk9Eid2o3dQ" name="" visibility="public" type="_W_aIoBb8EeOL3Nw-k5HkNw" association="_e3hiIHipEeODk9Eid2o3dQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_VLJgQBb9EeOL3Nw-k5HkNw" name="provenance_verifier" memberEnd="_VLJgQRb9EeOL3Nw-k5HkNw _VLTRQBb9EeOL3Nw-k5HkNw">
        <ownedEnd xmi:id="_VLTRQBb9EeOL3Nw-k5HkNw" name="" visibility="public" type="_terqkLxzEeSLwM7JIxbinw" association="_VLJgQBb9EeOL3Nw-k5HkNw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="__Vv-oLOzEeS3iYN4R_wsuw" name="clinicalInformation_provenance" memberEnd="__VzpALOzEeS3iYN4R_wsuw __V3TYLOzEeS3iYN4R_wsuw">
        <ownedEnd xmi:id="__V3TYLOzEeS3iYN4R_wsuw" name="" visibility="public" type="_Wu4MgKMyEeSjK-UNpoDZuQ" association="__Vv-oLOzEeS3iYN4R_wsuw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_8qnKoLkwEeSvIbhHaIFeOA" name="RelatedClinicalInformation">
        <ownedComment xmi:id="_bCPQYLkxEeSvIbhHaIFeOA" annotatedElement="_8qnKoLkwEeSvIbhHaIFeOA">
          <body>This class links two Clinical Information records that are related to each other in some way.  This class is intended to only link two records of the same type together.  For example, to link an Order with another Order, or an Observation with another Observation.  Relationships between different kinds (i.e., different subtypes) should be modeled explicitly.&#xD;
&#xD;
In general, there are two reasons why a Clinical Information record is related to another Clinical Information record: a) if one record is replacing another; or b) if one record has subordinate record(s) (often called a “parent/child” relationship).  The relatedInformationCategory property indicates how the referenced Clinical Information record is related to the &quot;owning&quot; Clinical Information record.  This construct allows the relationship to be traversed in either direction: for example, the “parent” record to point to the “children” records, or the “children” records could point to the “parent”, or both could be the case.  Thus the vocabulary for the relatedInformationCategory code will contain entries for either directionality, that is: “parent”, “child”, “replaces”, and “replaced by”.&#xD;
&#xD;
For example, say that Order1 and Order2 are instances of Order, and that Order2 is replacing Order1.  Then: &#xD;
a1) Order1. relatedClinicalInformation. relatedInformationCategory is set to (a code that means) &quot;replaced by&quot; and&#xD;
a2) Order1. relatedClinicalInformation. clinicalInformation points to Order2, and/or&#xD;
b1) Order2. relatedClinicalInformation. relatedInformationCategory is set to (a code that means) &quot;replaces&quot;, and&#xD;
b2) Order2. relatedClinicalInformation. clinicalInformation points to Order1.&#xD;
&#xD;
&quot;Relates a child to its parent when a parent child relationship exists.&quot; - HL7 Version 2, ORC-8.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_FeolALkxEeSvIbhHaIFeOA" name="relatedInformationCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_FeolAbkxEeSvIbhHaIFeOA" annotatedElement="_FeolALkxEeSvIbhHaIFeOA">
            <body>This property indicates how the &quot;owning&quot; and &quot;target&quot; Clinical Information records are related to each other.  Possible values include: Replaces, Replaced By, Parent, Child, has Component, is Component of, has Member, is Member of, Derived from, ?, Sequel to, ?, Qualified by, Qualifies, Interfered by, Interfers with, etc.&#xD;
&#xD;
&quot;A code specifying the kind of relationship that exists with the target observation.&quot; - HL7 FHIR, Observation.related.type.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3kpEcLkyEeSvIbhHaIFeOA" name="clinicalInformation" visibility="public" type="_Wu4MgKMyEeSjK-UNpoDZuQ" association="_3kn2ULkyEeSvIbhHaIFeOA">
          <ownedComment xmi:id="_4WVVMLk0EeSvIbhHaIFeOA" annotatedElement="_3kpEcLkyEeSvIbhHaIFeOA">
            <body>Pointer to another Clinical Information record (aka the target) to which the Clinical Information that points to this class (aka the &quot;owning&quot; record) is related in some manner.&#xD;
&#xD;
&quot;A reference to the observation that is related to this observation.&quot; - HL7 FHIR, Observation.related.target.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3kprgLkyEeSvIbhHaIFeOA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3kprgbkyEeSvIbhHaIFeOA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_A_03YLkxEeSvIbhHaIFeOA" name="clinicalInformation_relatedClinicalInformation" memberEnd="_A_6W8LkxEeSvIbhHaIFeOA _A_9aQLkxEeSvIbhHaIFeOA">
        <ownedEnd xmi:id="_A_9aQLkxEeSvIbhHaIFeOA" name="" visibility="public" type="_Wu4MgKMyEeSjK-UNpoDZuQ" association="_A_03YLkxEeSvIbhHaIFeOA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_3kn2ULkyEeSvIbhHaIFeOA" name="relatedClinicalInformation_clinicalInformation" memberEnd="_3kpEcLkyEeSvIbhHaIFeOA _3kqSkLkyEeSvIbhHaIFeOA">
        <ownedEnd xmi:id="_3kqSkLkyEeSvIbhHaIFeOA" name="" visibility="public" type="_8qnKoLkwEeSvIbhHaIFeOA" association="_3kn2ULkyEeSvIbhHaIFeOA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_terqkLxzEeSLwM7JIxbinw" name="Provenance" isAbstract="true">
        <ownedAttribute xmi:id="_w16oQBcrEeOL3Nw-k5HkNw" name="deviceInstance" visibility="public" type="_MsausFCxEeCsN-3dTKIrUA" association="_w14zEBcrEeOL3Nw-k5HkNw">
          <ownedComment xmi:id="_zcRB4JpxEeOswd2lHBTpDQ" annotatedElement="_w16oQBcrEeOL3Nw-k5HkNw">
            <body>Pointer to any device(s) that generated the Clinical Information or in the case of Orders, the device that the clinician used to create the order.&#xD;
&#xD;
For Orders, &quot;This field identifies the physical device (terminal, PC) used to enter the order.&quot; - HL7 Version 2.8, ORC-18&#xD;
For Observations, this is a pointer to any device(s) that generated the Clinical Obvservation.  For example, a heart rate measurement may have been automatically measured and stored by a heart rate monitor rather than manually measured by a nurse.  In such a case, the information about the heart rate monitor would be stored in the referenced DeviceInstance.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_w172YBcrEeOL3Nw-k5HkNw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_w172YRcrEeOL3Nw-k5HkNw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SI0XsBb9EeOL3Nw-k5HkNw" name="author" visibility="public" type="_hXa7cAq6Ed-426xscrxYmQ" association="_SIqmsBb9EeOL3Nw-k5HkNw">
          <ownedComment xmi:id="_XLfK4HimEeODk9Eid2o3dQ" annotatedElement="_SI0XsBb9EeOL3Nw-k5HkNw">
            <body>Pointer to a Practitioner in the Role of Author.  This Practitioner is the person who is responsible for the Clinical Information and who &quot;owns&quot; the clinical information record.&#xD;
&#xD;
&quot;A party that originates the Act and therefore has responsibility for the information given in the Act and ownership of this Act.&quot; - HL7 V3&#xD;
&quot;Who was responsible for asserting the observed value as true.&quot; - HL7 FHIR, Observation.performer.&#xD;
&quot;Person who takes responsibility for asserting the existence of the condition as part of the electronic record.&quot; - HL7 FHIR, Condition resource.&#xD;
&quot;This field contains the identity of the person who initiated the event represented by the corresponding order control code.  For example, if the order control code is CA (cancel order request), this field represents the person who requested the order cancellation.  This person is typically a care provider but may not always be the same as ORC-12 ordering provider&quot; - HL7 Version 2.8, ORC-19&#xD;
&quot;Identifies the provider who assigned the clinical status to the allergy&quot; - HL7 Version 2.8, IAM-18.&#xD;
&quot;Identifies the user that inactivated the record entry about the patient’s allergy&quot; - HL7 Version 2.8, IAM-21.&#xD;
&quot;Identifies the user that created the entry in the record stating the allergy&quot; - HL7 Version 2.8, IAM-23.&#xD;
&quot;Identifies the user that modified the allergy&quot; - HL7 Version 2.8, IAM-25.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SI9hoBb9EeOL3Nw-k5HkNw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SI9hoRb9EeOL3Nw-k5HkNw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_UcXHoRb9EeOL3Nw-k5HkNw" name="dataEnterer" visibility="public" type="_HxX44Aq7Ed-426xscrxYmQ" association="_UcXHoBb9EeOL3Nw-k5HkNw">
          <ownedComment xmi:id="_IlJMkHimEeODk9Eid2o3dQ" annotatedElement="_UcXHoRb9EeOL3Nw-k5HkNw">
            <body>Pointer to a Practitioner in the Role of Data Enterer, in which the Practitioner entered information about the Clinical Information into the EHR.&#xD;
&#xD;
&quot;A person entering the data into the originating system. The data entry person is collected optionally for internal quality  control purposes. This includes the transcriptionist for dictated text.&quot; - HL7 V3&#xD;
&quot;Contains the identity of the person who actually keyed the request into the application.&quot; - HL7 Version 2.8, ORC-10</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UcXHohb9EeOL3Nw-k5HkNw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UcXHoxb9EeOL3Nw-k5HkNw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VLJgQRb9EeOL3Nw-k5HkNw" name="verifier" visibility="public" type="_H1ZdQAq7Ed-426xscrxYmQ" association="_VLJgQBb9EeOL3Nw-k5HkNw">
          <ownedComment xmi:id="_F4_vYHimEeODk9Eid2o3dQ" annotatedElement="_VLJgQRb9EeOL3Nw-k5HkNw">
            <body>Pointer to a Practitioner in the Role of Verifier, in which the Practitioner verified the information in the Clinical Information.&#xD;
&#xD;
&quot;A person who verifies the correctness and appropriateness of the service (plan, order, event, etc.) and hence takes on accountability.&quot;- HL7 V3&#xD;
&quot;Who was responsible for asserting the observed value as &quot;true&quot;.&quot; - HL7 FHIR, Observation resource.&#xD;
&quot;Contains the identity of the person who verified the accuracy of the entered request.&quot; - HL7 Version 2.8, ORC-11</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VLJgQhb9EeOL3Nw-k5HkNw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VLJgQxb9EeOL3Nw-k5HkNw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_GHF20GGFEeKL0cZcPmQjWw" name="dateRecorded" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_MnTlAHinEeODk9Eid2o3dQ" annotatedElement="_GHF20GGFEeKL0cZcPmQjWw">
            <body>The date (and optionally time) that the Clinical Observation was recorded into the EHR.  This date/time is potentially different from the time that the underlying condition occurred or was actually observed.&#xD;
&quot;The date and time this observation was made available.&quot; - HL7 FHIR, Observation.issued.&#xD;
&quot;Date when the sensitivity was recorded.&quot; - HL7 FHIR, AllergyIntolerance resource.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_c7_J4Bb-EeOL3Nw-k5HkNw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_c7_J4Rb-EeOL3Nw-k5HkNw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lYI78KMyEeSjK-UNpoDZuQ" name="sourceRecordType" visibility="public">
          <ownedComment xmi:id="_FGT94KMzEeSjK-UNpoDZuQ" annotatedElement="_lYI78KMyEeSjK-UNpoDZuQ">
            <body>This optional property may be used to categorize the medical record, especially in terms of (or from the point of view of) the originating computer system.  It is anticipated that it will become increasingly commonplace for records from multiple systems and organizations will be comingled in order to provide a complete picture of the patient's health record; therefore information about the source and type of information will be helpful.  This property is modeled as a string because we do not anticipate a commonly-agreed-upon controlled vocabulary to be available, however implementers may choose to implement this as a code using a locally-defined vocabulary.  Added 1/23/2015.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bPkekKM0EeSjK-UNpoDZuQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bPkekaM0EeSjK-UNpoDZuQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VuEk4KM0EeSjK-UNpoDZuQ" name="sourceSystem" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_VuEk4aM0EeSjK-UNpoDZuQ" annotatedElement="_VuEk4KM0EeSjK-UNpoDZuQ">
            <body>Identifies the computer system that created the medical record.  This optional field may also be used to indicate that the medical record was originally created by a different organization from the one that is currently storing or utilizing the record in that the assigning authority of the Id could be set to that originating organization.  This property is optional, as some systems will assume that all records that it contains originated in that system, however it is anticipated that it will become increasingly commonplace for records from multiple systems and organizations will be comingled in order to provide a complete picture of the patient's health record.  Added 1/23/2015.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZKoyYKM0EeSjK-UNpoDZuQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZKoyYaM0EeSjK-UNpoDZuQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-4DewN1wEeSq65vB-N1vxw" name="facilitatingSoftware" visibility="public" type="_hoYgELx1EeSLwM7JIxbinw" association="_-3_NUN1wEeSq65vB-N1vxw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-4HJIN1wEeSq65vB-N1vxw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-4HwMN1wEeSq65vB-N1vxw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_-VXT0LxzEeSLwM7JIxbinw" name="NonHumanAuthor">
        <ownedAttribute xmi:id="_MG5xELx0EeSLwM7JIxbinw" name="deviceInstance" visibility="public" type="_MsausFCxEeCsN-3dTKIrUA" association="_MG374Lx0EeSLwM7JIxbinw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MG7mQLx0EeSLwM7JIxbinw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MG7mQbx0EeSLwM7JIxbinw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_IOwa0Lx0EeSLwM7JIxbinw" name="PatientAuthor"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_MG374Lx0EeSLwM7JIxbinw" memberEnd="_MG5xELx0EeSLwM7JIxbinw _MG80YLx0EeSLwM7JIxbinw">
        <ownedEnd xmi:id="_MG80YLx0EeSLwM7JIxbinw" name="" visibility="public" type="_-VXT0LxzEeSLwM7JIxbinw" association="_MG374Lx0EeSLwM7JIxbinw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_hoYgELx1EeSLwM7JIxbinw" name="FacilitatingSoftware">
        <ownedAttribute xmi:id="_QPkkMN1xEeSq65vB-N1vxw" name="device" visibility="public" type="_420A62FD03B6425C004E004C" association="_QPjWEN1xEeSq65vB-N1vxw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QPlLQN1xEeSq65vB-N1vxw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QPlLQd1xEeSq65vB-N1vxw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_y7xTcLx1EeSLwM7JIxbinw" name="PatientDataEnterer"/>
      <packagedElement xmi:type="uml:Class" xmi:id="_7HxPELx2EeSLwM7JIxbinw" name="SecurityProvenance">
        <generalization xmi:id="_8vZUMLx2EeSLwM7JIxbinw" general="_terqkLxzEeSLwM7JIxbinw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_9dxdILx2EeSLwM7JIxbinw" name="MedicalRecordsProvenance">
        <generalization xmi:id="_bFM_kLx4EeSLwM7JIxbinw" general="_terqkLxzEeSLwM7JIxbinw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_DSaR0MH0EeSi-640Aepa2Q" name="_HealthcareActions/Operations">
        <eAnnotations xmi:id="_o14WoPxKEeWBYvC3fS-LYg" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_o14WofxKEeWBYvC3fS-LYg" key="ParkingLot"/>
        </eAnnotations>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Er6bYMH0EeSi-640Aepa2Q" name="_InformationObjects">
        <eAnnotations xmi:id="_o13IgPxKEeWBYvC3fS-LYg" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_o13IgfxKEeWBYvC3fS-LYg" key="ParkingLot"/>
        </eAnnotations>
        <generalization xmi:id="_ApvaYPjyEeSbnPjyXcbpDg" general="_-RnscPjxEeSbnPjyXcbpDg"/>
        <ownedAttribute xmi:id="_xaiJsPNpEeSMC5mPc_cPMQ" name="role" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
        <ownedAttribute xmi:id="_2o_yoPNpEeSMC5mPc_cPMQ" name="type" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
        <ownedAttribute xmi:id="_4cyrgPNpEeSMC5mPc_cPMQ" name="reference" visibility="public">
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        <ownedComment xmi:id="_MG7d6-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642B0A9910240">
          <body>The act of accepting the role of fulfiller. It is the act of accepting  a consult or procedure request. The receiving service will perform update tracking activities.</body>
        </ownedComment>
        <generalization xmi:id="_1hjCcMz7EeGLer7-nLPRGA" general="_3r94oOO5EeCbbuWBGGTBrA"/>
        <ownedAttribute xmi:id="_420A62FD03B642B0A9910248" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MHOY0uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642B0A9910248">
            <body>value which indicates whether the request is a consult or procedure request.(C:Consult P:Procedure) (VISTA)  </body>
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        <ownedAttribute xmi:id="_420A62FD03B642B0A9910242" name="date" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_MHFO5eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642B0A9910242">
            <body>Date/time of actual entry of consultation or procedure request into data repository</body>
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        <ownedAttribute xmi:id="_420A62FD03B642B0A9910249" name="serviceSetting" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <body>value which allows the ordering person to indicate if the service is to be rendered on an outpatient or inpatient basis.  This is to alleviate the confusion if patient is currently an inpatient/outpatient but is just about to be discharged/admitted and become a outpatient/inpatient. (Data Type = Set of Codes I:inpatient,O:outpatient)  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642B309770396" name="activity" visibility="public" type="_420A62FD03B642B3094903E0" isUnique="false" association="_420A62FD03B642B309750090">
          <ownedComment xmi:id="_MIRhsuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642B309770396">
            <body>action activities for consultProcedurePromise,  it is used for tracking/auditing</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MIRhtOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MIRhteLiEduGJrQyRGTO1A" value="*"/>
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        <ownedAttribute xmi:id="_420A62FD03B642DBE93E03E4" name="associatedResult" visibility="public" type="_420A62FD03B642DBE529011A" isUnique="false" association="_420A62FD03B642DBE93D00F3">
          <ownedComment xmi:id="_MIarpeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642DBE93E03E4">
            <body>One or more results (from Medicine package) to be associated  with a instance of ConsultProcedurePromise.  </body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MIarp-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MIarqOLiEduGJrQyRGTO1A" value="*"/>
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        <ownedAttribute xmi:id="_420A62FD03B642B1091D0049" name="responsibleService" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B642B1091B03C1">
          <ownedComment xmi:id="_MIHwtuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642B1091D0049">
            <body>An organizational unit defined by the type of service that it provides to patients.  Examples include Surgery, Dentistry, Mental Health.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MIHwuOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MIHwueLiEduGJrQyRGTO1A" value="1"/>
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        <ownedAttribute xmi:id="_yZM5EPhLEeGTrozbqWjuyg" name="resultingEncounter" visibility="public" type="_qS7A8GitEeG3pKm-C5y0hA" association="_yZJOsPhLEeGTrozbqWjuyg">
          <ownedComment xmi:id="_J5bCIPhMEeGTrozbqWjuyg" annotatedElement="_yZM5EPhLEeGTrozbqWjuyg">
            <body>Points to those encounters that occured as a result of the consultation request/promise.  For example, if Doctor A request a consultation from Doctor B, this property contains the encounter(s) of Doctor B with the patient.  Note that this property points to AbstractEncounter, rather than Encounter, as the patient may not actually be present, as in the case where a radiologist is asked to interpret a radiograph.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_yZOHMPhLEeGTrozbqWjuyg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_yZOuQPhLEeGTrozbqWjuyg" value="*"/>
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        <ownedComment xmi:id="_MHOY2uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642B3094903E0">
          <body>action activities for consultProcedurePromise,  it is used for tracking/auditing  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642B30A4F0347" name="activity" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MHYJ1eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642B30A4F0347">
            <body>The activity being taken and updated.</body>
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        <ownedAttribute xmi:id="_420A62FD03B642DE8BC6019C" name="comment" visibility="public">
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            <body>comment about the activity</body>
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            <body> The actual date and time the activity tracking update was added to the process activities multiple.</body>
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        <ownedAttribute xmi:id="_420A62FD03B642D6876E03AB" name="lastActivity" visibility="public" type="_420A62FD03B642B3094903E0" isUnique="false" association="_420A62FD03B642D6876C00E1">
          <ownedComment xmi:id="_MIRhueLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642D6876E03AB">
            <body>the prior  action activity for consultProcedurePromise.  </body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MIRhu-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MIRhvOLiEduGJrQyRGTO1A" value="1"/>
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        <ownedAttribute xmi:id="_420A62FD03B642DFB2A0038B" name="forwardedFrom" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B642DFB29A02D8">
          <ownedComment xmi:id="_MIkcsOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642DFB2A0038B">
            <body>&quot;The location to which the patient is assigned. It is a role played by a place at which services may be provided. Note that a single physical place can play multiple service delivery location roles each with its own attributes. For example, a Podiatry clinic and Research clinic may meet on alternate days in the same physical location; each clinic uses its own mailing address and telephone number.&quot; (HL7)  Service location which forwarded the Consult to the new service location.(VISTA)   </body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MIuNoeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MIuNouLiEduGJrQyRGTO1A" value="1"/>
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            <body>An organizational unit defined by the type of service that it provides to patients.  Examples include Surgery, Dentistry, Mental Health. the name of the service that the inter-facility consult was directed to at the remote site prior to being forwarded.  </body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MIkcq-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MIkcrOLiEduGJrQyRGTO1A" value="1"/>
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        <ownedAttribute xmi:id="_s6FT4AqaEd-426xscrxYmQ" name="resultText" visibility="public">
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        <ownedAttribute xmi:id="_pJtH0H7kEeOYQJZKXKAJnw" name="author" visibility="public" type="_hXa7cAq6Ed-426xscrxYmQ" association="_pJqEgH7kEeOYQJZKXKAJnw">
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            <body>Pointer to the Individual Provider (in the Role of Author) who provided the assessment or recommended a Care Plan for the Patient.</body>
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          <body>A record of a consultation or procedure request.  A ConsultRequest is a type of Act.  The definition of Act is:  &quot;A record of something that is being done, has been done, can be done, or is intended or requested to be done.&quot; (HL7 3.0)</body>
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        <generalization xmi:id="_wPKY8IlEEd-pqcFAwb-XNw" general="_420A62FD03B64589572B02E8"/>
        <ownedAttribute xmi:id="_420A62FD03B642DD0AEE015A" name="requestReason" visibility="public">
          <ownedComment xmi:id="_MHrEw-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642DD0AEE015A">
            <body>reasons for consultprocedure request</body>
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          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
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        <ownedAttribute xmi:id="_420A62FD03B642DD0A8403E3" name="serviceRenderedSetting" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MHrExuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642DD0A8403E3">
            <body>value to indicate if the service is to be rendered on an outpatient or inpatient basis.  This is to alleviate the confusion if patient is currently an inpatient/outpatient but is just about to be discharged/admitted and become a outpatient/inpatient. (Data Type = Set of Codes I:inpatient,O:outpatient)  </body>
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        <ownedAttribute xmi:id="_-s2dcIk3Ed-pqcFAwb-XNw" name="provisionalDiagnosis" visibility="public" type="_420A62FD03B6424070DB0209" association="_-ssscIk3Ed-pqcFAwb-XNw">
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        <ownedAttribute xmi:id="_420A62FD03B6431EE3320119" name="orderedProcedure" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NJGFkeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6431EE3320119">
            <body>Identifies a kind of procedure that can be, is, or has been requested as part of an order.</body>
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642B1091B03C1" name="consultPromise_responsibleService" memberEnd="_420A62FD03B642B1091D0049 _420A62FD03B642B1091D005D">
        <ownedEnd xmi:id="_420A62FD03B642B1091D005D" name="" visibility="public" type="_420A62FD03B642B0A9910240" isUnique="false" association="_420A62FD03B642B1091B03C1"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642B309750090" name="consultPromise_activity" memberEnd="_420A62FD03B642B309770396 _420A62FD03B642B3097703A1">
        <ownedEnd xmi:id="_420A62FD03B642B3097703A1" name="" visibility="public" type="_420A62FD03B642B0A9910240" isUnique="false" association="_420A62FD03B642B309750090"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642D6876C00E1" name="processActivities_lastActivity" memberEnd="_420A62FD03B642D6876E03AB _420A62FD03B642D6876E03B5">
        <ownedEnd xmi:id="_420A62FD03B642D6876E03B5" name="" visibility="public" type="_420A62FD03B642B3094903E0" isUnique="false" association="_420A62FD03B642D6876C00E1">
          <ownedComment xmi:id="_MIRhvuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642D6876E03B5">
            <body>most current action activity for consultProcedurePromise.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MIaroeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MIarouLiEduGJrQyRGTO1A" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642DBE93D00F3" name="consultRequest_associatedResult" memberEnd="_420A62FD03B642DBE93E03E4 _420A62FD03B642DBE93F0006">
        <ownedEnd xmi:id="_420A62FD03B642DBE93F0006" name="" visibility="public" type="_420A62FD03B642B0A9910240" isUnique="false" association="_420A62FD03B642DBE93D00F3"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642DFB27A00DD" name="processActivities_priorService" memberEnd="_420A62FD03B642DFB280012C _420A62FD03B642DFB2800136">
        <ownedEnd xmi:id="_420A62FD03B642DFB2800136" name="" visibility="public" type="_420A62FD03B642B3094903E0" isUnique="false" association="_420A62FD03B642DFB27A00DD"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642DFB29A02D8" name="processActivities_forwardedFrom" memberEnd="_420A62FD03B642DFB2A0038B _420A62FD03B642DFB2A003A9">
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    <packagedElement xmi:type="uml:Package" xmi:id="_KqYgwM3ZEdyMrbJiuKueSQ" name="Datatypes">
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      <ownedComment xmi:id="_4tkeoLa1Ed-Y0_knsxZjWg" annotatedElement="_KqYgwM3ZEdyMrbJiuKueSQ">
        <body>This package contains classes that serve as “data types” for FHIM attributes.  The FHIM data types are common, reusable structures that are often needed in healthcare applications.  For example, healthcare observations often need both a numerical value and a unit of measure, such as a weight of 150 pounds.  Rather than modeling the value and units of measure separately in the main model (i.e., weightValue=150, weightUnits=pounds), we have chosen to create a Physical Quantity data type which can hold both the value and the units so the main model would only have weight:PhysicalQuantity=150 pounds.&#xD;
&#xD;
The FHIM data types are based on the HL7 Version 3 data types, but are simplified so that they might be more easily resolved into implementable specifications.  Where possible, we have removed recursion from the data types, and where there are generalization relationships, the subtypes only add to the super types.&#xD;
&#xD;
Besides the data types in this package, the FHIM only uses the basic data types defined in UML, and the properties of the data types in this package eventually all resolve to the basic UML data types.  The FHIM modeling style requires that all FHIM attributes must be either a UML data type or a class contained in this Datatypes package.  If a property requires any other kind of type, it is modeled as an association, not as an attribute.  For example, a lab test references a Patient and a lab test code.  In UML both the patient and lab test code properties could be modeled as either an attribute or an association of the lab test.  Since Patient is not a FHIM Datatype, it is modeled as an association, but since the lab test is a code, which is a data type, it is modeled as an attribute.  This style results in models similar in structure to HL7 models.&#xD;
&#xD;
Note that every package in the FHIM is dependent on the FHIM Datatypes package.  The FHIM Datatypes package must not be dependent on any other package.  Indeed, the FHIM data types must all resolve to UML Primitives.</body>
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      <ownedComment xmi:id="_5toiQOqrEeS5D9mZzS_77A" annotatedElement="_420A62FD03B641886F630160 _420A62FD03B64239FAA800D9">
        <body>The MonetaryAmount and TimeQuantity are the same as Quantity, but they &quot;re-define&quot; the unit property to be bound to a particular set of valid units.  For example:&#xD;
Quantity may have inches, kilograms, millilters, etc.&#xD;
TimeQuantity would have minutes, seconds, days, etc.&#xD;
MonetaryAmount would have dollars, euros, rupees, etc.</body>
      </ownedComment>
      <ownedComment xmi:id="_J0iN4AANEeapUr0Xy0Y4Kw" annotatedElement="_r_1eEBvxEd-afqIGzWhetA">
        <body>Note that all datatypes (except Any) are subtypes of Any.  This is not shown on the diagram to reduce diagram clutter.</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64586C73900D7" name="Image">
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        <ownedComment xmi:id="_avU4QBHFEeCBuOUrBnIXmQ" annotatedElement="_420A62FD03B64586C73900D7">
          <body>This class represents an Image, particularly but not limited to, diagnostic images. The class may also be used for scanned documents and incoming facsimiles.&#xD;
Note that this class is equivalent to a the FHIR Attachment data type.</body>
        </ownedComment>
        <generalization xmi:id="_k5NxoAAMEeapUr0Xy0Y4Kw" general="_r_1eEBvxEd-afqIGzWhetA"/>
        <ownedAttribute xmi:id="_TnwcgAY4EeWwo6SB9Lnb3w" name="contentType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_a1kcIAY6EeWwo6SB9Lnb3w" annotatedElement="_TnwcgAY4EeWwo6SB9Lnb3w">
            <body>&quot;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.&quot; - HL7 FHIR, Attachment.contentType.&#xD;
The FHIM will likely use the system at OID: 2.16.840.1.113883.5.79.  See the IANA site at: http://www.iana.org/assignments/media-types/media-types.xhtml</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nHB4oAY4EeWwo6SB9Lnb3w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nHCfsAY4EeWwo6SB9Lnb3w" value="1"/>
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        <ownedAttribute xmi:id="_O6GLAL7vEeKtWYfISwMY5w" name="data" visibility="public">
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            <body>Contains the image itself.  Note that while this property is modeled as a string, this will usually be implemented using a binary representation such as base64.&#xD;
&quot;The actual data of the attachment - a sequence of bytes. In XML, represented using base64.&quot; - HL7 FHIR, Attachment.data.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__NoVcPslEeSc9M34gwVpgg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__No8gPslEeSc9M34gwVpgg" value="1"/>
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        <ownedAttribute xmi:id="_8eAAwAY5EeWwo6SB9Lnb3w" name="dateCreated" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NJTLIB59EeWS1-JMuZSk0g" annotatedElement="_8eAAwAY5EeWwo6SB9Lnb3w">
            <body>&quot;The date that the attachment was first created.&quot; - HL7 FHIR, Attachment.creation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8eAAwgY5EeWwo6SB9Lnb3w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8eAAwQY5EeWwo6SB9Lnb3w" value="1"/>
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        <ownedAttribute xmi:id="_ouRjQAY4EeWwo6SB9Lnb3w" name="hash" visibility="public">
          <ownedComment xmi:id="_ouRjQQY4EeWwo6SB9Lnb3w" annotatedElement="_ouRjQAY4EeWwo6SB9Lnb3w">
            <body>A hash function is any function that can be used to map data of arbitrary size to data of fixed size.  Note that while this property is modeled as a string, this will usually be implemented using a binary representation such as base64.&#xD;
&quot;The calculated hash of the data using SHA-1. Represented using base64.&quot; - HL7 FHIR, Attachment.hash.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ouRjQwY4EeWwo6SB9Lnb3w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ouRjQgY4EeWwo6SB9Lnb3w" value="1"/>
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        <ownedAttribute xmi:id="_kI2QQAY4EeWwo6SB9Lnb3w" name="language" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_rTkm0B58EeWS1-JMuZSk0g" annotatedElement="_kI2QQAY4EeWwo6SB9Lnb3w">
            <body>&quot;The human language of the content. The value can be any valid value according to BCP 47.&quot; - HL7 FHIR, Attachment.language.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mNJqUAY4EeWwo6SB9Lnb3w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mNKRYAY4EeWwo6SB9Lnb3w" value="1"/>
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        <ownedAttribute xmi:id="_xsuPgAY5EeWwo6SB9Lnb3w" name="size" visibility="public">
          <ownedComment xmi:id="_-Js_UB58EeWS1-JMuZSk0g" annotatedElement="_xsuPgAY5EeWwo6SB9Lnb3w">
            <body>&quot;The number of bytes of data that make up this attachment.&quot; - HL7 FHIR, Attachment.size.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xsuPggY5EeWwo6SB9Lnb3w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xsuPgQY5EeWwo6SB9Lnb3w" value="1"/>
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        <ownedAttribute xmi:id="_3vN9cAY5EeWwo6SB9Lnb3w" name="title" visibility="public">
          <ownedComment xmi:id="_HupgUB59EeWS1-JMuZSk0g" annotatedElement="_3vN9cAY5EeWwo6SB9Lnb3w">
            <body>&quot;A label or set of text to display in place of the data.&quot; - HL7 FHIR, Attachment.title.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3vN9cgY5EeWwo6SB9Lnb3w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3vN9cQY5EeWwo6SB9Lnb3w" value="1"/>
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        <ownedAttribute xmi:id="_6pzk8PslEeSc9M34gwVpgg" name="url" visibility="public">
          <ownedComment xmi:id="_57M-kB58EeWS1-JMuZSk0g" annotatedElement="_6pzk8PslEeSc9M34gwVpgg">
            <body>&quot;An alternative location where the data can be accessed.&quot; - HL7 FHIR, Attachment.url.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__yWMEPslEeSc9M34gwVpgg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__yWzIPslEeSc9M34gwVpgg" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_fImbAAEYEd-ZUM5xZsXWyw" name="ContactPoint">
        <eAnnotations xmi:id="_aHrcYO55Ed-crcWiXVDZrQ" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_aHrcYe55Ed-crcWiXVDZrQ" key="TEL"/>
        </eAnnotations>
        <ownedComment xmi:id="_O3O_IAE1Ed-ZUM5xZsXWyw" annotatedElement="_fImbAAEYEd-ZUM5xZsXWyw">
          <body>A collection of electronic addresses at which the person or organization may be reached. This includes telephones, email addresses, etc.&#xD;
&quot;Details for all kinds of technology-mediated contact points for a person or organization, including telephone, email, etc. &quot; - HL7 FHIR, ContactPoint.</body>
        </ownedComment>
        <generalization xmi:id="_ujJgUAAMEeapUr0Xy0Y4Kw" general="_r_1eEBvxEd-afqIGzWhetA"/>
        <ownedAttribute xmi:id="_o6XQAQEYEd-ZUM5xZsXWyw" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_6DnAIAHtEd-VSqNkiZ4fOA" annotatedElement="_o6XQAQEYEd-ZUM5xZsXWyw">
            <body>The time period during which the phone number or communications address is valid for the person or organization. The data type is a TimeInterval, which includes both a start date and end date, either of which may be empty.&#xD;
&quot;Time period when the contact point was/is in use.&quot; - HL7 FHIR, ContactPoint.period.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_f5Kh0H7qEeOYQJZKXKAJnw" name="isTextMessageEnabled" visibility="public">
          <ownedComment xmi:id="_s-4a4H7qEeOYQJZKXKAJnw" annotatedElement="_f5Kh0H7qEeOYQJZKXKAJnw">
            <body>Indicates whether the endpoint can receive text messages.  Used for phone numbers only.  Added for ONC S&amp;I Clinical Element Data Dictionary (CEDD).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mmHiAH7qEeOYQJZKXKAJnw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mmIJEH7qEeOYQJZKXKAJnw" value="1"/>
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        <ownedAttribute xmi:id="_gUSLAOXiEeSM-JoX4jOe4g" name="system" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_oazmMOXiEeSM-JoX4jOe4g" annotatedElement="_gUSLAOXiEeSM-JoX4jOe4g">
            <body>&quot;Telecommunications form for contact point - what communications system is required to make use of the contact.&quot; - HL7 FHIR, ContactPoint.system.</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_UOqDsOXnEeSpA6gSNDKUhw" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ContactPointSystem)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_o6XQAgEYEd-ZUM5xZsXWyw" name="use" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Ig9voAHwEd-VSqNkiZ4fOA" annotatedElement="_o6XQAgEYEd-ZUM5xZsXWyw">
            <body>Indicates the kind of communications address that is contained within this class.  Examples include primaryHome, Work, etc.  This facilitates the selection of a particular communications address from a list of contact points that may apply to the person or organization.&#xD;
&quot;Identifies the purpose for the contact point.&quot; - HL7 FHIR, ContactPoint.use.</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_5UvCoOXgEeSM-JoX4jOe4g" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ContactPointUse)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_o6XQAAEYEd-ZUM5xZsXWyw" name="value" visibility="public">
          <ownedComment xmi:id="_aXba4AHwEd-VSqNkiZ4fOA" annotatedElement="_o6XQAAEYEd-ZUM5xZsXWyw">
            <body>Represents a telecommunications address at which the person or organization may be reached.  Note that this property is a simply a string, the formatting of which will depend on the type of communications address employed.&#xD;
&quot;The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).&quot; - HL7 FHIR, ContactPoint.value.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_mZFS8ERREdyvWauSJSvkeQ" name="Id">
        <eAnnotations xmi:id="_r_mPgERREdyvWauSJSvkeQ" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_Zc44sNYTEd62cosTNS-_lw" key="II"/>
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        <ownedComment xmi:id="_usiO8PwLEd-3ndaGus2qMA" annotatedElement="_mZFS8ERREdyvWauSJSvkeQ">
          <body>An label that uniquely identifies a thing or object.  This *abstract* data type represents a &quot;identifier&quot; - some series of letters or numbers which uniquely identifies something.  In practice, this data type will be substituted with specific &quot;flavors&quot; of the Id data type for use in particular standards-based payloads.&#xD;
&quot;A technical identifier - identifies some entity uniquely and unambiguously.&quot; - HL7 FHIR, Identifier.</body>
        </ownedComment>
        <generalization xmi:id="_p2-FEAAMEeapUr0Xy0Y4Kw" general="_r_1eEBvxEd-afqIGzWhetA"/>
        <ownedAttribute xmi:id="_LwWEUOqtEeS5D9mZzS_77A" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_LwWEUeqtEeS5D9mZzS_77A" annotatedElement="_LwWEUOqtEeS5D9mZzS_77A">
            <body>The time period during which the id is known to be valid.  The data type is a TimeInterval, which includes both a start date and end date, either of which may be empty.&#xD;
&quot;Time period during which identifier is/was valid for use.&quot; - HL7 FHIR, Identifier.period.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_R5OHEOqtEeS5D9mZzS_77A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_R5OuIOqtEeS5D9mZzS_77A" value="1"/>
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        <ownedAttribute xmi:id="_OyHbIFldEeCyw5g2lQh-Ug" name="idType" visibility="public">
          <ownedComment xmi:id="_H12GYFl6EeCH--YpPiEryw" annotatedElement="_OyHbIFldEeCyw5g2lQh-Ug">
            <body>Indicates what kind of identifier is being represented.  For example, the idType might be represent a Driver's License, in which case the assigning Authority might be the Virginia Department of Motor Vehicles.&#xD;
Note that: a) this information can (and probably should) be also be made clear by the name and definition of the property whose data type is an Id; and b) this property might be an enumeration in the future.&#xD;
&quot;A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.&quot; - HL7 FHIR, Identifier.type.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Tgq08FldEeCyw5g2lQh-Ug"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Tgq08VldEeCyw5g2lQh-Ug" value="1"/>
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        <ownedAttribute xmi:id="_9cNIZPwLEd-3ndaGus2qMA" name="system">
          <ownedComment xmi:id="_9cNIZfwLEd-3ndaGus2qMA" annotatedElement="_9cNIZPwLEd-3ndaGus2qMA">
            <body>A unique identifier of the system (or organization or agency or department) that created the data and/or issued or manages the identifier.&#xD;
Note that this property may be replaced by some other concept or group of concepts when this abstract class is replaced by a specific class for a given target platform.&#xD;
&quot;Establishes the namespace in which set of possible id values is unique.&quot; - HL7 FHIR, Identifier.assigner.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9cNIZ_wLEd-3ndaGus2qMA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9cNIZvwLEd-3ndaGus2qMA" value="1"/>
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        <ownedAttribute xmi:id="_9cNIYPwLEd-3ndaGus2qMA" name="value">
          <ownedComment xmi:id="_9cNIYfwLEd-3ndaGus2qMA" annotatedElement="_9cNIYPwLEd-3ndaGus2qMA">
            <body>A unique label that identifies an individual entity within a group of entities.  The identifier must be unique within the system that defined it (i.e., the assigningAuthority).&#xD;
Note that this property may be replaced by some other concept or group of concepts when this abstract class is replaced by a specific class for a given target platform.&#xD;
&quot;The portion of the identifier typically displayed to the user and which is unique within the context of the system.&quot; - HL7 FHIR, Identifier.value.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9cNIY_wLEd-3ndaGus2qMA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9cNIYvwLEd-3ndaGus2qMA" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6418A8DCD02C2" name="Address">
        <eAnnotations xmi:id="_O1bEc-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_O1bEdOLiEduGJrQyRGTO1A" key="AD"/>
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        <ownedComment xmi:id="_PSftQBAnEd-2E9qx-lgHBg" annotatedElement="_420A62FD03B6418A8DCD02C2">
          <body>A label for the place or location at which a person or organization may be reached. This class is used primarily for mailing addresses, but includes an optional County property which is often needed for statistical reporting or pricing purposes.  Note that it doesn’t include a State code, as this code is added in a US-specific subtype.  This is done because states or provinces for other countries will be identified in using different value-sets, if at all.  The state code in the US Mailing Address sub-type is bound to a particular value set, the province code in the Canadian Mailing Address sub-type is bound to a different value set, while the Other Country Mailing Address simply contain as string for the jurisdiction.&#xD;
&quot;A postal address. There is a variety of postal address formats defined around the world. Postal addresses are often also used to record a location that can be visited to find a patient or person.&quot; - HL7 FHIR, Address.</body>
        </ownedComment>
        <generalization xmi:id="_t28hoAAMEeapUr0Xy0Y4Kw" general="_r_1eEBvxEd-afqIGzWhetA"/>
        <ownedAttribute xmi:id="_FoSrEPyaEd6COP7rUDIHOg" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_bhWtIPwDEd-3ndaGus2qMA" annotatedElement="_FoSrEPyaEd6COP7rUDIHOg">
            <body>The time period during which the address is a valid location for the person or organization.  The data type is a TimeInterval, which includes both a start date and end date, either of which may be empty.&#xD;
&quot;Time period when address was/is in use.&quot; - HL7 FHIR, Address.period</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OXbbUOqtEeS5D9mZzS_77A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OXcpcOqtEeS5D9mZzS_77A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NrTfQPyaEd6COP7rUDIHOg" name="use" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_-XSJ4AHvEd-VSqNkiZ4fOA" annotatedElement="_NrTfQPyaEd6COP7rUDIHOg">
            <body>Indicates the kind of address that is contained within this class. Examples include primary home, work, etc.  This facilitates the selection of a particular address from a list of addresses that may apply to the person or organization.&#xD;
&quot;The purpose of this address.&quot; - HL7 FHIR, Address.use.</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_y0nkkOXgEeSM-JoX4jOe4g" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(AddressUse)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B641886F6203C9" name="line1" visibility="public">
          <eAnnotations xmi:id="_O1IJheLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_O1IJg-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641886F6203C9">
            <body>The first line of a mailing address.  Unlike HL7, we have chosen not to break up the parts of each line.</body>
          </ownedComment>
          <ownedComment xmi:id="_l1mkIPwDEd-3ndaGus2qMA" annotatedElement="_420A62FD03B641886F6203C9">
            <body>The first line of the street address.  While this street address could be broken into several constituent parts (as was done in HL7 V3), for the purpose of this logical model, the whole line is treated as a single concept.  Note that this property is optional because in some cases (such as birth address) it may not be known or collected.&#xD;
&quot;This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.&quot; - HL7 FHIR, Address.line.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eyoSxeLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eyoSxuLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B641886F6203CD" name="line2" visibility="public">
          <eAnnotations xmi:id="_O1IJiuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_O1IJiOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641886F6203CD">
            <body>The second line of a mailing address.  Unlike HL7, we have chosen not to break up the parts of each line.</body>
          </ownedComment>
          <ownedComment xmi:id="_UI8VwO0IEd-KQpEfY1umCw" annotatedElement="_420A62FD03B641886F6203CD">
            <body>The second line of the street address.  While this street address could be broken into several constituent parts (as was done in HL7 V3), for the purpose of this logical model, the whole line is treated as a single concept.  &#xD;
&quot;This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.&quot; - HL7 FHIR, Address.line.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eyoSx-LjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eyoSyOLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B641886F6203CE" name="line3" visibility="public">
          <eAnnotations xmi:id="_O1IJj-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_O1IJjeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641886F6203CE">
            <body>The third line of a mailing address.  Unlike HL7, we have chosen not to break up the parts of each line.</body>
          </ownedComment>
          <ownedComment xmi:id="_XuZZgO0IEd-KQpEfY1umCw" annotatedElement="_420A62FD03B641886F6203CE">
            <body>The third line of the street address.  While this street address could be broken into several constituent parts (as was done in HL7 V3), for the purpose of this logical model, the whole line is treated as a single concept.  &#xD;
&quot;This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.&quot; - HL7 FHIR, Address.line.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eyoSyeLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eyoSyuLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B641886F6203CF" name="city" visibility="public">
          <eAnnotations xmi:id="_O1RTceLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_O1IJkuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641886F6203CF">
            <body>An Address Part (ADXP) that contains the name of the city, town, village, or other community or delivery center.</body>
          </ownedComment>
          <ownedComment xmi:id="_p6UM0O0HEd-KQpEfY1umCw" annotatedElement="_420A62FD03B641886F6203CF">
            <body>&quot;The name of the city, town, village, or other community or delivery center.&quot; - HL7 V3&#xD;
&quot;The name of the city, town, village or other community or delivery center.&quot; - HL7 FHIR, Address.city</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eyoSy-LjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eyoSzOLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ABqyEBAoEd-2E9qx-lgHBg" name="county" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_XrbkcPwDEd-3ndaGus2qMA" annotatedElement="_ABqyEBAoEd-2E9qx-lgHBg">
            <body>A region created by territorial division for the purpose of local government.  In the United States, a county (or parish in Louisiana) is the largest administrative district within a state.  This optional property is used primarily for statistical and pricing information (i.e., the same service may be more expensive in an affluent section of the country than in a less-affluent portion).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VxP9cPwIEd-3ndaGus2qMA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VxP9cfwIEd-3ndaGus2qMA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B641886F6203D7" name="country" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_O1RTe-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_O1RTeeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641886F6203D7">
            <body>An Address Part (ADXP) that contains the Country of the address.</body>
          </ownedComment>
          <ownedComment xmi:id="_F4XzIO0IEd-KQpEfY1umCw" annotatedElement="_420A62FD03B641886F6203D7">
            <body>The state or nation having jurisdiction over the location specified in the address.  This information is needed to properly route correspondence across national boundaries.&#xD;
&quot;Country - a nation as commonly understood or generally accepted.&quot; - HL7 FHIR, Address.postalCode</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eyoSz-LjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eyyDkOLjEdutr_MT9HkPyQ" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_1z7PAP2KEeW9OZr1ADZXqg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(Country)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B641886F6203D2" name="postalCode" visibility="public">
          <eAnnotations xmi:id="_O1RTduLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_O1RTdOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641886F6203D2">
            <body>An Address Part (ADXP) that contains a postal code designating a region defined by the postal service.</body>
          </ownedComment>
          <ownedComment xmi:id="_iMKY4O0IEd-KQpEfY1umCw" annotatedElement="_420A62FD03B641886F6203D2">
            <body>A string of digits (and in some countries, letters) used as part of a postal address to aid the sorting of mail.  This code is defined by the postal system of the country in which location is contained.&#xD;
&quot;A postal code designating a region defined by the postal service.&quot; - HL7 FHIR, Address.postalCode</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eyoSzeLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eyoSzuLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B641886F630160" name="MonetaryAmount">
        <eAnnotations xmi:id="_ObWXkeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_ObWXkuLiEduGJrQyRGTO1A" key="MO"/>
        </eAnnotations>
        <ownedComment xmi:id="_ObMmm-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641886F630160">
          <body>Indicates the monetary amount to be transferred from the debit to the credit account.</body>
        </ownedComment>
        <ownedComment xmi:id="_Qbj-cO2fEd-YWc6j70EPjw" annotatedElement="_420A62FD03B641886F630160">
          <body>&quot;A quantity expressing an amount of money in some currency. While the monetary amount is a single kind of quantity (money)  the exchange rates between the different units are variable. This is the principle difference between PQ and MO, and the  reason why currency units are not physical units.&quot; - HL7 V3</body>
        </ownedComment>
        <generalization xmi:id="_9GSMAOqeEeS5D9mZzS_77A" general="_420A62FD03B641886F630221"/>
        <ownedAttribute xmi:id="_420A62FD03B643D93D1000CD" name="unit" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ObMmnuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D93D1000CD">
            <body>Currencies are the units in which monetary amounts are denominated in different economic regions.</body>
          </ownedComment>
          <ownedComment xmi:id="_YcFfUO2fEd-YWc6j70EPjw" annotatedElement="_420A62FD03B643D93D1000CD">
            <body>&quot;The currency unit as defined in ISO 4217&quot; - HL7 V3</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UOEXsDbiEdy47dq8gWemow" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UOEXsTbiEdy47dq8gWemow" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_3lzSEFVyEdyaooytdRFnxQ" name="PersonName">
        <eAnnotations xmi:id="_3lzSEVVyEdyaooytdRFnxQ" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_3lzSElVyEdyaooytdRFnxQ" key="PN"/>
        </eAnnotations>
        <ownedComment xmi:id="_3lzSE1VyEdyaooytdRFnxQ" annotatedElement="_3lzSEFVyEdyaooytdRFnxQ">
          <body>The name of the person.  Uses the VHIM-constrained Person Name data type.</body>
        </ownedComment>
        <ownedComment xmi:id="_ry9SYPwOEd-3ndaGus2qMA" annotatedElement="_3lzSEFVyEdyaooytdRFnxQ">
          <body>&quot;A word or term by which a person or thing is commonly and distinctively known.&quot; - Collins English Dictionary.   This data type represents a person's name.&#xD;
&quot;A human's name with the ability to identify parts and usage.&quot; - HL7 FHIR, HumanName.</body>
        </ownedComment>
        <generalization xmi:id="_rksLIAAMEeapUr0Xy0Y4Kw" general="_r_1eEBvxEd-afqIGzWhetA"/>
        <ownedAttribute xmi:id="_FALAgPAdEeS1qetF27ECmQ" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_ayW5cPAoEeS1qetF27ECmQ" annotatedElement="_FALAgPAdEeS1qetF27ECmQ">
            <body>&quot;Indicates the period of time when this name was valid for the named person.&quot; - HL7 FHIR, HumanName.period.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bUVlIPAoEeS1qetF27ECmQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bUVlIfAoEeS1qetF27ECmQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3lzSFFVyEdyaooytdRFnxQ" name="prefix" visibility="public" isOrdered="true" isUnique="false">
          <eAnnotations xmi:id="_3lzSFVVyEdyaooytdRFnxQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_3lzSFlVyEdyaooytdRFnxQ" annotatedElement="_3lzSFFVyEdyaooytdRFnxQ">
            <body>'A prefix has a strong association to the immediately following name part. A prefix has no implicit trailing white space (it has implicit leading white space though). Note that prefixes can be inverted' (HL7) A Person Name Prefix is usually an academic or nobility title. An Academic title includes a prefix like 'Dr.' There are still people with nobility titles (aristocrats). German 'von' is generally a nobility title, not a mere voorvoegsel. Others are 'Earl of' or 'His Majesty King of...' etc. Rarely used nowadays, but some systems do keep track of this. </body>
          </ownedComment>
          <ownedComment xmi:id="_XO-sAAEbEd-ZUM5xZsXWyw" annotatedElement="_3lzSFFVyEdyaooytdRFnxQ">
            <body>&quot;Contains a set of honorific terms that typically appear before a person's name, for example Mr., Mrs., Dr., etc. Prefixes have a strong association to the immediately following name part.&quot; -  HL7 V3&#xD;
&quot;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.&quot; - HL7 FHIR, HumanName.prefix.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3lzSGFVyEdyaooytdRFnxQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3lzSF1VyEdyaooytdRFnxQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3lzSGVVyEdyaooytdRFnxQ" name="given" visibility="public" isOrdered="true" isUnique="false">
          <eAnnotations xmi:id="_3lzSGlVyEdyaooytdRFnxQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_3lzSG1VyEdyaooytdRFnxQ" annotatedElement="_3lzSGVVyEdyaooytdRFnxQ">
            <body>'Given name (don't call it 'first name' since this given names do not always come first)' (HL7) </body>
          </ownedComment>
          <ownedComment xmi:id="_AVrIgPwPEd-3ndaGus2qMA" annotatedElement="_3lzSGVVyEdyaooytdRFnxQ">
            <body>&quot;A set of names given to a person at birth, but not including the family name.  In western cultures, this property would contain the 'first' and 'middle' names.  Note that in some cultures, the given name is placed after the family name.  Note also that this property contains multiple elements, so it can handle those situations where a person has more than one 'middle' name.&quot; - HL7 V3&#xD;
&quot;Given name.&quot; - HL7 FHIR, HumanName.given.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3lzSHVVyEdyaooytdRFnxQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3lzSHFVyEdyaooytdRFnxQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3lzSI1VyEdyaooytdRFnxQ" name="family" visibility="public">
          <ownedComment xmi:id="_3lzSJFVyEdyaooytdRFnxQ" annotatedElement="_3lzSI1VyEdyaooytdRFnxQ">
            <body>'Family name, this is the name that links to the genealogy' (HL7) </body>
          </ownedComment>
          <ownedComment xmi:id="_RIU-UBprEd-j8JC21F3W2A" annotatedElement="_3lzSI1VyEdyaooytdRFnxQ">
            <body>&quot;The portion of a person's name that reflects the genealogy of the person.  In western cultures, this is the 'last' name.  In eastern cultures, the family name appears before the person's given name(s).  In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.&quot; - HL7 V3&#xD;
&quot;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.&quot; - HL7 FHIR, HumanName.family.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hp-RgPAoEeS1qetF27ECmQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hp-RgfAoEeS1qetF27ECmQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3lzSJVVyEdyaooytdRFnxQ" name="suffix" visibility="public" isOrdered="true" isUnique="false">
          <eAnnotations xmi:id="_3lzSJlVyEdyaooytdRFnxQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_3lzSJ1VyEdyaooytdRFnxQ" annotatedElement="_3lzSJVVyEdyaooytdRFnxQ">
            <body>'A suffix has a strong association to the immediately preceding name part. A prefix has no implicit leading white space (it has implicit trailing white space though). Suffices can not be inverted' (HL7) </body>
          </ownedComment>
          <ownedComment xmi:id="_b_6L4BprEd-j8JC21F3W2A" annotatedElement="_3lzSJVVyEdyaooytdRFnxQ">
            <body>&quot;Contains a list of honorific terms that typically appear after a person's name, for example Jr., Sr., MD, RN, etc. Prefixes have a strong association to the immediately following name part.&quot; - HL7 V3&#xD;
&quot;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.&quot; - HL7 FHIR, HumanName.suffix.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3lzSKVVyEdyaooytdRFnxQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3lzSKFVyEdyaooytdRFnxQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KU2sAAEoEd-ZUM5xZsXWyw" name="initials" visibility="public">
          <ownedComment xmi:id="_p9QoQO5pEd-crcWiXVDZrQ" annotatedElement="_KU2sAAEoEd-ZUM5xZsXWyw">
            <body>The first letter of each part of a proper name. This property stores the initials of a person's name, which is used  in research studies to identify the patient without divulging the person's entire name.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OhhgwAEoEd-ZUM5xZsXWyw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OhhgwQEoEd-ZUM5xZsXWyw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__w_l4PAcEeS1qetF27ECmQ" name="use" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_477VEPAoEeS1qetF27ECmQ" annotatedElement="__w_l4PAcEeS1qetF27ECmQ">
            <body>&quot;Identifies the purpose for this name.&quot; - HL7 FHIR, HumanName.use.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5lDxoPAoEeS1qetF27ECmQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5lDxofAoEeS1qetF27ECmQ" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_-BQ3MPAoEeS1qetF27ECmQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(NameUse)</body>
          </defaultValue>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B641886F630221" name="Quantity">
        <eAnnotations xmi:id="_Oy4t4OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_Oy4t4eLiEduGJrQyRGTO1A" key="PQ"/>
        </eAnnotations>
        <ownedComment xmi:id="_Oy4t1uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641886F630221">
          <body>The amount that was or is to be supplied</body>
        </ownedComment>
        <ownedComment xmi:id="_0QY6cO2kEd-YWc6j70EPjw" annotatedElement="_420A62FD03B641886F630221">
          <body>&quot;A dimensioned quantity expressing the result of measuring&quot; - HL7 V3&#xD;
&quot;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.&quot; - HL7 FHIR, Quantity.</body>
        </ownedComment>
        <generalization xmi:id="_w2QycAAMEeapUr0Xy0Y4Kw" general="_r_1eEBvxEd-afqIGzWhetA"/>
        <ownedAttribute xmi:id="_420A62FD03B6424AC40901DE" name="value" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_Oy4t2eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6424AC40901DE">
            <body>The magnitude of the quantity measured in terms of the unit.</body>
          </ownedComment>
          <ownedComment xmi:id="_3suecO2kEd-YWc6j70EPjw" annotatedElement="_420A62FD03B6424AC40901DE">
            <body>&quot;The magnitude of the quantity measured in terms of the unit&quot; - HL7 V3&#xD;
&quot;The magnitude of the Monetary Amount in terms of currency&quot; - HL7 V3&#xD;
&quot;The value of the measured amount. The value includes an implicit precision in the presentation of the value.&quot; - HL7 FHIR, Quantity.value.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4PBRkPRMEdyLkN7_Anv_Ag" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4PBRkfRMEdyLkN7_Anv_Ag" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64303793A0385" name="unit" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_Oy4t3uLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_Oy4t3OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64303793A0385">
            <body>The unit of measure specified in the Unified Code for Units of Measure (UCUM) [].</body>
          </ownedComment>
          <ownedComment xmi:id="__NtjoO2kEd-YWc6j70EPjw" annotatedElement="_420A62FD03B64303793A0385">
            <body>&quot;The unit of measure specified in the Unified Code for Units of Measure (UCUM). The default unit is 1.&quot; - HL7 V3&#xD;
&quot;A computer processable form of the units in some unit representation system.&quot; - HL7 FHIR, Quantity.code.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eyoSneLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eyoSnuLjEdutr_MT9HkPyQ" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_CaQ-UHQsEeWTWNDLSSjefQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(UCUM)</body>
          </defaultValue>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B641886F63021A" name="PhysicalQuantityInterval">
        <eAnnotations xmi:id="_OZ2ix-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_OZ2iyOLiEduGJrQyRGTO1A" key="IVL_PQ"/>
        </eAnnotations>
        <ownedComment xmi:id="_OZtY4OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641886F63021A">
          <body>The amount of the therapeutic agent or other substance given at one administration event.</body>
        </ownedComment>
        <ownedComment xmi:id="_y8ce4O5rEd-crcWiXVDZrQ" annotatedElement="_420A62FD03B641886F63021A">
          <body>This data type represents an Interval, where the Low and High Limits are Physical Quantities.  An Interval is a &quot;set of consecutive values of an ordered base data type.&quot; - HL7 V3  A Physical Quantity is &quot;a dimensioned quantity expressing the result of measuring&quot; - HL7 V3</body>
        </ownedComment>
        <generalization xmi:id="_mTsyoAAMEeapUr0Xy0Y4Kw" general="_r_1eEBvxEd-afqIGzWhetA"/>
        <ownedAttribute xmi:id="_gaSH0EzZEdyZ7YHHi9KCRg" name="lowValue" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_gaSH0UzZEdyZ7YHHi9KCRg" annotatedElement="_gaSH0EzZEdyZ7YHHi9KCRg">
            <body>The magnitude of the quantity measured in terms of the unit.</body>
          </ownedComment>
          <ownedComment xmi:id="_ayHyIPwPEd-3ndaGus2qMA" annotatedElement="_gaSH0EzZEdyZ7YHHi9KCRg">
            <body>&quot;The low limit of the interval.  The low limit SHALL NOT be positive infinity.&quot; - HL7 V3  This property contains the numeric portion (i.e., not including any units of measure) of the low limit.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9uj1cMzJEeCMF_3VBil7Gw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9uj1cczJEeCMF_3VBil7Gw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gaSH0kzZEdyZ7YHHi9KCRg" name="lowUnit" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_gaSH00zZEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_gaSH1EzZEdyZ7YHHi9KCRg" annotatedElement="_gaSH0kzZEdyZ7YHHi9KCRg">
            <body>The unit of measure specified in the Unified Code for Units of Measure (UCUM) [].</body>
          </ownedComment>
          <ownedComment xmi:id="_MOb6IO0EEd-KQpEfY1umCw" annotatedElement="_gaSH0kzZEdyZ7YHHi9KCRg">
            <body>&quot;The low limit of the interval.  The low limit SHALL NOT be positive infinity.&quot; - HL7 V3.  This property containsthe Unit of Measure of the low limit.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gaSH1kzZEdyZ7YHHi9KCRg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gaSH1UzZEdyZ7YHHi9KCRg" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_1oFsUHQrEeWTWNDLSSjefQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(UCUM)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gab40EzZEdyZ7YHHi9KCRg" name="highValue" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_gab40UzZEdyZ7YHHi9KCRg" annotatedElement="_gab40EzZEdyZ7YHHi9KCRg">
            <body>The magnitude of the quantity measured in terms of the unit.</body>
          </ownedComment>
          <ownedComment xmi:id="_TM9-oPwPEd-3ndaGus2qMA" annotatedElement="_gab40EzZEdyZ7YHHi9KCRg">
            <body>&quot;The high limit of the interval.  The high limit SHALL NOT be negative infinity, and SHALL be higher than the low limit if one exists.&quot; - HL7 V3.  This property contains the numeric portion (i.e., not including any units of measure) of the high limit.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__VGVcMzJEeCMF_3VBil7Gw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__VGVcczJEeCMF_3VBil7Gw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gab40kzZEdyZ7YHHi9KCRg" name="highUnit" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_gab400zZEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_gab41EzZEdyZ7YHHi9KCRg" annotatedElement="_gab40kzZEdyZ7YHHi9KCRg">
            <body>The unit of measure specified in the Unified Code for Units of Measure (UCUM) [].</body>
          </ownedComment>
          <ownedComment xmi:id="_f2wvIO0FEd-KQpEfY1umCw" annotatedElement="_gab40kzZEdyZ7YHHi9KCRg">
            <body>&quot;The high limit of the interval.  The high limit SHALL NOT be negative infinity, and SHALL be higher than the low limit if one exists.&quot; - HL7 V3.  This property contains the Unit of Measure of the high limit.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gab41kzZEdyZ7YHHi9KCRg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gab41UzZEdyZ7YHHi9KCRg" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_2TSlcHQrEeWTWNDLSSjefQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(UCUM)</body>
          </defaultValue>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64244824602F5" name="PointInTime">
        <eAnnotations xmi:id="_O5vjyeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_O5vjyuLiEduGJrQyRGTO1A" key="TS"/>
        </eAnnotations>
        <ownedComment xmi:id="_O5vjxOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64244824602F5">
          <body>A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.  Semantically, however, time is independent from calendars and best described by its relationship to elapsed time (measured as a physical quantity in the dimension of time.) A point in time plus an elapsed time yields another point in time. Inversely, a point in time minus another point in time yields an elapsed time.  As nobody knows when time began, a point in time is conceptualized as the amount of time that has elapsed from some arbitrary zero-point, called an epoch. Because there is no absolute zero-point on the time axis natural time is a difference-scale quantity, where only differences are defined but no ratios. (For example, no point in time is - absolutely speaking - 'twice as late' as another point in time.)  Given some arbitrary zero-point, one can express any point in time as an elapsed time measured from that offset. Such an arbitrary zero-point is called an epoch. This epoch-offset form is used as a semantic representation here, without implying that any system would have to implement the TS data type in that way. Systems that do not need to compute distances between points in time will not need any other representation than a calendar expression literal </body>
        </ownedComment>
        <ownedComment xmi:id="_nJTKMPwPEd-3ndaGus2qMA" annotatedElement="_420A62FD03B64244824602F5">
          <body>A data type containing date/time information.  This data type is a placeholder, as various platforms have differing built-in date/time datatypes.  It is anticipated that this data type will be replaced by a different data type when transforming to a particular implementation platform.</body>
        </ownedComment>
        <generalization xmi:id="_nDAvsAAMEeapUr0Xy0Y4Kw" general="_r_1eEBvxEd-afqIGzWhetA"/>
        <ownedAttribute xmi:id="_420A62FD03B643D930510248" name="literal" visibility="public">
          <ownedComment xmi:id="_O5vjx-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D930510248">
            <body>For the default Gregorian calendar the calendar expression literals of this specification conform to the constrained ISO 8601 that is defined in ISO 8824 (ASN.1) under clause 32 (generalized time) and to the HL7 version 2 TS data format.</body>
          </ownedComment>
          <ownedComment xmi:id="_rsclQPwPEd-3ndaGus2qMA" annotatedElement="_420A62FD03B643D930510248">
            <body>&quot;TS literals are simple calendar expressions... [which] conform to the constrained ISO 8601... western calendar expressions  begin with the 4-digit year; followed by the 2-digit month of the year; followed by the 2-digit day of the month; followed  by the 2-digit hour of the day (beginning with zero); and so forth. For example, '200004010315' is a valid expression for  April 1, 2000, 3:15 am.  A calendar expression can be of variable precision, omitting parts from the right.  For example, '20000401' is precise  only to the day of the month.  The least defined calendar period (i.e. the second) may be written as a REAL, with the number of integer digits specified,  followed by the decimal point and any number of fractional digits. For example, '20000401031520.34' means April 1, 2000,  3:15 and 20.34 seconds.  When other calendars are used in the future, a prefix 'GREG:' can be placed before the western (Gregorian) calendar  expression to disambiguate from other calendars. Each calendar shall have its own prefix. However, the western calendar is  the default if no prefix is present.  In the modern Gregorian calendar (and all calendars where time of day is based on UTC), the calendar expression may contain  a time zone suffix. The time zone suffix begins with a plus (+) or minus (-) followed by digits for the hour and, for non  UTC times, minute cycles. UTC is designated as offset '+00' or '-00'; the ISO 8601 and ISO 8824 suffix 'Z' for UTC is not  permitted.&quot; - HL7 V3</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8f20oPRMEdyLkN7_Anv_Ag" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8f20ofRMEdyLkN7_Anv_Ag" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B641886F63021C" name="RateQuantity">
        <eAnnotations xmi:id="_OaATyuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_K1avEO6AEd-crcWiXVDZrQ" key="RTO"/>
        </eAnnotations>
        <ownedComment xmi:id="_OZ2iyuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641886F63021C">
          <body>Identifies the speed with which the substance is introduced into the subject. Expressed as a physical (extensive) quantity over elapsed time (e.g., examples are 100 mL/h, 1 g/d, 40 mmol/h, etc.)</body>
        </ownedComment>
        <ownedComment xmi:id="_7HQ0IO5_Ed-crcWiXVDZrQ" annotatedElement="_420A62FD03B641886F63021C">
          <body>Rate: &quot;A certain quantity or amount of one thing considered in relation to a unit of another thing and used as a standard  or measure: at the rate of 60 miles an hour.&quot; - Dictionary.com  This class represents a ratio of some Physical Quantity over a period of time.  This class is structurally similar to  other Ratio classes (e.g., IntegerRatio), except the denominator is by definition a TimeQuantity.</body>
        </ownedComment>
        <generalization xmi:id="_npRecAAMEeapUr0Xy0Y4Kw" general="_r_1eEBvxEd-afqIGzWhetA"/>
        <ownedAttribute xmi:id="_wFoSsO5_Ed-crcWiXVDZrQ" name="numerator" visibility="public" type="_420A62FD03B641886F630221">
          <eAnnotations xmi:id="_JeFvwO6AEd-crcWiXVDZrQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_wFoSse5_Ed-crcWiXVDZrQ" annotatedElement="_wFoSsO5_Ed-crcWiXVDZrQ">
            <body>The quantity that is being divided in the ratio. The default is the integer number 1</body>
          </ownedComment>
          <ownedComment xmi:id="_wFoSsu5_Ed-crcWiXVDZrQ" annotatedElement="_wFoSsO5_Ed-crcWiXVDZrQ">
            <body>&quot;The quantity that is being divided in the ratio. The default is the integer number 1 (one).&quot; - HL7 V3</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tQIFM-5_Ed-crcWiXVDZrQ" name="denominator" visibility="public" type="_420A62FD03B64239FAA800D9">
          <ownedComment xmi:id="_tQIFNO5_Ed-crcWiXVDZrQ" annotatedElement="_tQIFM-5_Ed-crcWiXVDZrQ">
            <body>The quantity that divides the numerator in the ratio. The default is the integer number 1 (one.) The denominator must not be zero.</body>
          </ownedComment>
          <ownedComment xmi:id="_xz32gPwPEd-3ndaGus2qMA" annotatedElement="_tQIFM-5_Ed-crcWiXVDZrQ">
            <body>&quot;The quantity that divides the numerator in the ratio. The denominator SHALL not be zero.&quot; - HL7 V3  This property is by definition a period of time, with the unit almost always one.  For example, one hour, one minute, etc.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642387187004E" name="TimeInterval">
        <eAnnotations xmi:id="_O55U0OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_O55U0eLiEduGJrQyRGTO1A" key="IVL_TS"/>
        </eAnnotations>
        <ownedComment xmi:id="_O5vjzOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642387187004E">
          <body>An interval of time specified as an interval of points in time - TS.</body>
        </ownedComment>
        <ownedComment xmi:id="_jZ7r4O5uEd-crcWiXVDZrQ" annotatedElement="_420A62FD03B642387187004E">
          <body>This data type represents an Interval, where the Low and High Limits are Points In Time.  An Interval is a &quot;set of consecutive values of an ordered base data type.&quot; - HL7 V3  A PointInTime is &quot;a quantity specifying a point on the axis of natural time. A point in time is most often represented as a  calendar expression.&quot; - HL7 V3</body>
        </ownedComment>
        <generalization xmi:id="_pagLgAAMEeapUr0Xy0Y4Kw" general="_r_1eEBvxEd-afqIGzWhetA"/>
        <ownedAttribute xmi:id="_420A62FD03B6423871C20233" name="start" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_O55UxOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_O55UwuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6423871C20233">
            <body>This is the low limit of the interval.</body>
          </ownedComment>
          <ownedComment xmi:id="_xq-NEO0EEd-KQpEfY1umCw" annotatedElement="_420A62FD03B6423871C20233">
            <body>&quot;The low limit of the interval.  The low limit SHALL NOT be positive infinity.&quot; - HL7 V3</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ey7NouLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ey7No-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6423871C60030" name="end" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_O55UyeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_O55Ux-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6423871C60030">
            <body>This is the high limit of the interval.</body>
          </ownedComment>
          <ownedComment xmi:id="_fIRRcO0FEd-KQpEfY1umCw" annotatedElement="_420A62FD03B6423871C60030">
            <body>&quot;The high limit of the interval.  The high limit SHALL NOT be negative infinity, and SHALL be higher than the low limit if one exists.&quot; - HL7 V3</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ey7NpOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ey7NpeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6424ACC670093" name="duration" visibility="public" type="_420A62FD03B64239FAA800D9">
          <eAnnotations xmi:id="_O55UzuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_O55UzOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6424ACC670093">
            <body>The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.</body>
          </ownedComment>
          <ownedComment xmi:id="_fe-GUPwQEd-3ndaGus2qMA" annotatedElement="_420A62FD03B6424ACC670093">
            <body>&quot;The difference between HIGH and LOW boundary. The purpose of distinguishing width is to handle all cases of incomplete information symmetrically. In any IVL representation only two of the three properties HIGH, LOW, and width need to be stated: the third can be derived.  When both boundaries are known, width can be derived as HIGH minus LOW. When one boundary and width is known, the other boundary is also known. When no boundary is known, width may still be known. For example, one knows that an activity takes about 30 minutes, but one may not yet know when that activity is started.&quot; - HL7 V3</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ey7NpuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ey7Np-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64239FAA800D9" name="TimeQuantity">
        <eAnnotations xmi:id="_O6CeuuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_O6Ceu-LiEduGJrQyRGTO1A" key="PQ"/>
        </eAnnotations>
        <ownedComment xmi:id="_O6CesOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64239FAA800D9">
          <body>A length of time specified as a Physical Quantity, e.g., 5 minutes, 2.5 hours.</body>
        </ownedComment>
        <ownedComment xmi:id="_j-QVEPwQEd-3ndaGus2qMA" annotatedElement="_420A62FD03B64239FAA800D9">
          <body>This class represents an amount of time, such as 10 minutes, 3.2 seconds, etc. This class is structurally identical to a Physical Quantity, although the units of measure are by definition time units (e.g., hours), rather than physical units (e.g., kilograms).</body>
        </ownedComment>
        <generalization xmi:id="_3-RdcOqrEeS5D9mZzS_77A" general="_420A62FD03B641886F630221"/>
        <ownedAttribute xmi:id="_420A62FD03B643037E010077" name="unit" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_O6CeuOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_O6CetuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643037E010077">
            <body>The unit of measure specified in the Unified Code for Units of Measure (UCUM).</body>
          </ownedComment>
          <ownedComment xmi:id="_navDAPwQEd-3ndaGus2qMA" annotatedElement="_420A62FD03B643037E010077">
            <body>&quot;The unit of measure specified in the Unified Code for Units of Measure (UCUM).&quot; - HL7 V3  The units of measure used by this class are limited to those measuring time (e.g., minutes, hours, years, etc.)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ey7NqOLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ey7NqeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B641886F6203C7" name="UsMailingAddress">
        <eAnnotations xmi:id="_KPgZgCTeEdy0d_IHH17lcA" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_KPgZgSTeEdy0d_IHH17lcA" key="AD"/>
        </eAnnotations>
        <ownedComment xmi:id="_2QnoQPwHEd-3ndaGus2qMA" annotatedElement="_420A62FD03B641886F6203C7">
          <body>A specialization of Address that is used for addresses in the United Sates.  Note that the stateOrTerritory property may only contain a code for a U.S. State, territory, or military postal region (APO).  The purpose of this sub-type is to provide a mechanism to add the stateOrTerritory property and to bind it to the valueset of codes valid for United States mail.</body>
        </ownedComment>
        <generalization xmi:id="_420A62FD03B6418A8DDF0368" general="_420A62FD03B6418A8DCD02C2"/>
        <ownedAttribute xmi:id="_420A62FD03B641886F6203D1" name="stateOrTerritory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_O2nXQeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_zJkXwPwHEd-3ndaGus2qMA" annotatedElement="_420A62FD03B641886F6203D1">
            <body>An Address Part (ADXP) that contains the state or province. A state or provinces is a sub-unit of a country with limited sovereignty in a federally organized country.&#xD;
The State code is defined in the USPS Publication 28.  Note that while technically, each state &quot;code&quot; should be an Id, the enumeration of states has historically treated as a code.&#xD;
&quot;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).&quot; - HL7 FHIR, Address.state</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eyyDqeLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eyyDquLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_GmKqYGAfEd6a0qoC8Dh7hA" name="Code">
        <eAnnotations xmi:id="_YUcKoLyKEeGK2djLWlLFew" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_u9IWgOZSEeGuIoEQ4Mvu0w" key="CS"/>
        </eAnnotations>
        <ownedComment xmi:id="_DcLDkPwIEd-3ndaGus2qMA" annotatedElement="_GmKqYGAfEd6a0qoC8Dh7hA">
          <body>&quot;A word, letter, number, or other symbol used in a code system to mark, represent, or identify something.&quot; - Dictionary.com.  This *abstract* data type represents a &quot;coded element&quot; - some label made up of a series of letters or numbers which can be referenced in a code system or value set.  A code must be unique within a given coding system, but may not be unique across coding systems.  For example, &quot;AU&quot; might mean &quot;Gold&quot; in a chemistry coding system, while it might mean &quot;Australia&quot; in a country coding system.  This is why this coded element class contains both the code and the coding system in which it is defined (one can think of a coding system as a namespace in some respects).&#xD;
This class is abstract because each standard (which we are treating as &quot;platforms&quot; in a model-driven architecture sense) represents coded concepts differently.  Some standards, like HL7 v2 have multiple &quot;flavors&quot; of coded concepts.  When generating artifacts based on a particular standard, this data type will be substituted with a specific structure particular to the target standard.&#xD;
Note that HL7 FHIR contains an additional element, &quot;primary&quot;, which is not in the FHIM.  Primary is used to signify which code in a collection of codes is the one that was chosen by the user (as opposed to translations of that code).</body>
        </ownedComment>
        <generalization xmi:id="_qa-KAAAMEeapUr0Xy0Y4Kw" general="_r_1eEBvxEd-afqIGzWhetA"/>
        <ownedAttribute xmi:id="_AmhAIAewEeCPOdVNW49Akw" name="code" visibility="public">
          <ownedComment xmi:id="_AmhAIQewEeCPOdVNW49Akw" annotatedElement="_AmhAIAewEeCPOdVNW49Akw">
            <body>This property is a unique identifier of or label for an entry in a coding system. &#xD;
Note that this property will be replaced by some other concept or group of concepts when this abstract class is replaced by a specific class for a given target platform.&#xD;
&quot;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).&quot; - HL7 FHIR, Coding.code.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AmhAIwewEeCPOdVNW49Akw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AmhAIgewEeCPOdVNW49Akw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_q3PtwGO1EeWL1ov4GOhBTA" name="codeSystem" visibility="public" type="_nrpUcGO1EeWL1ov4GOhBTA" association="_q3LcUGO1EeWL1ov4GOhBTA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_q3Q74GO1EeWL1ov4GOhBTA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_q3Ri8GO1EeWL1ov4GOhBTA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_AmiOQAewEeCPOdVNW49Akw" name="displayText">
          <ownedComment xmi:id="_Ami1UAewEeCPOdVNW49Akw" annotatedElement="_AmiOQAewEeCPOdVNW49Akw">
            <body>This property contains the &quot;display text&quot; or &quot;designation&quot;, which is the human-readable string representing the concept. &#xD;
Note that this property will be replaced by some other concept or group of concepts when this abstract class is replaced by a specific class for a given target platform.&#xD;
&quot;A representation of the meaning of the code in the system, following the rules of the system.&quot; - HL7 FHIR, Coding.display.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ami1UgewEeCPOdVNW49Akw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ami1UQewEeCPOdVNW49Akw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6BKrsOZSEeGuIoEQ4Mvu0w" name="nullFlavor" visibility="public" type="_cJEi4AqcEd-426xscrxYmQ">
          <ownedComment xmi:id="_6BKrseZSEeGuIoEQ4Mvu0w" annotatedElement="_6BKrsOZSEeGuIoEQ4Mvu0w">
            <body>This property indicates why the value property is empty.  It uses the NullFlavor enumeration.  This property must be valued when the value property is empty, and must be empty when the value property is valued.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_M87zMHQpEeWqG8oCdHVVOQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_M88aQHQpEeWqG8oCdHVVOQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zl2OEOZSEeGuIoEQ4Mvu0w" name="originalText" visibility="public">
          <ownedComment xmi:id="_zl2OEeZSEeGuIoEQ4Mvu0w" annotatedElement="_zl2OEOZSEeGuIoEQ4Mvu0w">
            <body>&quot;The text as seen and/or selected by the user who entered the data which represents the intended meaning of the user.&quot; - HL7 V3</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zl2OE-ZSEeGuIoEQ4Mvu0w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zl2OEuZSEeGuIoEQ4Mvu0w" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_N-BAoNYeEd62cosTNS-_lw" name="Real">
        <eAnnotations xmi:id="_ysrrAAqiEd-426xscrxYmQ" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_ysrrAQqiEd-426xscrxYmQ" key="REAL"/>
        </eAnnotations>
        <ownedComment xmi:id="_4W9wEPwPEd-3ndaGus2qMA" annotatedElement="_N-BAoNYeEd62cosTNS-_lw">
          <body>This data type represents numbers that may include non-whole numbers. This data type is a placeholder, as various platforms have differing built-in floating-point datatypes. It is anticipated that this data type will be replaced by a different data type when transforming to a particular implementation platform.&#xD;
&quot;A scalar magnitude. Typically used whenever quantities are measured, estimated, or computed from other real numbers. The typical representation is decimal, where the number of significant decimal digits is known as the precision.&quot; - HL7 V3&#xD;
&quot;Rational numbers that have a decimal representation.&quot; - HL7 FHIR, decimal.</body>
        </ownedComment>
        <generalization xmi:id="_oUha4AAMEeapUr0Xy0Y4Kw" general="_r_1eEBvxEd-afqIGzWhetA"/>
        <ownedAttribute xmi:id="_aZHukAqkEd-426xscrxYmQ" name="literal" visibility="public">
          <ownedComment xmi:id="_lWlsQAqlEd-426xscrxYmQ" annotatedElement="_aZHukAqkEd-426xscrxYmQ">
            <body>This is a placeholder for an actual data type that will be substituted via transformation to a platform-specific datatype.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_cJEi4AqcEd-426xscrxYmQ" name="NullFlavor">
        <ownedComment xmi:id="_ojb2AO2iEd-YWc6j70EPjw" annotatedElement="_cJEi4AqcEd-426xscrxYmQ">
          <body>This enumeration defines the set of possible &quot;null-flavors&quot;, which are used to communicate why a data type value is empty  when otherwise it should not be empty.  Null Flavor: &quot;If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is  missing.&quot; - HL7 V3</body>
        </ownedComment>
        <ownedLiteral xmi:id="_Ax7rQAqfEd-426xscrxYmQ" name="AskedButUnknown">
          <ownedComment xmi:id="_r2KAcO2hEd-YWc6j70EPjw" annotatedElement="_Ax7rQAqfEd-426xscrxYmQ">
            <body>&quot;Information was sought but not found (e.g., patient was asked but didn't know)&quot; - HL7 V3</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_DAYf0AqfEd-426xscrxYmQ">
            <body>ASKU</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_6or1EAqeEd-426xscrxYmQ" name="Derived">
          <ownedComment xmi:id="_Tz3UoPwREd-3ndaGus2qMA" annotatedElement="_6or1EAqeEd-426xscrxYmQ">
            <body>&quot;An actual value may exist, but it must be derived from the provided information (usually an EXPR generic data type extension will be used to convey the derivation expression&quot; - HL7 V3</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_8cxB0AqeEd-426xscrxYmQ">
            <body>DER</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_bzBvgAqeEd-426xscrxYmQ" name="Invalid">
          <ownedComment xmi:id="_xSHIQO2gEd-YWc6j70EPjw" annotatedElement="_bzBvgAqeEd-426xscrxYmQ">
            <body>&quot;The value as represented in the instance is not a member of the set of permitted data values in the constrained value  domain of a variable.&quot; - HL7 V3</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_eTN0UAqeEd-426xscrxYmQ">
            <body>INV</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_WYwpwAqfEd-426xscrxYmQ" name="Masked">
          <ownedComment xmi:id="_Z1dbIO2hEd-YWc6j70EPjw" annotatedElement="_WYwpwAqfEd-426xscrxYmQ">
            <body>&quot;There is information on this item available but it has not been provided by the sender due to security, privacy or other  reasons. There may be an alternate mechanism for gaining access to this information.&quot; - HL7 V3</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_Yd040AqfEd-426xscrxYmQ">
            <body>MSK</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_oHACkAqeEd-426xscrxYmQ" name="NegativeInfinity">
          <ownedComment xmi:id="_JQGycO2hEd-YWc6j70EPjw" annotatedElement="_oHACkAqeEd-426xscrxYmQ">
            <body>&quot;Negative infinity of numbers.&quot; - HL7 V3</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_rKzx0AqeEd-426xscrxYmQ">
            <body>NINF</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_Xo5RYAqeEd-426xscrxYmQ" name="NoInformation">
          <ownedComment xmi:id="_Glfw4O2iEd-YWc6j70EPjw" annotatedElement="_Xo5RYAqeEd-426xscrxYmQ">
            <body>&quot;The value is exceptional (missing, omitted, incomplete, improper). No information as to the reason for being an  exceptional value is provided. This is the most general exceptional value. It is also the default exceptional value.&quot; - HL7  V3</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_akzB0AqeEd-426xscrxYmQ">
            <body>NI</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_Z8TB8AqfEd-426xscrxYmQ" name="NotApplicable">
          <ownedComment xmi:id="_gQ-GAO2hEd-YWc6j70EPjw" annotatedElement="_Z8TB8AqfEd-426xscrxYmQ">
            <body>&quot;Known to have no proper value (e.g., last menstrual period for a male).&quot; - HL7 V3</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_c7CD8AqfEd-426xscrxYmQ">
            <body>NA</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_MMr3UAqfEd-426xscrxYmQ" name="NotAsked">
          <ownedComment xmi:id="_2UrNwO2hEd-YWc6j70EPjw" annotatedElement="_MMr3UAqfEd-426xscrxYmQ">
            <body>&quot;This information has not been sought (e.g., patient was not asked)&quot; - HL7 V3</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_N5diMAqfEd-426xscrxYmQ">
            <body>NASK</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_tTANYAqeEd-426xscrxYmQ" name="PositiveInfinity">
          <ownedComment xmi:id="_PszwIO2hEd-YWc6j70EPjw" annotatedElement="_tTANYAqeEd-426xscrxYmQ">
            <body>&quot;Positive infinity of numbers.&quot; - HL7 V3</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_wHwM8AqeEd-426xscrxYmQ">
            <body>PINF</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_H1IoQAqfEd-426xscrxYmQ" name="SufficientQuantity">
          <ownedComment xmi:id="__BiQMO2hEd-YWc6j70EPjw" annotatedElement="_H1IoQAqfEd-426xscrxYmQ">
            <body>&quot;The specific quantity is not known, but is known to be non-zero and is not specified because it makes up the bulk of the  material. e.g. 'Add 10mg of ingredient X, 50mg of ingredient Y, and sufficient quantity of water to 100mL.' The null flavor  would be used to express the quantity of water.&quot; - HL7 V3</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_KEolsAqfEd-426xscrxYmQ">
            <body>QS</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_EIglgAqfEd-426xscrxYmQ" name="TemporarilyUnavailable">
          <ownedComment xmi:id="_xnHScO2hEd-YWc6j70EPjw" annotatedElement="_EIglgAqfEd-426xscrxYmQ">
            <body>&quot;Information is not available at this time but it is expected that it will be available later.&quot; - HL7 V3</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_GXaGAAqfEd-426xscrxYmQ">
            <body>NAV</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_RZIHAAqfEd-426xscrxYmQ" name="Trace">
          <ownedComment xmi:id="_8nG1IO2hEd-YWc6j70EPjw" annotatedElement="_RZIHAAqfEd-426xscrxYmQ">
            <body>&quot;The content is greater than zero, but too small to be quantified.&quot; - HL7 V3</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_TJVgYAqfEd-426xscrxYmQ">
            <body>TRC</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_xgapAAqeEd-426xscrxYmQ" name="Unencoded">
          <ownedComment xmi:id="_To05wO2hEd-YWc6j70EPjw" annotatedElement="_xgapAAqeEd-426xscrxYmQ">
            <body>&quot;The actual value has not yet been encoded within the approved valueset for the domain.&quot; - HL7 V3</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_zEjVQAqeEd-426xscrxYmQ">
            <body>UNC</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_9aToIAqeEd-426xscrxYmQ" name="Unknown">
          <ownedComment xmi:id="_nnF_AO2hEd-YWc6j70EPjw" annotatedElement="_9aToIAqeEd-426xscrxYmQ">
            <body>&quot;A proper value is applicable, but not known.&quot; - HL7 V3</body>
          </ownedComment>
          <specification xmi:type="uml:OpaqueExpression" xmi:id="__NWTEAqeEd-426xscrxYmQ">
            <body>UNK</body>
          </specification>
        </ownedLiteral>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_f-71oAqmEd-426xscrxYmQ" name="OtherCountryMailingAddress">
        <eAnnotations xmi:id="_nzJ_4AqmEd-426xscrxYmQ" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_nzJ_4QqmEd-426xscrxYmQ" key="AD"/>
        </eAnnotations>
        <ownedComment xmi:id="_3aWHQO2fEd-YWc6j70EPjw" annotatedElement="_f-71oAqmEd-426xscrxYmQ">
          <body>A specialization of Address that is used for addresses in countries other than the United States or Canada.  The purpose of this sub-type is to provide a mechanism to add a jurisdiction property which is not bound to any valueset (in fact it is merely a string, not a code), so as to be able to record the state or province as needed by that country's postal designation conventions without having to know or maintain a closed list of possible jurisdictions beforehand.</body>
        </ownedComment>
        <generalization xmi:id="_iQ9ioAqmEd-426xscrxYmQ" general="_420A62FD03B6418A8DCD02C2"/>
        <ownedAttribute xmi:id="_mK9QUIrJEd-W_sKBWcwIbA" name="jurisdiction" visibility="public">
          <ownedComment xmi:id="_HPCvEO2gEd-YWc6j70EPjw" annotatedElement="_mK9QUIrJEd-W_sKBWcwIbA">
            <body>This property is a string for the &quot;jurisdiction&quot;, which would have the state or province as needed by the country's postal  designation conventions. In some cases, this property will be blank, and the jurisdiction would be part of one of the  street address lines.&#xD;
&quot;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).&quot; - HL7 FHIR, Address.state</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_r_1eEBvxEd-afqIGzWhetA" name="Any">
        <eAnnotations xmi:id="_uBoCUO55Ed-crcWiXVDZrQ" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_uBoCUe55Ed-crcWiXVDZrQ" key="ANY"/>
        </eAnnotations>
        <ownedComment xmi:id="_lgHfgPwHEd-3ndaGus2qMA" annotatedElement="_r_1eEBvxEd-afqIGzWhetA">
          <body>This *abstract* class is used to represent a data type that is not known at the logical model level, but rather will be substituted with a (set of) real data type(s) when transformed to a given platform.</body>
        </ownedComment>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_2xsJQM_6Ed-YeMSrwW6svA" name="QuantityRatio">
        <eAnnotations xmi:id="_2xsJQc_6Ed-YeMSrwW6svA" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_AZLA4M_7Ed-YeMSrwW6svA" key="RTO_PQ"/>
        </eAnnotations>
        <ownedComment xmi:id="_2xsJQ8_6Ed-YeMSrwW6svA" annotatedElement="_2xsJQM_6Ed-YeMSrwW6svA">
          <body>A ratio (numerator : denominator) specifying the relative quantities of the Entity playing the Role in the Entity scoping the Role, used for Roles that represent composition relationships between the scoping and playing Entities.</body>
        </ownedComment>
        <ownedComment xmi:id="_Hmr5UO5sEd-crcWiXVDZrQ" annotatedElement="_2xsJQM_6Ed-YeMSrwW6svA">
          <body>This data type represents a Ratio, where the Low and High Limits are Physical Quantities.  A Ratio is &quot; A quantity constructed as the quotient of a numerator quantity divided by a denominator quantity.&quot; - HL7 V3  A Physical Quantity is &quot;a dimensioned quantity expressing the result of measuring&quot; - HL7 V3&#xD;
&quot;A relationship of two Quantity values - expressed as a numerator and a denominator.&quot; - HL7 FHIR, Ratio.</body>
        </ownedComment>
        <generalization xmi:id="_wJAD0AAMEeapUr0Xy0Y4Kw" general="_r_1eEBvxEd-afqIGzWhetA"/>
        <ownedAttribute xmi:id="_2xsJRM_6Ed-YeMSrwW6svA" name="numerator" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_2xsJRc_6Ed-YeMSrwW6svA" annotatedElement="_2xsJRM_6Ed-YeMSrwW6svA">
            <body>The quantity that is being divided in the ratio. The default is the integer number 1</body>
          </ownedComment>
          <ownedComment xmi:id="_i04HoPwPEd-3ndaGus2qMA" annotatedElement="_2xsJRM_6Ed-YeMSrwW6svA">
            <body>&quot;The quantity that is being divided in the ratio. The default is the integer number 1 (one).&quot; - HL7 V3&#xD;
&quot;The value of the numerator.&quot; - HL7 FHIR, Ratio.numerator.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2xsJRs_6Ed-YeMSrwW6svA" name="denominator" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_2xsJR8_6Ed-YeMSrwW6svA" annotatedElement="_2xsJRs_6Ed-YeMSrwW6svA">
            <body>The quantity that divides the numerator in the ratio. The default is the integer number 1 (one.) The denominator must not be zero.</body>
          </ownedComment>
          <ownedComment xmi:id="_gxNmwPwPEd-3ndaGus2qMA" annotatedElement="_2xsJRs_6Ed-YeMSrwW6svA">
            <body>&quot;The quantity that devides the numerator in the ratio. The default is the integer number 1 (one). The denominator SHALL not be zero.&quot; - HL7 V3&#xD;
&quot;The value of the denominator.&quot; - HL7 FHIR, Ratio.denominator.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_ZYu5cHUeEeGl_7Z-4li2AA" name="CodeWithValue">
        <eAnnotations xmi:id="_dcYVEHUeEeGl_7Z-4li2AA" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_dcYVEXUeEeGl_7Z-4li2AA" key="CO"/>
        </eAnnotations>
        <ownedComment xmi:id="_d1WVAMlFEeKk-pg0LZnieg" annotatedElement="_ZYu5cHUeEeGl_7Z-4li2AA">
          <body>This subtype of Code adds a numerical value, which could be either a score for codes used to capture potential answers on an assessment instrument, or might be used to provide functionality for &quot;coded ordinals&quot;, which assigns a value to a concept.  In either case, this value is pre-defined in the coding system, and therefore could be looked up in the coding system.  Therefore, this datatype may be removed in the future, as it really isn't necessary, but may be useful in implementations which may wish to avoid a separate call to a terminology server.  (Note that this datatype was renamed from CodedOrdinal to CodeWithValue to combine the LoincAnswerCode and CodedOrdinal subtypes on 10/15/2015).&#xD;
&#xD;
&quot;Coded data, where the coding system from which the code comes defines a partial or complete order on some or all of the codes in the system.  Codes may be assigned a numerical value, but this is not required. [This datatype] adds semantics related to ordering and/or numerical values....&quot; - HL7 V3.</body>
        </ownedComment>
        <generalization xmi:id="_f78OEMlFEeKk-pg0LZnieg" general="_GmKqYGAfEd6a0qoC8Dh7hA"/>
        <ownedAttribute xmi:id="_oDjIEHUeEeGl_7Z-4li2AA" name="value" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_ioyO0MlFEeKk-pg0LZnieg" annotatedElement="_oDjIEHUeEeGl_7Z-4li2AA">
            <body>The value assigned to this code in the code System. - HL7 V3.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_yQqY4LyGEeGK2djLWlLFew" name="NullableBoolean">
        <eAnnotations xmi:id="_4RrgILyGEeGK2djLWlLFew" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_4RrgIbyGEeGK2djLWlLFew" key="BL"/>
        </eAnnotations>
        <ownedComment xmi:id="_RChjkLyHEeGK2djLWlLFew" annotatedElement="_yQqY4LyGEeGK2djLWlLFew">
          <body>This data type represents a boolean value which may be unknown.  In other words, this data type can represent Yes, No, and Unknown; unlike a traditional boolean which can only represent True and False.  For this logical model, this class has been modeled in the HL7 V3 style, which has the advantage of being able to account for different kinds of &quot;unknowns&quot;, but has the disadvantage of having two fields, one of which must always be populated while the other must always be empty.  Implementers may choose to implement this class using a single field instead.</body>
        </ownedComment>
        <generalization xmi:id="_ljA8kAAMEeapUr0Xy0Y4Kw" general="_r_1eEBvxEd-afqIGzWhetA"/>
        <ownedAttribute xmi:id="_5LbLkLyGEeGK2djLWlLFew" name="value" visibility="public">
          <ownedComment xmi:id="_6IRuALyJEeGK2djLWlLFew" annotatedElement="_5LbLkLyGEeGK2djLWlLFew">
            <body>This property contains either a True or a False (or Yes or No).  If &quot;unknown&quot; is needed, this property will be empty, and the nullFlavor property will be valued.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fEmtwHQqEeWqG8oCdHVVOQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fEnU0HQqEeWqG8oCdHVVOQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7uBrMLyGEeGK2djLWlLFew" name="nullFlavor" visibility="public" type="_cJEi4AqcEd-426xscrxYmQ">
          <ownedComment xmi:id="_FSGiILyKEeGK2djLWlLFew" annotatedElement="_7uBrMLyGEeGK2djLWlLFew">
            <body>This property indicates why the value property is empty.  It uses the NullFlavor enumeration.  This property must be valued when the value property is empty, and must be empty when the value property is valued.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fw6aIHQqEeWqG8oCdHVVOQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fw6aIXQqEeWqG8oCdHVVOQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_pESrUOUiEeSggrPnnbyhMg" name="CanadianMailingAddress">
        <eAnnotations xmi:id="_pESrUeUiEeSggrPnnbyhMg" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_pESrUuUiEeSggrPnnbyhMg" key="AD"/>
        </eAnnotations>
        <ownedComment xmi:id="_pESrU-UiEeSggrPnnbyhMg" annotatedElement="_pESrUOUiEeSggrPnnbyhMg">
          <body>A specialization of Address that is used for addresses in Canada.  The purpose of this sub-type is to provide a mechanism to add the provinceOrTerritory property and to bind it to the valueset of codes valid for Canadian mail.</body>
        </ownedComment>
        <generalization xmi:id="_pETSYOUiEeSggrPnnbyhMg" general="_420A62FD03B6418A8DCD02C2"/>
        <ownedAttribute xmi:id="_pETSYeUiEeSggrPnnbyhMg" name="provinceOrTerritory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_pETSYuUiEeSggrPnnbyhMg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_pETSY-UiEeSggrPnnbyhMg" annotatedElement="_pETSYeUiEeSggrPnnbyhMg">
            <body>An Address Part (ADXP) that contains the state or province. A state or provinces is a sub-unit of a country with limited sovereignty in a federally organized country.&#xD;
The State code is defined in the USPS Publication 28.  Note that while technically, each state &quot;code&quot; should be an Id, the enumeration of states has historically treated as a code.&#xD;
&quot;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).&quot; - HL7 FHIR, Address.state</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pETSZeUiEeSggrPnnbyhMg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pETSZOUiEeSggrPnnbyhMg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_codAMOXnEeSpA6gSNDKUhw" client="_fImbAAEYEd-ZUM5xZsXWyw">
        <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_RhXikOXdEeSM-JoX4jOe4g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_dFruwOXnEeSpA6gSNDKUhw" client="_fImbAAEYEd-ZUM5xZsXWyw">
        <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_zXSh4OXiEeSM-JoX4jOe4g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_exskoOXnEeSpA6gSNDKUhw" client="_420A62FD03B6418A8DCD02C2">
        <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_zuRTAOUoEeSggrPnnbyhMg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_oz0YYOqeEeS5D9mZzS_77A" name="QuantityWithComparator">
        <eAnnotations xmi:id="_JYm5QOqfEeS5D9mZzS_77A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_JYngUOqfEeS5D9mZzS_77A" key="PQ"/>
        </eAnnotations>
        <generalization xmi:id="_3HJ7IOqeEeS5D9mZzS_77A" general="_420A62FD03B641886F630221"/>
        <ownedAttribute xmi:id="_r-XBwOqeEeS5D9mZzS_77A" name="comparator" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_1y8hQOqeEeS5D9mZzS_77A" annotatedElement="_r-XBwOqeEeS5D9mZzS_77A">
            <body>&quot;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.&quot; - HL7 FHIR, Quantity.comparator.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_79-7YPApEeS1qetF27ECmQ" client="_3lzSEFVyEdyaooytdRFnxQ">
        <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_EfrFEPApEeS1qetF27ECmQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_nrpUcGO1EeWL1ov4GOhBTA" name="CodeSystem">
        <generalization xmi:id="_s8z0oAAMEeapUr0Xy0Y4Kw" general="_r_1eEBvxEd-afqIGzWhetA"/>
        <ownedAttribute xmi:id="_Ami1UwewEeCPOdVNW49Akw" name="codeSystemId">
          <ownedComment xmi:id="_Ami1VAewEeCPOdVNW49Akw" annotatedElement="_Ami1UwewEeCPOdVNW49Akw">
            <body>This property identifies the coding scheme or coding system of which the code is a member.&#xD;
Note that this property will be replaced by some other concept or group of concepts when this abstract class is replaced by a specific class for a given target platform.&#xD;
&quot;The identification of the code system that defines the meaning of the symbol in the code.&quot; - HL7 FHIR, Coding.system</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ami1VgewEeCPOdVNW49Akw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ami1VQewEeCPOdVNW49Akw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_GEs9kGO2EeWL1ov4GOhBTA" name="codeSystemName">
          <ownedComment xmi:id="_GEtkoGO2EeWL1ov4GOhBTA" annotatedElement="_GEs9kGO2EeWL1ov4GOhBTA">
            <body>This property identifies the coding scheme or coding system of which the code is a member.&#xD;
Note that this property will be replaced by some other concept or group of concepts when this abstract class is replaced by a specific class for a given target platform.&#xD;
&quot;The identification of the code system that defines the meaning of the symbol in the code.&quot; - HL7 FHIR, Coding.system</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GEtkomO2EeWL1ov4GOhBTA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GEtkoWO2EeWL1ov4GOhBTA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_o-VSUFx8EeCsbYJDFyCu_A" name="codeSystemVersion">
          <ownedComment xmi:id="_o-VSUVx8EeCsbYJDFyCu_A" annotatedElement="_o-VSUFx8EeCsbYJDFyCu_A">
            <body>This property identifies the release name or version of the coding scheme or coding system of which the code is a member.  This version number identifies the possible members of a coding system as of a particular time.  If a coding system isn't formally versioned, such as NDC, the date on which the coding system was published could be used here.&#xD;
Note that this property will be replaced by some other concept or group of concepts when this abstract class is replaced by a specific class for a given target platform.&#xD;
&quot;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.&quot; - HL7 FHIR, Coding.version.&#xD;
</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_o-VSU1x8EeCsbYJDFyCu_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_o-VSUlx8EeCsbYJDFyCu_A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_q3LcUGO1EeWL1ov4GOhBTA" name="code_codeSystem" memberEnd="_q3PtwGO1EeWL1ov4GOhBTA _q3SKAGO1EeWL1ov4GOhBTA">
        <ownedEnd xmi:id="_q3SKAGO1EeWL1ov4GOhBTA" name="" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" association="_q3LcUGO1EeWL1ov4GOhBTA">
          <lowerValue xmi:type="uml:OpaqueExpression" xmi:id="_q3UmQGO1EeWL1ov4GOhBTA">
            <language></language>
            <body>(none)</body>
          </lowerValue>
          <upperValue xmi:type="uml:OpaqueExpression" xmi:id="_q3VNUGO1EeWL1ov4GOhBTA">
            <language></language>
            <body>(none)</body>
          </upperValue>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_BYTc8HQqEeWqG8oCdHVVOQ" client="_420A62FD03B6418A8DCD02C2">
        <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_W1h4oKRMEeGZ6ueex_Me0w"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_xAzYIHQrEeWTWNDLSSjefQ" client="_420A62FD03B641886F63021A">
        <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_X8UhkKRMEeGZ6ueex_Me0w"/>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B6436136E100D9" name="Dental">
      <eAnnotations xmi:id="_MQBId-LiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_MQUDYOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_j0AHgDoTEdyLcoN1aB8eDw" name="dentalTreatmentPlan_division" memberEnd="_j0AHgToTEdyLcoN1aB8eDw _o4Z1gDoTEdyLcoN1aB8eDw">
        <ownedEnd xmi:id="_o4Z1gDoTEdyLcoN1aB8eDw" name="" visibility="public" type="_420A62FD03B643CC04EE00D4" association="_j0AHgDoTEdyLcoN1aB8eDw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_o4Z1gToTEdyLcoN1aB8eDw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_o4Z1gjoTEdyLcoN1aB8eDw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_qGrgIDoLEdyFQ9SR5y8kyA" name="dentalTreatmentPlan_bedSection" memberEnd="_qGrgIToLEdyFQ9SR5y8kyA _vbeakDoLEdyFQ9SR5y8kyA">
        <ownedEnd xmi:id="_vbeakDoLEdyFQ9SR5y8kyA" name="" visibility="public" type="_420A62FD03B643CC04EE00D4" association="_qGrgIDoLEdyFQ9SR5y8kyA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vbeakToLEdyFQ9SR5y8kyA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vbeakjoLEdyFQ9SR5y8kyA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6438B2D2C001B" name="SoftTissueExam">
        <eAnnotations xmi:id="_MJm-euLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MJUDiOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6438B2D2C001B">
          <body>This class identifies observations outcome related to Soft Tissue (Head &amp;amp;amp; Neck) Exam.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643D7E74C0215" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_MJUDi-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7E74C0215">
            <body>This is the unique identifier of the dental encounter record.    </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CC92EF005E" name="comments" visibility="public">
          <ownedComment xmi:id="_MJd0guLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CC92EF005E">
            <body>Remarks by the Provider on HeadNeck findings.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_f5f_cDEbEd-1kqugSPTNWQ" name="headNeckDescription" visibility="public">
          <ownedComment xmi:id="_f5f_cTEbEd-1kqugSPTNWQ" annotatedElement="_f5f_cDEbEd-1kqugSPTNWQ">
            <body>Remarks by the Provider on HeadNeck findings.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CC972C0271" name="isResolved" visibility="public">
          <ownedComment xmi:id="_ML2aIOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CC972C0271">
            <body>Indicates whether or not this head &amp;amp;amp; neck transaction has been resolved.  Possible values are TRUE; FALSE  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CC9908001D" name="markerColor" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_MJd0iOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CC9908001D">
            <body>The color of the marker used to indicate the lesion used in treatment planning  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643DE185D001E" name="markerShape" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MNVn6OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643DE185D001E">
            <body>The shape of the marker used to indicate the lesion used in treatment planning.   Possible values are rectangle; square; oval; circle; rounded rectangle; rounded square.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CC990F0153" name="markerSize" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MJm-cuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CC990F0153">
            <body>The size of the marker used to indicate the lesion used in treatment planning  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CC9A2C0031" name="xCoordinate" visibility="public">
          <ownedComment xmi:id="_MJm-deLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CC9A2C0031">
            <body>This is the X coordinate for the lesion.  DRM Plus Program Specific.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CC9A4303AF" name="yCoordinate" visibility="public">
          <ownedComment xmi:id="_MJm-eOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CC9A4303AF">
            <body>This is the Y coordinate for the lesion.   DRM Plus Program Specific.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6438B31F000DD" name="dentalProcedure" visibility="public" type="_420A62FD03B6438B31AC0144" isUnique="false" association="_420A62FD03B6438B31EC01BE">
          <ownedComment xmi:id="_MOFOyuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6438B31F000DD">
            <body>Dental Procedure provided.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MOFOzOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MOFOzeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7jzjUTEbEd-1kqugSPTNWQ" name="masterLesionRecord" visibility="public" type="_420A62FD03B6438B2D2C001B" association="_7jzjUDEbEd-1kqugSPTNWQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7jzjUjEbEd-1kqugSPTNWQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7jzjUzEbEd-1kqugSPTNWQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6438B31AC0144" name="DentalProcedure">
        <eAnnotations xmi:id="_MJwvduLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MJwvceLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6438B31AC0144">
          <body>Dental Procedures provided and or performed for the patient during the Encounter.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643CC8F7B0035" name="dentalProcedureCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MJwvdOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CC8F7B0035">
            <body>ADA/CPT Code associated with this exam.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6438F06A603BA" name="TreatmentPlanService">
        <eAnnotations xmi:id="_MKgWUeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MJwveeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6438F06A603BA">
          <body>Includes information related to the dental services provided for the patient.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643BD764E0026" name="aspect" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MJ6gdeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643BD764E0026">
            <body>Identifies graphical representation of the tooth this treatment applies to.  DRM Plus Program Specific.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D7E48A0292" name="canalNbr" visibility="public">
          <ownedComment xmi:id="_MKWlWOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7E48A0292">
            <body>Indicates the number of root canals that were involved.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643BD77C7010E" name="createDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_MKDqYuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643BD77C7010E">
            <body>Date treatment was recorded.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Hx9CkDEZEd-1kqugSPTNWQ" name="isJuvenile" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CC98BD0228" name="isPlan" visibility="public">
          <ownedComment xmi:id="_MKNbZeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CC98BD0228">
            <body>Whether the planned treatment will be performed during the patient's next appointment.  Possible values are Yes, No etc.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NdY7YDEZEd-1kqugSPTNWQ" name="isVisible" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D6AE5D007F" name="oralRegion" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MJ6geOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D6AE5D007F">
            <body>Identifies the area of the dental  treatment.  Possible Values are areNone;  areOneSurf; areTwoSurfs;  areThreeSurfs; areFourormoreSurfs;            areWholeTooth; areQuadrant; areSextant ; areArch; areHeader etc.  DRM Plus Program Specific.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D160290322" name="rvu" visibility="public">
          <ownedComment xmi:id="_MKWlUuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D160290322">
            <body>Indicates whether or not a user can delete this record from treatment plan.  Possible values are Yes, No, etc.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D7E48A02BA" name="surfaceRoots" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MKDqaOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7E48A02BA">
            <body>Text string that identifies the surfaces that were involved in the treatment.  DRM Plus Program Specific.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D6AFDF0138" name="toothNumber" visibility="public">
          <ownedComment xmi:id="_MKDqZeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D6AFDF0138">
            <body>Tooth number which require a tooth related treatment.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643BD7904020E" name="treatmentCategory" visibility="public">
          <ownedComment xmi:id="_MKNbaOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643BD7904020E">
            <body>Optional category that this item falls under in treatment planning and sequencing.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D7DCC7035E" name="treatmentCondition" visibility="public" type="_420A62FD03B643D7DC7C00E9" isUnique="false" association="_420A62FD03B643D7DCC6035C">
          <ownedComment xmi:id="_MPkcj-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7DCC7035E">
            <body>Treatment condition.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MPuNgeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MPuNguLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643BD5FA50010" name="treatmentId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_MJ6gcuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643BD5FA50010">
            <body>A unique identifier of a specific treatment.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CCFEF202C6" name="treatmentPhase" visibility="public">
          <ownedComment xmi:id="_MKNbYuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CCFEF202C6">
            <body>Identifies the phase of this treatment.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643BD773901D2" name="treatmentStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MJ6ge-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643BD773901D2">
            <body>Identifies the status of the treatment.  DRM Plus Program Specific.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CCFF8101D1" name="treatmentType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MKWlVeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CCFF8101D1">
            <body>Identifies type of treatment.  Possible values are Transaction; PerioExam; PSR; Head&amp;amp;amp;Neck etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XpDaARfyEd-hgZpk8HjFRw" name="dataEnterer" visibility="public" type="_HxX44Aq7Ed-426xscrxYmQ" association="_XpDaABfyEd-hgZpk8HjFRw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XpDaAhfyEd-hgZpk8HjFRw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XpDaAxfyEd-hgZpk8HjFRw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643BD60BB011E" name="dentalActivitySystem" visibility="public" type="_420A62FD03B643BD609502D2" isUnique="false" association="_420A62FD03B643BD60B903BB">
          <ownedComment xmi:id="_MOh6teLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643BD60BB011E">
            <body>This is an association to Dental Activity System (DAS)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MOh6t-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MOh6uOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6438F06070217" name="dentalProcedure" visibility="public" type="_420A62FD03B6438B31AC0144" isUnique="false" association="_420A62FD03B6438F0606007B">
          <ownedComment xmi:id="_MOFO0eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6438F06070217">
            <body>Dental Procedure Provided.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MOO_weLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MOO_wuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6438B2E5500E0" name="headAndNeck" visibility="public" type="_420A62FD03B6438B2D2C001B" isUnique="false" association="_420A62FD03B6438B2E5203D5">
          <ownedComment xmi:id="_MN7dxuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6438B2E5500E0">
            <body>Head and Neck realted observation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MN7dyOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MN7dyeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CFFFE301C7" name="materialUsed" visibility="public" type="_420A62FD03B643D7E26B01C9" isUnique="false" association="_420A62FD03B643CFFFE201DA">
          <ownedComment xmi:id="_MPHwnuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CFFFE301C7">
            <body>Material Used in a treatment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MPRhkeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MPRhkuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_86jlwTEZEd-1kqugSPTNWQ" name="periodontalExamination" visibility="public" type="_420A62FD03B643CD1AA802E4" association="_86jlwDEZEd-1kqugSPTNWQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_86jlwjEZEd-1kqugSPTNWQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_86jlwzEZEd-1kqugSPTNWQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TIJCQTEaEd-1kqugSPTNWQ" name="plaqueObservation" visibility="public" type="_420A62FD03B643D6B1D80170" association="_TIJCQDEaEd-1kqugSPTNWQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TIJCQjEaEd-1kqugSPTNWQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TIJCQzEaEd-1kqugSPTNWQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8Hj-cRfyEd-hgZpk8HjFRw" name="practitioner" visibility="public" type="_420A62FD03B6418A6B760063" association="_8Hj-cBfyEd-hgZpk8HjFRw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8Hj-chfyEd-hgZpk8HjFRw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8Hj-cxfyEd-hgZpk8HjFRw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643BD609502D2" name="DentalActivitySystemReporting">
        <eAnnotations xmi:id="_MKzRQeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MKgWXuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643BD609502D2">
          <body>This class includes the data elements that are related to Dental Activity System.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643D7D1E5034D" name="dasId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_MKqHUuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7D1E5034D">
            <body>This is the unique identifier of the dental encounter record.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D15AFC0132" name="dasCategory" visibility="public">
          <ownedComment xmi:id="_MKqHVeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D15AFC0132">
            <body>This is a pointer to DAS file.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643BD63F701D3" name="treatmentDisposition" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MKqHWOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643BD63F701D3">
            <body>This is the treatment disposition as filed to DAS.  Possible values are In progress; Completed; Terminated etc.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643CC04EE00D4" name="DentalTreatmentPlan">
        <eAnnotations xmi:id="_MLspJ-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MLZuO-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CC04EE00D4">
          <body>Includes information related to the dental plan or chart for the patient.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643CC05480227" name="treatmentPlanId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_MLi4IuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CC05480227">
            <body>This is the unique identifier of the dental encounter record.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CC8979021E" name="dentalAlert" visibility="public">
          <ownedComment xmi:id="_MLi4JeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CC8979021E">
            <body>Lists the dental alerts for the patient - e.g. Antibiotic Premed, Sedation Premed, etc.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D12A0903C9" name="treatmentFlag" visibility="public">
          <ownedComment xmi:id="_MLi4KOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D12A0903C9">
            <body>Flags for treatment plan  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CCE9A5027E" name="treatmentPlanType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MLspIuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CCE9A5027E">
            <body>Whether the treatment is planned or completed.  Possible values are Planned, Completed etc.  DRM Plus Program Specific.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D1607F0091" name="treatmentsInGroup" visibility="public">
          <ownedComment xmi:id="_MLspJeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D1607F0091">
            <body>Number of treatments included in this group.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643BD6493028C" name="treatingSpecialty" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B643BD6491036F">
          <ownedComment xmi:id="_MOrrsuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643BD6493028C">
            <body>Provides an indication of the medical specialty of the organization-location.  Examples include Medicine, Surgery, Psychiatry, etc.  Related to the &quot;CDR #&quot; in VHA.  (TreatingSpeciality is a role):</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MOrrtOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MOrrteLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CC8C5700A7" name="dentalPatientEncounter" visibility="public" type="_420A62FD03B64213F5B40316" isUnique="false" association="_420A62FD03B643CC8C540111">
          <ownedComment xmi:id="_MOrrwOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CC8C5700A7">
            <body>Dental Patient Encounter - The patient who is the subject of this dental treatment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MO01oeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MO01ouLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CFFD9F01EB" name="lastClassification" visibility="public" type="_420A62FD03B643CFFD23032D" isUnique="false" association="_420A62FD03B643CFFD9E0031">
          <ownedComment xmi:id="_MPHwl-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CFFD9F01EB">
            <body>Last dental classification of the patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MPHwmeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MPHwmuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643E8DC6703AE" name="diagnosis" visibility="public" type="_420A62FD03B6424070DB0209" isUnique="false" association="_420A62FD03B643E8DC6603CA">
          <ownedComment xmi:id="_MQBIcuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643E8DC6703AE">
            <body>Diagnosis of of a disease or injury.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MQBIdOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MQBIdeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qGrgIToLEdyFQ9SR5y8kyA" name="bedSection" visibility="public" type="_420A62FD03B64242CAB30303" association="_qGrgIDoLEdyFQ9SR5y8kyA">
          <ownedComment xmi:id="_5EOdgDoLEdyFQ9SR5y8kyA" annotatedElement="_qGrgIToLEdyFQ9SR5y8kyA">
            <body>&quot;A division in a hospital for the care of a particular group of patients&quot;  The American Heritage Stedman's Medical Dictionary. </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qG1RIDoLEdyFQ9SR5y8kyA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qG1RIToLEdyFQ9SR5y8kyA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_j0AHgToTEdyLcoN1aB8eDw" name="division" visibility="public" type="_420A62FD03B64242CAB30303" association="_j0AHgDoTEdyLcoN1aB8eDw">
          <ownedComment xmi:id="_w8uRQDoTEdyLcoN1aB8eDw" annotatedElement="_j0AHgToTEdyLcoN1aB8eDw">
            <body>An identification of an organization at a location.    </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_j0AHgjoTEdyLcoN1aB8eDw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_j0AHgzoTEdyLcoN1aB8eDw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_U4WM8BfyEd-hgZpk8HjFRw" name="dataEnterer" visibility="public" type="_HxX44Aq7Ed-426xscrxYmQ" association="_U4NDABfyEd-hgZpk8HjFRw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_U4WM8RfyEd-hgZpk8HjFRw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_U4WM8hfyEd-hgZpk8HjFRw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_vDiugBfyEd-hgZpk8HjFRw" name="practitioner" visibility="public" type="_420A62FD03B6418A6B760063" association="_vDZkkBfyEd-hgZpk8HjFRw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vDiugRfyEd-hgZpk8HjFRw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vDiughfyEd-hgZpk8HjFRw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1NuY0RfyEd-hgZpk8HjFRw" name="primaryProvider" visibility="public" type="_420A62FD03B6418A6B760063" association="_1NuY0BfyEd-hgZpk8HjFRw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1NuY0hfyEd-hgZpk8HjFRw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1NuY0xfyEd-hgZpk8HjFRw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_mtb4wTEYEd-1kqugSPTNWQ" name="treatmentPlanService" visibility="public" type="_420A62FD03B6438F06A603BA" association="_mtb4wDEYEd-1kqugSPTNWQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mtb4wjEYEd-1kqugSPTNWQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mtb4wzEYEd-1kqugSPTNWQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643CD1AA802E4" name="PeriodontalObservation">
        <eAnnotations xmi:id="_ML_kEeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_ML2aJeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CD1AA802E4">
          <body>Prerio Perio Dental Obseravation during treatment planning.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643CD199800BC" name="periodontalInformation" visibility="public">
          <ownedComment xmi:id="_ML2aKOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CD199800BC">
            <body>Information for the periodontal examination used in by the Discus program.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CD1A300242" name="perioNullData" visibility="public">
          <ownedComment xmi:id="_ML2aK-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CD1A300242">
            <body>Represents the Discus dental hex code for perio nulls to differentiate between a '0'.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643CFFD23032D" name="DentalClassification">
        <eAnnotations xmi:id="_MMJVEeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_ML_kFOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CFFD23032D">
          <body>Last the dental patient.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643CFFD4F031D" name="classification" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ML_kF-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CFFD4F031D">
            <body>The last classification for this patient.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CFFD78016D" name="classificationDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_ML_kGuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CFFD78016D">
            <body>Last classification Date  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643D6B1D80170" name="PlaqueObservation">
        <eAnnotations xmi:id="_MMcQBOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MMTGF-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D6B1D80170">
          <body>Indicates drgree of plaque buildup during treatment planning.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643D6B23201AC" name="plaqueIndex" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MMcQAuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D6B23201AC">
            <body>Indicates the degree of plaque buildup.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643DA2D380372" name="psrScore" visibility="public" type="_420A62FD03B643DA2CD700BF" isUnique="false" association="_420A62FD03B643DA2D370262">
          <ownedComment xmi:id="_MP3-huLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643DA2D380372">
            <body>PSR Score Observation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MP3-iOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MP3-ieLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643D7DC7C00E9" name="TreatmentCondition">
        <eAnnotations xmi:id="_MM479OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MMvK_eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7DC7C00E9">
          <body>This class inlcudes data element that identifies the type of condition of this treatment.   DRM Plus Program Specific.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643D7DC9D0078" name="condition" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MM478uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7DC9D0078">
            <body>Identifies the type of condition of this treatment.   DRM Plus Program Specific.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643D7E26B01C9" name="DentalMaterial">
        <eAnnotations xmi:id="_MNCs-eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MNCs9OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7E26B01C9">
          <body>The type of material used in this treatment.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643D7E2B30349" name="materialType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MNCs9-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7E2B30349">
            <body>Identifies the type of material used in this treatment.  Possible values are matUnknown; matAmalgam; matGold; matMetallic; matPorcelain; matResin; matSedative; matPFM; matGuttaPercha; matPaste; matSilverPoint; matNone etc.    DRM Plus Program Specific.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643DA2CD700BF" name="PsrScoreObservation">
        <eAnnotations xmi:id="_MNL25OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MNCs_OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643DA2CD700BF">
          <body>This class includes the data element for PSR Score.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643DA2D030018" name="psrScore" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MNL24uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643DA2D030018">
            <body>This is score of each sextant (a sextant is one sixth of the teeth) concatenated into single string.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6438B2E5203D5" name="treatmentPlanService_headAndNeck" memberEnd="_420A62FD03B6438B2E5500E0 _420A62FD03B6438B2E5500E2">
        <ownedEnd xmi:id="_420A62FD03B6438B2E5500E2" name="" visibility="public" type="_420A62FD03B6438F06A603BA" isUnique="false" association="_420A62FD03B6438B2E5203D5"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6438B31EC01BE" name="softTissueExam_dentalProcedure" memberEnd="_420A62FD03B6438B31F000DD _420A62FD03B6438B31F000E7">
        <ownedEnd xmi:id="_420A62FD03B6438B31F000E7" name="" visibility="public" type="_420A62FD03B6438B2D2C001B" isUnique="false" association="_420A62FD03B6438B31EC01BE"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6438F0606007B" name="treatmentPlanService_dentalProcedure" memberEnd="_420A62FD03B6438F06070217 _420A62FD03B6438F06070219">
        <ownedEnd xmi:id="_420A62FD03B6438F06070219" name="" visibility="public" type="_420A62FD03B6438F06A603BA" isUnique="false" association="_420A62FD03B6438F0606007B"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643BD60B903BB" name="treatmentPlanService_dentalActivitySystem" memberEnd="_420A62FD03B643BD60BB011E _420A62FD03B643BD60BB0129">
        <ownedEnd xmi:id="_420A62FD03B643BD60BB0129" name="" visibility="public" type="_420A62FD03B6438F06A603BA" isUnique="false" association="_420A62FD03B643BD60B903BB"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643BD6491036F" name="dentalTreatmentPlan_treatingSpecialty" memberEnd="_420A62FD03B643BD6493028C _420A62FD03B643BD64930304">
        <ownedEnd xmi:id="_420A62FD03B643BD64930304" name="" visibility="public" type="_420A62FD03B643CC04EE00D4" isUnique="false" association="_420A62FD03B643BD6491036F"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643CC8C540111" name="dentalTreatmentPlan_dentalPatientEncounter" memberEnd="_420A62FD03B643CC8C5700A7 _420A62FD03B643CC8C5700D9">
        <ownedEnd xmi:id="_420A62FD03B643CC8C5700D9" name="" visibility="public" type="_420A62FD03B643CC04EE00D4" isUnique="false" association="_420A62FD03B643CC8C540111"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643CFFD9E0031" name="dentalTreatmentPlan_lastClassification" memberEnd="_420A62FD03B643CFFD9F01EB _420A62FD03B643CFFD9F01FF">
        <ownedEnd xmi:id="_420A62FD03B643CFFD9F01FF" name="" visibility="public" type="_420A62FD03B643CC04EE00D4" isUnique="false" association="_420A62FD03B643CFFD9E0031"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643CFFFE201DA" name="treatmentPlanService_materialUsed" memberEnd="_420A62FD03B643CFFFE301C7 _420A62FD03B643CFFFE30217">
        <ownedEnd xmi:id="_420A62FD03B643CFFFE30217" name="" visibility="public" type="_420A62FD03B6438F06A603BA" isUnique="false" association="_420A62FD03B643CFFFE201DA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643D7DCC6035C" name="treatmentPlanService_treatmentCondition" memberEnd="_420A62FD03B643D7DCC7035E _420A62FD03B643D7DCC7037D">
        <ownedEnd xmi:id="_420A62FD03B643D7DCC7037D" name="" visibility="public" type="_420A62FD03B6438F06A603BA" isUnique="false" association="_420A62FD03B643D7DCC6035C"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643DA2D370262" name="plaqueObservation_psrScore" memberEnd="_420A62FD03B643DA2D380372 _420A62FD03B643DA2D38037C">
        <ownedEnd xmi:id="_420A62FD03B643DA2D38037C" name="" visibility="public" type="_420A62FD03B643D6B1D80170" isUnique="false" association="_420A62FD03B643DA2D370262"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643E8DC6603CA" name="dentalTreatmentPlan_diagnosis" memberEnd="_420A62FD03B643E8DC6703AE _420A62FD03B643E8DC6703D6">
        <ownedEnd xmi:id="_420A62FD03B643E8DC6703D6" name="" visibility="public" type="_420A62FD03B643CC04EE00D4" isUnique="false" association="_420A62FD03B643E8DC6603CA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_U4NDABfyEd-hgZpk8HjFRw" name="dentalTreatmentPlan_dataEnterer" memberEnd="_U4WM8BfyEd-hgZpk8HjFRw _U4WM8xfyEd-hgZpk8HjFRw">
        <ownedEnd xmi:id="_U4WM8xfyEd-hgZpk8HjFRw" name="" visibility="public" type="_420A62FD03B643CC04EE00D4" association="_U4NDABfyEd-hgZpk8HjFRw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_XpDaABfyEd-hgZpk8HjFRw" name="treatmentPlanService_dataEnterer" memberEnd="_XpDaARfyEd-hgZpk8HjFRw _XpDaBBfyEd-hgZpk8HjFRw">
        <ownedEnd xmi:id="_XpDaBBfyEd-hgZpk8HjFRw" name="" visibility="public" type="_420A62FD03B6438F06A603BA" association="_XpDaABfyEd-hgZpk8HjFRw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_vDZkkBfyEd-hgZpk8HjFRw" name="dentalTreatmentPlan_practitioner" memberEnd="_vDiugBfyEd-hgZpk8HjFRw _vDiugxfyEd-hgZpk8HjFRw">
        <ownedEnd xmi:id="_vDiugxfyEd-hgZpk8HjFRw" name="" visibility="public" type="_420A62FD03B643CC04EE00D4" association="_vDZkkBfyEd-hgZpk8HjFRw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_1NuY0BfyEd-hgZpk8HjFRw" name="dentalTreatmentPlan_primaryProvider" memberEnd="_1NuY0RfyEd-hgZpk8HjFRw _1NuY1BfyEd-hgZpk8HjFRw">
        <ownedEnd xmi:id="_1NuY1BfyEd-hgZpk8HjFRw" name="" visibility="public" type="_420A62FD03B643CC04EE00D4" association="_1NuY0BfyEd-hgZpk8HjFRw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_8Hj-cBfyEd-hgZpk8HjFRw" name="treatmentPlanService_practitioner" memberEnd="_8Hj-cRfyEd-hgZpk8HjFRw _8Hj-dBfyEd-hgZpk8HjFRw">
        <ownedEnd xmi:id="_8Hj-dBfyEd-hgZpk8HjFRw" name="" visibility="public" type="_420A62FD03B6438F06A603BA" association="_8Hj-cBfyEd-hgZpk8HjFRw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_mtb4wDEYEd-1kqugSPTNWQ" name="dentalTreatmentPlan_treatmentPlanService" memberEnd="_mtb4wTEYEd-1kqugSPTNWQ _mtb4xDEYEd-1kqugSPTNWQ">
        <ownedEnd xmi:id="_mtb4xDEYEd-1kqugSPTNWQ" name="" visibility="public" type="_420A62FD03B643CC04EE00D4" association="_mtb4wDEYEd-1kqugSPTNWQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_86jlwDEZEd-1kqugSPTNWQ" name="treatmentPlanService_periodontalExamination" memberEnd="_86jlwTEZEd-1kqugSPTNWQ _86jlxDEZEd-1kqugSPTNWQ">
        <ownedEnd xmi:id="_86jlxDEZEd-1kqugSPTNWQ" name="" visibility="public" type="_420A62FD03B6438F06A603BA" association="_86jlwDEZEd-1kqugSPTNWQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_TIJCQDEaEd-1kqugSPTNWQ" name="treatmentPlanService_plaqueObservation" memberEnd="_TIJCQTEaEd-1kqugSPTNWQ _TISzQDEaEd-1kqugSPTNWQ">
        <ownedEnd xmi:id="_TISzQDEaEd-1kqugSPTNWQ" name="" visibility="public" type="_420A62FD03B6438F06A603BA" association="_TIJCQDEaEd-1kqugSPTNWQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_7jzjUDEbEd-1kqugSPTNWQ" name="softTissueExam_masterLesionRecord" memberEnd="_7jzjUTEbEd-1kqugSPTNWQ _7jzjVDEbEd-1kqugSPTNWQ">
        <ownedEnd xmi:id="_7jzjVDEbEd-1kqugSPTNWQ" name="" visibility="public" type="_420A62FD03B6438B2D2C001B" association="_7jzjUDEbEd-1kqugSPTNWQ"/>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B64368DF45015B" name="Dietetics">
      <eAnnotations xmi:id="_MWlDcuLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_MW3-YuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643BCA0450075" name="DietModification">
        <eAnnotations xmi:id="_MQnlZOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MQd0Z-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643BCA0450075">
          <body>A diet requested for a patient. A diet modification is a variation from a regular diet.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643BC9C9002D3" name="diet" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MQnlYuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643BC9C9002D3">
            <body>A diet requested for a patient. A diet modification is a variation from a regular diet.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643971F960186" name="DieteticsRequest" isAbstract="true">
        <eAnnotations xmi:id="_MQ6gV-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MQnlZ-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643971F960186">
          <body>A record of a dietetics request for a patient.</body>
        </ownedComment>
        <generalization xmi:id="_IAjGEPOYEeGMQvy2b7FvNg" general="_420A62FD03B64589572B02E8"/>
        <ownedAttribute xmi:id="_420A62FD03B643BCA5210287" name="foodServiceType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MQ6gVeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643BCA5210287">
            <body>The type of service requested for this diet order: tray, cafeteria, or dining room. It does not apply to NPO (nothing by mouth) orders.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_l56UkH7wEeOYQJZKXKAJnw" name="dietDescription" visibility="public">
          <ownedComment xmi:id="_PYfgoH7xEeOYQJZKXKAJnw" annotatedElement="_l56UkH7wEeOYQJZKXKAJnw">
            <body>&quot;Narrative of the recommended diet or daily nutrient intake.&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.  Examples include: General Healthful Diet; 80 gm protein + Consistent Carbohydrate + 2g sodium + 2g potassium + 800-1000mg Phosphorus + 1500 mL Fluid Restricted.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_s2j9oH7wEeOYQJZKXKAJnw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_s2kksH7wEeOYQJZKXKAJnw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643BE929301CB" name="isNPO" visibility="public">
          <ownedComment xmi:id="_MQ6gUuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643BE929301CB">
            <body>A flag indicating whether or not an order was given for the patient to receive nothing by mouth. NPO: nil per os (Latin, meaning nothing by mouth).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643BE92930171" name="startDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_MQwvWOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643BE92930171">
            <body>The start date/time for this request.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643BE92930199" name="stopDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_MQwvW-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643BE92930199">
            <body>The date/time this request is considered complete.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D7119102B1" name="isolationPrecaution" visibility="public" type="_420A62FD03B643D7109801A5" isUnique="false" association="_420A62FD03B643D71191003A">
          <ownedComment xmi:id="_MVrrkOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7119102B1">
            <body>Indicates the type of isolation or special precautions the patient is under.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MVrrkuLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MVrrk-LiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D78076006E" name="performanceMonitors" visibility="public" type="_420A62FD03B643D7803303B1" isUnique="false" association="_420A62FD03B643D780750076">
          <ownedComment xmi:id="_MWIXjeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D78076006E">
            <body>Maintains performance measure items to be monitored during the patient's care.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MWIXj-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MWIXkOLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D782110250" name="foodItem" visibility="public" type="_420A62FD03B643E6A3CB009D" isUnique="false" association="_420A62FD03B643D782100294">
          <ownedComment xmi:id="_MWRhc-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D782110250">
            <body>A food item that is part of the requested food preference.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MWRhdeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MWRhduLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_L8A14H71EeOYQJZKXKAJnw" name="dietType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_L8A14X71EeOYQJZKXKAJnw" annotatedElement="_L8A14H71EeOYQJZKXKAJnw">
            <body>&quot;Set of codes that controls the type of diet modification that a patient should receive or follow.&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.  Examples include: DASH (Dietary Approaches to Stop Hypertension), Kosher, or  Vegan.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KTlDAH72EeOYQJZKXKAJnw" name="foodType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_KTlDAX72EeOYQJZKXKAJnw" annotatedElement="_KTlDAH72EeOYQJZKXKAJnw">
            <body>&quot;Indicates what type of food, such as meats, or liquids, which require a  texture modification&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.  As an example, a Patient undergoing treatment and rehabilitation following a stroke may require honey-thickened liquids, ground meats and chopped vegetables</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_a9Fy8H72EeOYQJZKXKAJnw" name="isNutrientModificationRequired" visibility="public">
          <ownedComment xmi:id="_a9Fy8X72EeOYQJZKXKAJnw" annotatedElement="_a9Fy8H72EeOYQJZKXKAJnw">
            <body>&quot;Indicator specifying whether the patient/client requires  a therapeutic or modified diet to eliminate, decrease, or increase certain substances in the diet (e.g., sodium, potassium)&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.  For example, a diabetic patient requires controlled intake of carbohydrates.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_vxnVUH73EeOYQJZKXKAJnw" name="nutrientModification" visibility="public" type="_iz_oUH73EeOYQJZKXKAJnw" association="_vxmHMH73EeOYQJZKXKAJnw">
          <ownedComment xmi:id="_SDS10H74EeOYQJZKXKAJnw" annotatedElement="_vxnVUH73EeOYQJZKXKAJnw">
            <body>Pointer to the nutrient which is to be modified (e.g., sodium, potassium).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vxn8YH73EeOYQJZKXKAJnw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vxojcH73EeOYQJZKXKAJnw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643D7109801A5" name="IsolationPrecautions">
        <eAnnotations xmi:id="_MRgWMeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MRXMSeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7109801A5">
          <body>The type of isolation and/or special precautions that the patient is under.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643D7114700A2" name="isolationPrecautions" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MRXMTOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7114700A2">
            <body>A code indicating the type of isolation or special precautions that the patient is under.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643D714E802C5" name="SupplementalFeedingRequest">
        <eAnnotations xmi:id="_MRgWOuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MRgWNOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D714E802C5">
          <body>A record of the menu of food items that is requested as part of an order.</body>
        </ownedComment>
        <generalization xmi:id="_YTVkwBgAEd-hgZpk8HjFRw" general="_420A62FD03B643971F960186"/>
        <ownedAttribute xmi:id="_420A62FD03B643D7156901DA" name="supplementalFeedingMenu" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MRgWOOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7156901DA">
            <body>A menu of food items that is requested as part of an order.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D7171101E4" name="feeding" visibility="public" type="_420A62FD03B643D7164E0265" isUnique="false" association="_420A62FD03B643D71711003F">
          <ownedComment xmi:id="_MVrrnuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7171101E4">
            <body>A particular feeding (e.g., the first 10 AM feeding, the second 10 AM feeding, the first 2 PM feeding, the second 2 PM feeding, etc.) for which a menu item is requested.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MV1ckeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MV1ckuLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643D7164E0265" name="SupplementalFeeding">
        <eAnnotations xmi:id="_MRqHNOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MRgWPeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7164E0265">
          <body>A particular feeding (e.g., the first 10 AM feeding, the second 10 AM feeding, the first 2 PM feeding, the second 2 PM feeding, etc.) for which a menu item is requested.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643D7172D01B2" name="precedence" visibility="public">
          <ownedComment xmi:id="_MRqHMuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7172D01B2">
            <body>Maintains the precedence for the requested feedings.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D71810021C" name="supplementalFeedingItem" visibility="public" type="_420A62FD03B643D7175D014D" isUnique="false" association="_420A62FD03B643D7180F03AC">
          <ownedComment xmi:id="_MV1cluLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D71810021C">
            <body>An item that is requested as part of a Supplemental Feeding order.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MV1cmOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MV1cmeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643D7175D014D" name="SupplementalFeedingItem">
        <eAnnotations xmi:id="_MRz4NOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MRqHN-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7175D014D">
          <body>A record of a feeding item and the quantity in which it is ordered.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643D71A3E0373" name="quantity" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_MRz4MuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D71A3E0373">
            <body>The ordered quantity of the requested food item.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D718E1026D" name="supplementalFeedingItem" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MRqHOuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D718E1026D">
            <body>An item that is requested as part of a supplemental feeding order.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643D71DD302DC" name="StandingOrder">
        <eAnnotations xmi:id="_MR9CIeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MRz4N-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D71DD302DC">
          <body>A record of a standing order requested for a patient. Standing orders are a type of nutrition provided with each meal and apply to a regular meal order; they typically incorporate a patient's likes and dislikes.</body>
        </ownedComment>
        <generalization xmi:id="_XZOs8BgAEd-hgZpk8HjFRw" general="_420A62FD03B643971F960186"/>
        <ownedAttribute xmi:id="_420A62FD03B643D71F5C013C" name="meals" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MRz4O-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D71F5C013C">
            <body>A code indicating the meals to which this order applies.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643D722E60095" name="TubefeedingRequest">
        <eAnnotations xmi:id="_MSQkIeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MR9CJOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D722E60095">
          <body>A record of a tubefeeding requested for a patient.</body>
        </ownedComment>
        <generalization xmi:id="_ZytFwBgAEd-hgZpk8HjFRw" general="_420A62FD03B643971F960186"/>
        <ownedAttribute xmi:id="_420A62FD03B643D72BD302D5" name="productDailyKilocalories" visibility="public">
          <ownedComment xmi:id="_MSGzIuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D72BD302D5">
            <body>The number of kilocalories contained in this product as prepared.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D72B4C023B" name="productDailyVolume" visibility="public">
          <ownedComment xmi:id="_MR9CKOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D72B4C023B">
            <body>The volume (in cubic centimeters) of the product contained in the order for a day.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D72A2400FF" name="totalDailyKilocalories" visibility="public">
          <ownedComment xmi:id="_MSGzKOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D72A2400FF">
            <body>The total kilocalories per day requested to be provided by the tubefeeding.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D727190195" name="totalDailyVolume" visibility="public">
          <ownedComment xmi:id="_MSGzJeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D727190195">
            <body>The total daily cc's requested to be administered of the prepared (diluted) product.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D72B9401DA" name="waterDailyVolume" visibility="public">
          <ownedComment xmi:id="_MR9CK-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D72B9401DA">
            <body>The volume (in cubic centimeters) of water with which to dilute the product if indicated.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D72C130327" name="tubefeedingProduct" visibility="public" type="_420A62FD03B643D7256602E4" isUnique="false" association="_420A62FD03B643D72C130074">
          <ownedComment xmi:id="_MV-mhuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D72C130327">
            <body>The tubefeeding product that is requested as part of an order.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MV-miOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MV-mieLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643D7256602E4" name="TubefeedingProduct">
        <eAnnotations xmi:id="_MSZuFOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MSQkJOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7256602E4">
          <body>A record of a tubefeeding product that is requested for a patient.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643D725C2023C" name="productCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MSQkJ-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D725C2023C">
            <body>A tubefeeding product that is requested to be administered to a patient.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D726920078" name="quantity" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_MSZuEuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D726920078">
            <body>The quantity of the product that is requested to be administered.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D726840259" name="strength" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MSQkKuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D726840259">
            <body>A code representing the strength of the tubefeeding product requested (e.g., full strength, half-strength, etc.).</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643D72CCD027B" name="EarlyLateTrayRequest">
        <eAnnotations xmi:id="_MSjfEeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MSZuF-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D72CCD027B">
          <body>A record of an early/late dietary tray request for a patient.</body>
        </ownedComment>
        <generalization xmi:id="_UYJhkBgAEd-hgZpk8HjFRw" general="_420A62FD03B643971F960186"/>
        <ownedAttribute xmi:id="_420A62FD03B643D72DDB0174" name="isBaggedMeal" visibility="public">
          <ownedComment xmi:id="_MSZuHuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D72DDB0174">
            <body>Indicates whether the meal should be bagged or not.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D72D190125" name="meals" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MSZuG-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D72D190125">
            <body>A code indicating the meals to which this order applies.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643D730120260" name="DieteticsConsultRequest">
        <eAnnotations xmi:id="_MSspAeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MSjfFOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D730120260">
          <body>A record of a request for a dietetics consult for this patient.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643D7306100B5" name="dieteticsConsult" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MSjfF-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7306100B5">
            <body>A code representing the type of dietetics consult requested for this patient.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D7324F0174" name="initialFollowUp" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MSjfGuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7324F0174">
            <body>A code indicating whether the consult is an initial or a follow up.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643E8EC2A000F" name="consultPatient" visibility="public" type="_420A62FD03B6418A4E500034" isUnique="false" association="_420A62FD03B643E8EC2902AD">
          <ownedComment xmi:id="_MWbSeuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643E8EC2A000F">
            <body>The subject of a dietetics consult. This type of request is separate from but may be linked to a dietetics request.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MWbSfOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MWlDcOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643D7803303B1" name="PerformanceMonitors">
        <eAnnotations xmi:id="_MS2aBOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MSspDOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7803303B1">
          <body>A record of the performance measures to be monitored during the patient's care.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643D780DF023C" name="performanceMonitor" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MS2aAuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D780DF023C">
            <body>A performance measure to be monitored for this patient.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643D781A10399" name="FoodPreference">
        <eAnnotations xmi:id="_MTALAeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MS2aB-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D781A10399">
          <body>A record of the food preference for this patient.</body>
        </ownedComment>
        <generalization xmi:id="_VDzGoBgAEd-hgZpk8HjFRw" general="_420A62FD03B643971F960186"/>
        <ownedAttribute xmi:id="_420A62FD03B643D781C703C6" name="meals" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MS2aC-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D781C703C6">
            <body>A code indicating the meals to which this food preference request applies.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643D78E12024E" name="NutritionalStatus">
        <eAnnotations xmi:id="_MTALCuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MTALBOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D78E12024E">
          <body>A record of the patient's nutritional status.</body>
        </ownedComment>
        <generalization xmi:id="_Vk3zYBgAEd-hgZpk8HjFRw" general="_420A62FD03B643971F960186"/>
        <ownedAttribute xmi:id="_420A62FD03B643D78E75008E" name="nutritionalStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MTALCOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D78E75008E">
            <body>A code representing the patient's nutritional status.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643D790F20211" name="RecurringMeals">
        <eAnnotations xmi:id="_MTJU9eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MTALDeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D790F20211">
          <body>A record of a request for recurring meals for a patient.</body>
        </ownedComment>
        <generalization xmi:id="_WIxxsBgAEd-hgZpk8HjFRw" general="_420A62FD03B643971F960186"/>
        <ownedAttribute xmi:id="_420A62FD03B643D79160007E" name="meals" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MTJU8-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D79160007E">
            <body>A code indicating the meals to which this order applies.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643DE0DE4024D" name="SpecialMeals">
        <eAnnotations xmi:id="_MTTF8eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MTJU-OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643DE0DE4024D">
          <body>A record of a request for special or one-time meals for a patient.</body>
        </ownedComment>
        <generalization xmi:id="_WxmsQBgAEd-hgZpk8HjFRw" general="_420A62FD03B643971F960186"/>
        <ownedAttribute xmi:id="_420A62FD03B643DE0E1C0059" name="meals" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MTJU_OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643DE0E1C0059">
            <body>A code indicating the meals to which this order applies.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643E6A22903C7" name="DietRequest">
        <ownedComment xmi:id="_MT471eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643E6A22903C7">
          <body>A record of a regular diet order that is requested for a patient.</body>
        </ownedComment>
        <generalization xmi:id="_Tub2MBgAEd-hgZpk8HjFRw" general="_420A62FD03B643971F960186"/>
        <ownedAttribute xmi:id="_eicTwPOaEeGMQvy2b7FvNg" name="dietList" visibility="public" type="_Tv9BkPOaEeGMQvy2b7FvNg" association="_eiYpYPOaEeGMQvy2b7FvNg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eidh4POaEeGMQvy2b7FvNg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eidh4fOaEeGMQvy2b7FvNg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643E6A3CB009D" name="FoodItem">
        <eAnnotations xmi:id="_MUVnweLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MUMd1OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643E6A3CB009D">
          <body>A record of a food item and the quantity in which it is ordered.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643E6A4E00181" name="foodItem" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MUMd1-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643E6A4E00181">
            <body>An item that is requested as part of a Dietetics order.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643E6A4E00195" name="quantity" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_MUMd2uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643E6A4E00195">
            <body>The ordered quantity of the requested food item.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643D71191003A" name="dieteticsRequest_isolationPrecaution" memberEnd="_420A62FD03B643D7119102B1 _420A62FD03B643D7119102BB">
        <ownedEnd xmi:id="_420A62FD03B643D7119102BB" name="" visibility="public" type="_420A62FD03B643971F960186" isUnique="false" association="_420A62FD03B643D71191003A"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643D71711003F" name="supplementalFeedingRequest_feeding" memberEnd="_420A62FD03B643D7171101E4 _420A62FD03B643D7171101E6">
        <ownedEnd xmi:id="_420A62FD03B643D7171101E6" name="" visibility="public" type="_420A62FD03B643D714E802C5" isUnique="false" association="_420A62FD03B643D71711003F"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643D7180F03AC" name="supplementalFeeding_supplementalFeedingItem" memberEnd="_420A62FD03B643D71810021C _420A62FD03B643D718100226">
        <ownedEnd xmi:id="_420A62FD03B643D718100226" name="" visibility="public" type="_420A62FD03B643D7164E0265" isUnique="false" association="_420A62FD03B643D7180F03AC"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643D72C130074" name="tubefeedingRequest_tubefeedingProduct" memberEnd="_420A62FD03B643D72C130327 _420A62FD03B643D72C130331">
        <ownedEnd xmi:id="_420A62FD03B643D72C130331" name="" visibility="public" type="_420A62FD03B643D722E60095" isUnique="false" association="_420A62FD03B643D72C130074"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643D780750076" name="dieteticsRequest_performanceMonitors" memberEnd="_420A62FD03B643D78076006E _420A62FD03B643D780760078">
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643D782100294" name="dieteticsRequest_foodItem" memberEnd="_420A62FD03B643D782110250 _420A62FD03B643D782110252">
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      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643E8EC2902AD" name="dieteticsConsultRequest_consultPatient" memberEnd="_420A62FD03B643E8EC2A000F _420A62FD03B643E8EC2A005F">
        <ownedEnd xmi:id="_420A62FD03B643E8EC2A005F" name="" visibility="public" type="_420A62FD03B643D730120260" isUnique="false" association="_420A62FD03B643E8EC2902AD"/>
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      <packagedElement xmi:type="uml:Class" xmi:id="_omJqkE13Ed-edbevC5ymeQ" name="NutritionAssessment">
        <ownedAttribute xmi:id="_kReA8E2FEd-N7JZGCuVoQQ" name="age" visibility="public" type="_420A62FD03B64239FAA800D9" isDerived="true"/>
        <ownedAttribute xmi:id="_h5iq0E2GEd-N7JZGCuVoQQ" name="appearance" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
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        <ownedAttribute xmi:id="_HkIn4E2HEd-N7JZGCuVoQQ" name="armCircumference" visibility="public" type="_420A62FD03B641886F630221"/>
        <ownedAttribute xmi:id="_HkIn4U2HEd-N7JZGCuVoQQ" name="armCircumferencePercentile" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw"/>
        <ownedAttribute xmi:id="_oNZ1kE2GEd-N7JZGCuVoQQ" name="bodyMassIndex" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw"/>
        <ownedAttribute xmi:id="_rgpvAE2GEd-N7JZGCuVoQQ" name="bodyMassIndexPercentile" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw"/>
        <ownedAttribute xmi:id="_Ryq4cE2HEd-N7JZGCuVoQQ" name="boneFreeArmMuscleArea" visibility="public" type="_420A62FD03B641886F630221"/>
        <ownedAttribute xmi:id="_Ryq4cU2HEd-N7JZGCuVoQQ" name="boneFreeArmMuscleAreaPercentile" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw"/>
        <ownedAttribute xmi:id="_LdjwgE2HEd-N7JZGCuVoQQ" name="calfCircumference" visibility="public" type="_420A62FD03B641886F630221"/>
        <ownedAttribute xmi:id="_LdjwgU2HEd-N7JZGCuVoQQ" name="calfCircumferencePercentile" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw"/>
        <ownedAttribute xmi:id="_2I0dAE2FEd-N7JZGCuVoQQ" name="dateWeightTaken" visibility="public" type="_420A62FD03B64244824602F5"/>
        <ownedAttribute xmi:id="_W7S0kE2GEd-N7JZGCuVoQQ" name="fluidsRequired" visibility="public" type="_420A62FD03B641886F630221"/>
        <ownedAttribute xmi:id="_B27p8E2GEd-N7JZGCuVoQQ" name="frameSize" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
        <ownedAttribute xmi:id="_rN9R8E2FEd-N7JZGCuVoQQ" name="height" visibility="public" type="_420A62FD03B641886F630221"/>
        <ownedAttribute xmi:id="_uCHboE2FEd-N7JZGCuVoQQ" name="heightQualifier" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
        <ownedAttribute xmi:id="_7-YiME2FEd-N7JZGCuVoQQ" name="idealWeight" visibility="public" type="_420A62FD03B641886F630221"/>
        <ownedAttribute xmi:id="_HbSqYE2GEd-N7JZGCuVoQQ" name="kCalRequired" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw"/>
        <ownedAttribute xmi:id="_uo3dIE2GEd-N7JZGCuVoQQ" name="nitrogenBalance" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw"/>
        <ownedAttribute xmi:id="_bPfNoE2GEd-N7JZGCuVoQQ" name="nuitritionalProblem" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
        <ownedAttribute xmi:id="_EygqQE2GEd-N7JZGCuVoQQ" name="percentAputated" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw"/>
        <ownedAttribute xmi:id="_OCOiIE2GEd-N7JZGCuVoQQ" name="protienRequired" visibility="public" type="_420A62FD03B641886F630221"/>
        <ownedAttribute xmi:id="_bN2O4E2GEd-N7JZGCuVoQQ" name="riskCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
        <ownedAttribute xmi:id="_f3PRUE2FEd-N7JZGCuVoQQ" name="sex" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true"/>
        <ownedAttribute xmi:id="_BUsDEU2HEd-N7JZGCuVoQQ" name="subscapularSkinFold" visibility="public" type="_420A62FD03B641886F630221"/>
        <ownedAttribute xmi:id="_BUsDEE2HEd-N7JZGCuVoQQ" name="subscapularSkinFoldPercentile" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw"/>
        <ownedAttribute xmi:id="_0gxEoE2GEd-N7JZGCuVoQQ" name="tricepsSkinFold" visibility="public" type="_420A62FD03B641886F630221"/>
        <ownedAttribute xmi:id="_-jFeIE2GEd-N7JZGCuVoQQ" name="tricepsSkinFoldPercentile" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw"/>
        <ownedAttribute xmi:id="_7oxekE2FEd-N7JZGCuVoQQ" name="usualWeight" visibility="public" type="_420A62FD03B641886F630221"/>
        <ownedAttribute xmi:id="_wPhuYE2FEd-N7JZGCuVoQQ" name="weight" visibility="public" type="_420A62FD03B641886F630221"/>
        <ownedAttribute xmi:id="_wPhuYU2FEd-N7JZGCuVoQQ" name="weightQualifier" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
        <ownedAttribute xmi:id="_xxx5YU2HEd-N7JZGCuVoQQ" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_xxx5YE2HEd-N7JZGCuVoQQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xx7DUE2HEd-N7JZGCuVoQQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xx7DUU2HEd-N7JZGCuVoQQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_xxx5YE2HEd-N7JZGCuVoQQ" name="nutritionAssessment_patient" memberEnd="_xxx5YU2HEd-N7JZGCuVoQQ _xx7DUk2HEd-N7JZGCuVoQQ">
        <ownedEnd xmi:id="_xx7DUk2HEd-N7JZGCuVoQQ" name="" visibility="public" type="_omJqkE13Ed-edbevC5ymeQ" association="_xxx5YE2HEd-N7JZGCuVoQQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Tv9BkPOaEeGMQvy2b7FvNg" name="DietList">
        <ownedAttribute xmi:id="_Y-cfsPOaEeGMQvy2b7FvNg" name="precedence" visibility="public">
          <ownedComment xmi:id="_Y-cfsfOaEeGMQvy2b7FvNg" annotatedElement="_Y-cfsPOaEeGMQvy2b7FvNg">
            <body>Identifies the arrangement or order of succession in a set of diets.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fLLuwPOaEeGMQvy2b7FvNg" name="dietModification" visibility="public" type="_420A62FD03B643BCA0450075" association="_fLJ5kPOaEeGMQvy2b7FvNg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fLMV0POaEeGMQvy2b7FvNg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fLMV0fOaEeGMQvy2b7FvNg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_eiYpYPOaEeGMQvy2b7FvNg" name="dietRequest_dietList" memberEnd="_eicTwPOaEeGMQvy2b7FvNg _eiglMPOaEeGMQvy2b7FvNg">
        <ownedEnd xmi:id="_eiglMPOaEeGMQvy2b7FvNg" name="" visibility="public" type="_420A62FD03B643E6A22903C7" association="_eiYpYPOaEeGMQvy2b7FvNg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_fLJ5kPOaEeGMQvy2b7FvNg" name="dietList_dietModification" memberEnd="_fLLuwPOaEeGMQvy2b7FvNg _fLNj8POaEeGMQvy2b7FvNg">
        <ownedEnd xmi:id="_fLNj8POaEeGMQvy2b7FvNg" name="" visibility="public" type="_Tv9BkPOaEeGMQvy2b7FvNg" association="_fLJ5kPOaEeGMQvy2b7FvNg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_iz_oUH73EeOYQJZKXKAJnw" name="NutrientModification">
        <ownedComment xmi:id="_OfxrwH74EeOYQJZKXKAJnw" annotatedElement="_iz_oUH73EeOYQJZKXKAJnw">
          <body>&quot;Identifies the nutrient which is to be modified&quot; (e.g., sodium, potassium) - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.&#xD;
Note that this definition would imply that some other information is needed such as how to modify the nutrient.  This class is therefore incomplete pending further discussion.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_qb2KgH73EeOYQJZKXKAJnw" name="nutrientType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_qb2KgX73EeOYQJZKXKAJnw" annotatedElement="_qb2KgH73EeOYQJZKXKAJnw">
            <body>&quot;Code which identifies the nutrient which is to be modified&quot; (e.g., sodium, potassium) - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_vxmHMH73EeOYQJZKXKAJnw" name="dieteticsRequest_nutrientModification" memberEnd="_vxnVUH73EeOYQJZKXKAJnw _vxpKgH73EeOYQJZKXKAJnw">
        <ownedEnd xmi:id="_vxpKgH73EeOYQJZKXKAJnw" name="" visibility="public" type="_420A62FD03B643971F960186" association="_vxmHMH73EeOYQJZKXKAJnw"/>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B6420A57DF03CA" name="Encounter">
      <eAnnotations xmi:id="_MmE4A-LiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_Mmqt4OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_50pbcLa1Ed-Y0_knsxZjWg" annotatedElement="_420A62FD03B6420A57DF03CA">
        <body>Encounter Domain</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643CC8C7E0310" name="abstractEncounter_patient" memberEnd="_420A62FD03B643CC8C8002F5 _420A62FD03B643CC8C800359">
        <eAnnotations xmi:id="_XQ8Y4POWEeGMQvy2b7FvNg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_420A62FD03B643CC8C800359" name="" visibility="public" type="_qS7A8GitEeG3pKm-C5y0hA" isUnique="false" association="_420A62FD03B643CC8C7E0310"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_ikNCoIAjEeGE1-mzJa42fw" name="IVAdminstration">
        <generalization xmi:id="_Cm4fwLyPEeGK2djLWlLFew" general="_420A62FD03B641A349EF0070"/>
        <ownedAttribute xmi:id="_IHEEoDh9EeC17O99ZX8o-w" name="actualIvLimitation" visibility="public">
          <ownedComment xmi:id="_IHEEoTh9EeC17O99ZX8o-w" annotatedElement="_IHEEoDh9EeC17O99ZX8o-w">
            <body>This is the maximum length of time to administer, or the maximum volume to administer, for IV fluid orders. The value may be in ML or CC for  milliliters, L for liters, D for days, or H for hours.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B641DEB346013F" name="frequency" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_NYcJFeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641DEB346013F">
            <body>Specifies when the substance is to be administered and how frequently.  Note that this is a complex data type that may indicate specific times or intervals (e.g., 10:00 AM, MWF, etc).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B641B4D20B0067" name="infusionRate" visibility="public" type="_420A62FD03B641886F63021C">
          <ownedComment xmi:id="_NYcJGOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641B4D20B0067">
            <body>&quot;Contains the rate at which this medication/treatment was administered as calculated by using RXA-6-administered amount and RXA-7-administered units.  This field is conditional because it is required when a treatment is administered continuously at a prescribed rate, e.g., certain IV solutions.&quot; - HL7 Version 2.8, RXA-12&#xD;
&#xD;
Infusion: &quot;Introduction of a solution into the body through a vein for therapeutic purposes.&quot;  (American Heritage Stedman's Medical Dictionary).  This is the rate at which the solution is introduced into the body.  Expressed as volume/time (e.g., 500 ml/hr)  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592CC1D0395" name="syringeSize" visibility="public">
          <ownedComment xmi:id="_NdqAReLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592CC1D0395">
            <body>Size of the syringe to be used to administer IV.    Do we need this???</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B641A349EF0070" name="MedicationAdministrationEvent">
        <eAnnotations xmi:id="_NYl6GuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NYSYGuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641A349EF0070">
          <body>&quot;Information about the actual consumption of medication by a patient.  While this is generally only relevant for hospital/institutional systems which track individual administrations, it could also be used in ambulatory care e.g. home-health environments which capture administrations such as insulin injections and which use messaging to communicate the information back to a central source; recording immunizations.&quot; (HL7 Version 3).</body>
        </ownedComment>
        <ownedAttribute xmi:id="_aLWPoLyPEeGK2djLWlLFew" name="administeredStrength" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_GzXR0LyQEeGK2djLWlLFew" annotatedElement="_aLWPoLyPEeGK2djLWlLFew">
            <body>&quot;Use when (the administeredDrug) does not specify the strength.  This is the numeric part of the strength&quot; - HL7 Version 2.8, RXA-13&#xD;
&quot;Use when (the administeredDrug) does not specify the strength.  This is the unit of the strength.&quot; - HL7 Version 2.8, RXA-14</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7aG2IL01EeGHr5yhv0QPSw" name="administeredStrengthVolume" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_7aG2Ib01EeGHr5yhv0QPSw" annotatedElement="_7aG2IL01EeGHr5yhv0QPSw">
            <body>&quot;Defines the volume measurement in which the drug strength concentration is contained. For example, Acetaminophen 120 MG/5ML Elixir means that 120 MG of the drug is in a solution with a volume of 5 ML, (this field contains 5)&quot; - HL7 Version 2.8, RXA-23&#xD;
&quot;Indicates the volumetric unit associated&quot; (with the volume measurement in which the drug strength concentration is contained. For example, Acetaminophen 120 MG/5ML Elixir means that 120 MG of the drug is in a solution with a volume of 5 ML, this field contains ML) - HL7 Version 2.8, RXA-24</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lOGZoDfZEeKnE98EkGeXFQ" name="administrationMethod" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_lOGZoTfZEeKnE98EkGeXFQ" annotatedElement="_lOGZoDfZEeKnE98EkGeXFQ">
            <body>&quot;Identifies the specific method requested for the administration of the drug or treatment to the patient.&quot; - HL7 Version 2.8, RXR-4</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lOGZozfZEeKnE98EkGeXFQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lOGZojfZEeKnE98EkGeXFQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JTPfQIAkEeGE1-mzJa42fw" name="bodySite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
        <ownedAttribute xmi:id="_jpVcAKEPEeGnfe88WF3uxw" name="doseForm" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_qpmuoLyLEeGK2djLWlLFew" annotatedElement="_jpVcAKEPEeGnfe88WF3uxw">
            <body>&quot;Indicates the manner in which the medication/treatment is aggregated for dispensing, e.g., tablets, capsules, suppositories.&quot; - HL7 Version 2.8, RXA-8</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645940F2C03A7" name="doseQuantityGiven" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_Ne2TEuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B645940F2C03A7">
            <body>&quot;Contains the amount administered.&quot; - HL7 Version 2.8, RXA-6&#xD;
&quot;This field is conditional because it is required if the administered amount code does not imply units.  This field must be in simple units that reflect the actual quantity of the substance administered.  It does not include compound units.&quot; - HL7 Version 2.8, RXA-7&#xD;
&quot;The amount of the therapeutic agent or other substance given at one administration event.&quot; - HL7 Version 3</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645940F1C03A7" name="doseQuantityOrdered" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_Ne2TFeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B645940F1C03A7">
            <body>&quot;The amount of the therapeutic agent or other substance given at one administration event.&quot; (HL7 3.0)  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ahZZILyEEeGK2djLWlLFew" name="dateTimeEnd" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_ahZZIbyEEeGK2djLWlLFew" annotatedElement="_ahZZILyEEeGK2djLWlLFew">
            <body>&quot;If null, the date/time of RXA-3-Date/Time Start of Administration is assumed.&quot; - HL7 Version 2.8, RXA-4&#xD;
&#xD;
The date and time that the medication administration was completed or will be completed.  Used only for administrations that span a length of time, such as an IV.  For single dose administrations, such as giving a tablet or an injection, this property is not used.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6425C0805022C" name="dateTimeStart" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NYSYHeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6425C0805022C">
            <body>&quot;If the order is for a continuous administration (such as an IV), and the rate is changed at a certain time after the start, an RAS message can be issued to record the change.  For such an RAS message, this field records the time the rate was changed to the new value recorded in the RXA-12-Administered Per (time unit) of the same message.&quot; - HL7 Version 2.8, RXA-3&#xD;
&#xD;
The date and time that the medication administration was started or will be started.  For single dose administrations, such as giving a tablet or an injection, this is the date and time that the administration did or will occur.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6e5-8ANOEeKTM4I4vlc5xg" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_AOpwAANPEeKTM4I4vlc5xg" annotatedElement="_6e5-8ANOEeKTM4I4vlc5xg">
            <body>Uniquely identifies the Medication Administration Event.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6459404F30183" name="isPrnActivity" visibility="public">
          <ownedComment xmi:id="_NYl6EuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6459404F30183">
            <body>I'm guessing that this is a boolean.  Vista definition is: The PRN REASON FLAG field is to indicate whether the BCMA Med Log file entry is PRN activity and has an associated PRN REASON which has been set to require BCMA user attention or action.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zcIOwMIeEeGx0M-CyAbegA" name="negatationIndicator" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Q4A4QIAkEeGE1-mzJa42fw" name="route" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_9P4pYL2gEeG_PZtvUC92nw" annotatedElement="_Q4A4QIAkEeGE1-mzJa42fw">
            <body>&quot;This field is the route of administration.&quot; - HL7 Version 2.8, RXR-1</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B641B4D758015F" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NYl6GOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641B4D758015F">
            <body>&quot;Status of treatment administration event.  Refer to HL7 Table 0322 - Completion Status in Chapter 2C for valid values.&quot; - HL7 Version 2.8, RXA-20&#xD;
&#xD;
The current state of the Substance Administration.  Possible values include: Infusing, Given, Held, Completed, etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_b7FDcL01EeGHr5yhv0QPSw" name="systemEntryDateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_kxY80L01EeGHr5yhv0QPSw" annotatedElement="_b7FDcL01EeGHr5yhv0QPSw">
            <body>&quot;Date/time the administration information was entered into the source system.  This field is used to detect instances where treatment administration information is inadvertently entered multiple times by providing a unique identification field.  Under usual circumstances, this field would be provided automatically by the computer system rather than being entered by a person.&quot; - HL7 Version 2.8, RXA-22</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Sq-ykKEREeGnfe88WF3uxw" name="administeredDrug" visibility="public" type="_OaEXAKEREeGnfe88WF3uxw" association="_Sq89YKEREeGnfe88WF3uxw">
          <ownedComment xmi:id="_off2QLyFEeGK2djLWlLFew" annotatedElement="_Sq-ykKEREeGnfe88WF3uxw">
            <body>&quot;Contains the identifier of the medical substance/treatment administered....  If the substance administered is a vaccine, CVX codes may be used to code this field....&quot; - HL7 Version 2.8, RXA-5</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Sq_ZoKEREeGnfe88WF3uxw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Sq_ZoaEREeGnfe88WF3uxw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tSuqEKENEeGnfe88WF3uxw" name="administeringProvider" visibility="public" type="_7NSfgH_lEd-Ure_vzgD_TA" association="_tSqYoKENEeGnfe88WF3uxw">
          <ownedComment xmi:id="_fy-G0LyMEeGK2djLWlLFew" annotatedElement="_tSuqEKENEeGnfe88WF3uxw">
            <body>&quot;Contains the provider ID of the person administering the pharmaceutical/treatment.&quot; - HL7 Version 2.8, RXA-10</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tSwfQKENEeGnfe88WF3uxw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tSwfQaENEeGnfe88WF3uxw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64304F50E0274" name="comments" visibility="public" type="_420A62FD03B642C044DB02ED" isUnique="false" association="_420A62FD03B64304F50D0309">
          <ownedComment xmi:id="_NgfR3-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64304F50E0274">
            <body>&quot;Contains notes from the provider administering the medication/treatment.&quot; - HL7 Version 2.8, RXA-9</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NgobweLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NgobwuLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_iMDkkL_uEeG9Y6ZcZJMJaA" name="contraIndication" visibility="public" type="_qMSL4AlrEeKmMfGXbG9elQ" association="_iL5zkL_uEeG9Y6ZcZJMJaA">
          <ownedComment xmi:id="_JXZoQAllEeKmMfGXbG9elQ" annotatedElement="_iMDkkL_uEeG9Y6ZcZJMJaA">
            <body>&quot;A factor that renders the administration of a drug or the carrying out of a medical procedure inadvisable.&quot; -  Stedman's Medical Dictionary.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iMELoL_uEeG9Y6ZcZJMJaA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iMELob_uEeG9Y6ZcZJMJaA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Fj-UYL_vEeG9Y6ZcZJMJaA" name="exemption" visibility="public" type="_3V9HYKwiEeG4dfTp_XT2yg" association="_Fjz8UL_vEeG9Y6ZcZJMJaA">
          <ownedComment xmi:id="_de8nACzgEeKLfdgQhBZO1Q" annotatedElement="_Fj-UYL_vEeG9Y6ZcZJMJaA">
            <body>A record of an assertion by the patient, the patient guardian, or someone else in authority that the medication should not be administered.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Fj-7cL_vEeG9Y6ZcZJMJaA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Fj-7cb_vEeG9Y6ZcZJMJaA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kwvOELycEeGK2djLWlLFew" name="indication" visibility="public" type="_r6v0YIsdEeGv9r5ZNThaOw" association="_kwrjsLycEeGK2djLWlLFew">
          <ownedComment xmi:id="_tFAKULycEeGK2djLWlLFew" annotatedElement="_kwvOELycEeGK2djLWlLFew">
            <body>&quot;Contains the identifier of the condition or problem for which the drug/treatment was prescribed.  May repeat if multiple indications are relevant.&quot; - HL7 Version 2.8, RXA-19</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kwwcMLycEeGK2djLWlLFew"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kwwcMbycEeGK2djLWlLFew" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wmzBwL_sEeG9Y6ZcZJMJaA" name="medicationAdministrationPromise" visibility="public" type="_yQ2jIDh4EeC17O99ZX8o-w" association="_wmpQwL_sEeG9Y6ZcZJMJaA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wmzo0L_sEeG9Y6ZcZJMJaA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wm0P4L_sEeG9Y6ZcZJMJaA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6459411D20283" name="orderedItem" visibility="public" type="_420A62FD03B6426545CB0072" isUnique="false" association="_420A62FD03B6459411D1033E">
          <ownedComment xmi:id="_Ni33e-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6459411D20283">
            <body>The item that was ordered to be administered to the patient.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PiHeEAllEeKmMfGXbG9elQ" name="patientCondition" visibility="public" type="_420A62FD03B6421F8AD00244" association="_PiAJUAllEeKmMfGXbG9elQ">
          <ownedComment xmi:id="_Gq5c4CzfEeKLfdgQhBZO1Q" annotatedElement="_PiHeEAllEeKmMfGXbG9elQ">
            <body>Patient conditions are observations about the patient which impact forecasting next doses. These include allergies, previous adverse reactions and special risk factors.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PiJTQAllEeKmMfGXbG9elQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PiJTQQllEeKmMfGXbG9elQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qU_CILyOEeGK2djLWlLFew" name="patientLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_qU6wsLyOEeGK2djLWlLFew">
          <ownedComment xmi:id="_v56DQLyOEeGK2djLWlLFew" annotatedElement="_qU_CILyOEeGK2djLWlLFew">
            <body>&quot;Contains the inpatient or outpatient location at which the drug or treatment was administered (if applicable).&quot; - HL7 Version 2.8, RXA-11&#xD;
&#xD;
Location (room, bed and ward) of the patient at the time of the medication administration.  Generally only used for inpatient situations.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qVAQQLyOEeGK2djLWlLFew"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qVA3ULyOEeGK2djLWlLFew" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Bo6tkLyNEeGK2djLWlLFew" name="serviceDeliveryLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_Bo3qQLyNEeGK2djLWlLFew">
          <ownedComment xmi:id="_Hj43MLyNEeGK2djLWlLFew" annotatedElement="_Bo6tkLyNEeGK2djLWlLFew">
            <body>&quot;Specifies the location where the drug or treatment was administered.&quot; - HL7 Version 2.8, RXA-27</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Bo77sLyNEeGK2djLWlLFew"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Bo8iwLyNEeGK2djLWlLFew" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_yQ2jIDh4EeC17O99ZX8o-w" name="MedicationAdministrationPromise">
        <generalization xmi:id="_e6uMwKwQEeG4dfTp_XT2yg" general="_3r94oOO5EeCbbuWBGGTBrA"/>
        <ownedAttribute xmi:id="_-OJbkDh4EeC17O99ZX8o-w" name="medicationAdministrationEvent" visibility="public" type="_420A62FD03B641A349EF0070" association="_-N1SgDh4EeC17O99ZX8o-w">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-OKCoDh4EeC17O99ZX8o-w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-OKpsDh4EeC17O99ZX8o-w" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_2QCQ4KwREeG4dfTp_XT2yg" name="MedicationAdministrationRequest">
        <generalization xmi:id="_F3DMkKwTEeG4dfTp_XT2yg" general="_420A62FD03B64589572B02E8"/>
        <ownedAttribute xmi:id="_RsJMcCf-EeC-JKXSDMHR6A" name="administrationInstructions" visibility="public">
          <eAnnotations xmi:id="_UrqXsMBcEeGgbv4y8RZWzQ" source="http://www.eclipse.org/uml2/2.0.0/UML">
            <details xmi:id="_Urq-wMBcEeGgbv4y8RZWzQ" key="future"/>
          </eAnnotations>
          <ownedComment xmi:id="_RsJMcSf-EeC-JKXSDMHR6A" annotatedElement="_RsJMcCf-EeC-JKXSDMHR6A">
            <body>&quot;Identifies the ordering provider's instructions to the patient or to the provider administering the drug or treatment.&quot; - HL7 Version 2.8, RXO-7.&#xD;
Contains any special instructions needed for this order.  This would include the physician's reason for ordering a PRN.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jVRhgL2gEeG_PZtvUC92nw" name="administrationMethod" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_jVRhgb2gEeG_PZtvUC92nw" annotatedElement="_jVRhgL2gEeG_PZtvUC92nw">
            <body>&quot;Identifies the specific method requested for the administration of the drug or treatment to the patient.&quot; - HL7 Version 2.8, RXR-4</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jVRhg72gEeG_PZtvUC92nw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jVRhgr2gEeG_PZtvUC92nw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nv_OwL2fEeG_PZtvUC92nw" name="administrationSite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_-RiwIL2fEeG_PZtvUC92nw" annotatedElement="_nv_OwL2fEeG_PZtvUC92nw">
            <body>&quot;Contains the site of the administration route.  When using a post-coordinated code table in this field, (the Adminstration Site Modifier) may be used to modify the meaning of this field.&quot; - HL7 Version 2.8, RXR-2</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tVYJ8L2fEeG_PZtvUC92nw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tVYJ8b2fEeG_PZtvUC92nw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_w2ECcL2fEeG_PZtvUC92nw" name="administrationSiteModifier" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_JgbqcL2gEeG_PZtvUC92nw" annotatedElement="_w2ECcL2fEeG_PZtvUC92nw">
            <body>&quot;Contains a modifier which modifies the meaning of (the Adminstration Site code)&quot; - HL7 Version 2.8, RXR-6</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_w2ECcr2fEeG_PZtvUC92nw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_w2ECcb2fEeG_PZtvUC92nw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-eH-IL2gEeG_PZtvUC92nw" name="route" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_-eH-Ib2gEeG_PZtvUC92nw" annotatedElement="_-eH-IL2gEeG_PZtvUC92nw">
            <body>&quot;This field is the route of administration.&quot; - HL7 Version 2.8, RXR-1</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fk81EL2hEeG_PZtvUC92nw" name="administrationDevice" visibility="public" type="_420A62FD03B6425C004E004C" association="_fk5KsL2hEeG_PZtvUC92nw">
          <ownedComment xmi:id="_jpZh8L2hEeG_PZtvUC92nw" annotatedElement="_fk81EL2hEeG_PZtvUC92nw">
            <body>&quot;Contains the mechanical device used to aid in the administration of the drug or other treatment.  Common examples are IV-sets of different types.&quot; - HL7 Version 2.8, RXR-3</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fk-DML2hEeG_PZtvUC92nw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fk-qQL2hEeG_PZtvUC92nw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1DWQUL2hEeG_PZtvUC92nw" name="routingInstruction" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_1DWQUb2hEeG_PZtvUC92nw" annotatedElement="_1DWQUL2hEeG_PZtvUC92nw">
            <body>&quot;Provides instruction on administration routing, especially in cases where more than one route of administration is possible. A typical case would be designating which IV line should be used when more than one IV line is a possible route for injection.&quot; - HL7 Version 2.8, RXR-5</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1DWQU72hEeG_PZtvUC92nw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1DWQUr2hEeG_PZtvUC92nw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64213B28C01E9" name="InpatientEncounterEvent">
        <eAnnotations xmi:id="_MXBvaOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MW3-beLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64213B28C01E9">
          <body>Patient has been admitted to the facility and assigned a bed.</body>
        </ownedComment>
        <generalization xmi:id="_iO71AGiwEeG3pKm-C5y0hA" general="_nbMJYGiuEeG3pKm-C5y0hA"/>
        <ownedAttribute xmi:id="_420A62FD03B6423F4DD3017B" name="lengthOfStay" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_MXBvY-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6423F4DD3017B">
            <body>Will contain the actual, calculated quantity (the actual days quantity cannot be simply calculated from the admission and discharge dates because of possible leaves of absence) instead of the expected length of stay.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64213F5B40316" name="EncounterEvent">
        <eAnnotations xmi:id="_MYXMKeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_ReD3QHekEeOK6dlxi14PNA" key="EntryPoint"/>
        </eAnnotations>
        <ownedComment xmi:id="_MXBva-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64213F5B40316">
          <body>An interaction between a patient and a practitioner under the auspices of a given organization for the purpose of providing healthcare-related service(s).    It is important to understand that if the there is a change in provider or organization, by definition a new encounter will be generated.    For example, if a patient is moved from Surgery to Post-Op, a new encounter is generated.  Similarly, if a patient receives care from 2 nurses while in Post-Op, there will be 2 encounters.</body>
        </ownedComment>
        <generalization xmi:id="_KkBJwGiuEeG3pKm-C5y0hA" general="_qS7A8GitEeG3pKm-C5y0hA"/>
        <ownedAttribute xmi:id="_420A62FD03B64240706F01AB" name="accountId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_MZQkAuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64240706F01AB">
            <body>&quot;Contains the patient account number assigned by accounting to which all charges, payments, etc., are recorded.  It is used to identify the patient's account.&quot; - HL7 Version 2.8, PID-18.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wJvnQGflEeGK0elVFnH6lw" name="accountStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_GiP6UGfmEeGK0elVFnH6lw" annotatedElement="_wJvnQGflEeGK0elVFnH6lw">
            <body>&quot;Contains the account status.&quot; - HL7 Version 2.8, PV1-41.  Note that HL7 does not suggest any values for this code (in User-defined Table 117).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ytrjoGflEeGK0elVFnH6lw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ytsKsGflEeGK0elVFnH6lw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_slRB8ExgEdyVYrcEhQ5TbQ" name="alternateVisitId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_o8HWABHkEeCBuOUrBnIXmQ" annotatedElement="_slRB8ExgEdyVYrcEhQ5TbQ">
            <body>&quot;Contains the alternative, temporary, or pending optional visit ID number to be used if needed.  Multiple alternate identifiers may be sent.&quot; - HL7 Version 2.8, PV1-50&#xD;
Uniquely identifies this patient visit using an identification scheme other than the one used for the &quot;id&quot; property. This allows for different systems or organizations to assign different identifiers to the same visit.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_x8JnEExgEdyVYrcEhQ5TbQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_x8JnEUxgEdyVYrcEhQ5TbQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5GwEIMUsEd2wc4B96SSc8g" name="ambulatoryStatus" visibility="public">
          <ownedComment xmi:id="_hwVIIGfZEeGK0elVFnH6lw" annotatedElement="_5GwEIMUsEd2wc4B96SSc8g">
            <body>&quot;Indicates any permanent or transient handicapped conditions.&quot; - HL7 Version 2.8, PV1-15.&#xD;
Possible values include (from HL7 V2 Table 9): No functional limitations; Ambulates with assistive device; Wheelchair/stretcher bound; Comatose - non-responsive; Disoriented; Vision impaired; Hearing impaired; Speech impaired; Non-English speaking; Functional level unknown; Oxygen therapy; Special equipment (tubes, IVs, catheters); Amputee; Mastectomy; Paraplegic; Pregnant.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jGV40GfZEeGK0elVFnH6lw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jGV40WfZEeGK0elVFnH6lw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_M4iDcFZxEdyiQOoaXOP6Kg" name="chargePriceIndicator" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="__xlfwCqKEd6tfJk2wVTfYw" annotatedElement="_M4iDcFZxEdyiQOoaXOP6Kg">
            <body>&quot;Contains the code used to determine which price schedule is to be used for room and bed charges.&quot; - HL7 Version 2.8, PV1-21.  Note that HL7 does not suggest any values for this code (in User-defined Table 32).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9gF-0PTqEdy4NNd432ztnw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9gF-0fTqEdy4NNd432ztnw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PTxR0DioEeGL0aXuYVIKuA" name="chiefComplaint" visibility="public">
          <ownedComment xmi:id="_f4DZcPhIEeGaiclsGcUBSg" annotatedElement="_PTxR0DioEeGL0aXuYVIKuA">
            <body>Describes the primary reason, in the patient's words, for the encounter/visit.  This field contrasts with the reasonForVisit, which is the clinician's assessment of the reason for the encounter/visit.  Notice that this field is a string, while the reasonForVisit is a code.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__QLS4PhIEeGaiclsGcUBSg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__QL58PhIEeGaiclsGcUBSg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6426D4E5101EF" name="dateCreated" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_MaAK4OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6426D4E5101EF">
            <body>Date the visit was entered / modified.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6424314CF0394" name="encounterBillingType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MZaVBeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6424314CF0394">
            <body>Describes the encounter in terms of evaluation and management (e.g., diagnosis or procedure associated with the encounter).  For example, Maintenance visit, 5 minutes or less.  Uses CPT-4 codes 99200 - 99299.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="__vs0AGfbEeGK0elVFnH6lw" name="financialClass" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Eek98GfcEeGK0elVFnH6lw" annotatedElement="__vs0AGfbEeGK0elVFnH6lw">
            <body>&quot;Contains the financial class(es) assigned to the patient for the purpose of identifying sources of reimbursement.&quot; - HL7 Version 2.8, PV1-20    Note that HL7 does not suggest any values for this code (in User-defined Table 64).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DdhJkGfcEeGK0elVFnH6lw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DdhwoGfcEeGK0elVFnH6lw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2-YMgGfUEeGK0elVFnH6lw" name="hospitalService" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_fLKZgGfVEeGK0elVFnH6lw" annotatedElement="_2-YMgGfUEeGK0elVFnH6lw">
            <body>&quot;Contains the treatment or type of surgery that the patient is scheduled to receive.&quot; - HL7 Version 2.8, PV1-10.  Possible Values (from HL7 Table 69) include: Cardiac Service, Medical Service, Pulmonary Service, Surgical Service, Urology Service.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mcJ64GfVEeGK0elVFnH6lw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mcJ64WfVEeGK0elVFnH6lw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_i684cGfqEeGK0elVFnH6lw" name="isEmploymentRelated" visibility="public">
          <ownedComment xmi:id="_vf3xkGfqEeGK0elVFnH6lw" annotatedElement="_i684cGfqEeGK0elVFnH6lw">
            <body>&quot;Specifies whether a patient's illness was job-related.&quot; - HL7 Version 2.8, PV2-15</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nlcRoGfqEeGK0elVFnH6lw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nlc4sGfqEeGK0elVFnH6lw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5f4ZEFPDEeO95rHo5Ki4qQ" name="modeOfArrival" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_5f4ZEVPDEeO95rHo5Ki4qQ" annotatedElement="_5f4ZEFPDEeO95rHo5Ki4qQ">
            <body>&quot;Identifies how the patient was brought to the healthcare facility.&quot; - HL7 Version 2.8, PV2-38.  Possible values include (from HL7 Table 430): Ambulance; Car; On foot; Helicopter; Public Transport; Other; Unknown.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5f4ZE1PDEeO95rHo5Ki4qQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5f4ZElPDEeO95rHo5Ki4qQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oM514Es0EdyAjqPLu9xU6g" name="patientClass" visibility="public">
          <eAnnotations xmi:id="_C_4JIEs1EdyAjqPLu9xU6g" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_uVMhYCqKEd6tfJk2wVTfYw" annotatedElement="_oM514Es0EdyAjqPLu9xU6g">
            <body>&quot;This field is used by systems to categorize patients by site.  It does not have a consistent industry-wide definition.  It is subject to site specific variations.&quot; - HL7 Version 2.8, PV1-2.  HL7 Version 2 has the following suggested values (table 4): Emergency; Inpatient; Outpatient; Preadmit; Recurring patient; Obstetrics; Commercial Account; Not Applicable; Unknown.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_99JuQPTqEdy4NNd432ztnw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_99JuQfTqEdy4NNd432ztnw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rVt4kGfaEeGK0elVFnH6lw" name="patientType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_SJsfkGfbEeGK0elVFnH6lw" annotatedElement="_rVt4kGfaEeGK0elVFnH6lw">
            <body>&quot;Contains site-specific values that identify the patient type.&quot; - HL7 Version 2.8, PV1-18    Note that HL7 does not suggest any values for this code (in User-defined Table 18).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Qj7boGfbEeGK0elVFnH6lw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Qj8CsGfbEeGK0elVFnH6lw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-EFWUFO-EeO95rHo5Ki4qQ" name="previousServiceDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_-EFWUVO-EeO95rHo5Ki4qQ" annotatedElement="_-EFWUFO-EeO95rHo5Ki4qQ">
            <body>&quot;Contains the date of previous service for the same recurring condition. This may be a required field for billing certain illnesses (e.g., accident related) to a third party.&quot; - HL7 Version 2.8, PV2-14.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_F_BsQFPCEeO95rHo5Ki4qQ" name="priority" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_F_CTUFPCEeO95rHo5Ki4qQ" annotatedElement="_F_BsQFPCEeO95rHo5Ki4qQ">
            <body>&quot;Contains the priority of the visit.&quot; - HL7 Version 2.8, PV2-25.  Possible values include (from HL7 Table 217): Emergency; Urgent; Elective.&#xD;
</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F_CTUlPCEeO95rHo5Ki4qQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F_CTUVPCEeO95rHo5Ki4qQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_F8AjQKByEeKEjOzXDxf6EA" name="publicityCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_F8AjQaByEeKEjOzXDxf6EA" annotatedElement="_F8AjQKByEeKEjOzXDxf6EA">
            <body>&quot;Contains a user-defined code indicating what level of publicity is allowed for a specific visit.&quot; - HL7 Version 2.8, PV2-21.  Possible values include (from HL7 V2 Table 215): Family only; No Publicity; Other; Unknown.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F8AjQ6ByEeKEjOzXDxf6EA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F8AjQqByEeKEjOzXDxf6EA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642D2D0CC0158" name="reason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MXUqUuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642D2D0CC0158">
            <body>&quot;A set of values specifying the non-medical reasons for this encounter. Examples are &quot;Medical Necessity&quot;, &quot;Patient's Request&quot; and &quot;Dependency&quot;. Note: medical reason(s) for the encounter are specified as associated diagnoses.&quot; (HL7) </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_V8kyUPhJEeGaiclsGcUBSg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_V8lZYPhJEeGaiclsGcUBSg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6lH5APhIEeGaiclsGcUBSg" name="reasonForVisit" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_O07aMPhJEeGaiclsGcUBSg" annotatedElement="_6lH5APhIEeGaiclsGcUBSg">
            <body>The reason for the encounter/visit from the clinician's point of view.  This field contrasts with the chiefComplaint, which is the patient's description of the reason for the encounter/visit.  Notice that this field is a code, while the chiefComplaint is a string.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-YmxsPhIEeGaiclsGcUBSg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-YnYwPhIEeGaiclsGcUBSg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64255705C0241" name="referralSource" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MXUqVeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64255705C0241">
            <body>Identifies the source of the admission or encounter.  In other words, identified where the patient was before being sent for this encounter.  Possible values include: Community, Other facility, etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XytZYFZuEdyiQOoaXOP6Kg" name="servicingFacility" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_jSSNkCqKEd6tfJk2wVTfYw" annotatedElement="_XytZYFZuEdyiQOoaXOP6Kg">
            <body>&quot;This field is used in a multiple facility environment, e.g., multiple campuses or buildings, to indicate the healthcare facility with which this visit is associated.&quot; - HL7 Version 2.8, PV1-39.  Note that HL7 does not suggest any values for this code (in User-defined Table 115).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-YHzAPTqEdy4NNd432ztnw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-YHzAfTqEdy4NNd432ztnw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6431C49CF0151" name="specialArrangement" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MZQkC-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6431C49CF0151">
            <body>A set of values representing the types of special arrangements provided or to be provided for this patient encounter (e.g., wheelchair, stretcher, interpreter, attendant, seeing eye dog)</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6431C49F10060" name="specialCourtesy" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MZaVAuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6431C49F10060">
            <body>&quot;Indicates whether the patient will be extended certain special courtesies.&quot; - HL7 Version 2.8, PV1-22.  Note that HL7 does not suggest any values for this code (in User-defined Table 45).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_H_aycOZXEeGuIoEQ4Mvu0w" name="triageNotes" visibility="public">
          <ownedComment xmi:id="_RInLkOZXEeGuIoEQ4Mvu0w" annotatedElement="_H_aycOZXEeGuIoEQ4Mvu0w">
            <body>Triage notes for the patient visit.  Added for Public Health Reporting Initiative.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_L_KlgOZXEeGuIoEQ4Mvu0w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_L_LMkOZXEeGuIoEQ4Mvu0w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fcoukGfWEeGK0elVFnH6lw" name="admitter" visibility="public" type="_420A62FD03B6418A6B760063" association="_fckdIGfWEeGK0elVFnH6lw">
          <ownedComment xmi:id="_wEB-oGfWEeGK0elVFnH6lw" annotatedElement="_fcoukGfWEeGK0elVFnH6lw">
            <body>&quot;Contains the admitting physician information&quot; - HL7 Version 2.8, PV1-17</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fcp8sGfWEeGK0elVFnH6lw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fcqjwGfWEeGK0elVFnH6lw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9UrQEGisEeG3pKm-C5y0hA" name="appointment" visibility="public" type="_420A62FD03B64214277401EB" association="_9UnlsGisEeG3pKm-C5y0hA">
          <ownedComment xmi:id="_Hnz5gGi9EeG3pKm-C5y0hA" annotatedElement="_9UrQEGisEeG3pKm-C5y0hA">
            <body>&quot;An arrangement to meet a person or be at a place at a certain time&quot; - Dictionary.com  The scheduled time of the Encounter.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9UseMGisEeG3pKm-C5y0hA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9UtFQGisEeG3pKm-C5y0hA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JVEO8GfgEeGK0elVFnH6lw" name="assignedPatientLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_JU_9gGfgEeGK0elVFnH6lw">
          <ownedComment xmi:id="_n9OrEGfgEeGK0elVFnH6lw" annotatedElement="_JVEO8GfgEeGK0elVFnH6lw">
            <body>&quot;This field contains the patient's initial assigned location or the location to which the patient is being moved.  The first component may be the nursing station for inpatient locations, or clinic or department, for locations other than inpatient.  For canceling a transaction or discharging a patient, the current location (after the cancellation event or before the discharge event) should be in this field.&quot; - HL7 Version 2.8, PV1-3</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JVFdEGfgEeGK0elVFnH6lw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JVGEIGfgEeGK0elVFnH6lw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1yT3cGfTEeGK0elVFnH6lw" name="attender" visibility="public" type="_420A62FD03B6418A6B760063" association="_1yO-8GfTEeGK0elVFnH6lw">
          <ownedComment xmi:id="_DbCW8GfUEeGK0elVFnH6lw" annotatedElement="_1yT3cGfTEeGK0elVFnH6lw">
            <body>&quot;Contains the attending physician information.&quot; - HL7 Version 2.8, PV1-7</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1yVsoGfTEeGK0elVFnH6lw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1yWTsGfTEeGK0elVFnH6lw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uSItEZQwEd-GUpkbaCODYA" name="clinicalService" visibility="public" type="_420A62FD03B642142C63002F" association="_uSItEJQwEd-GUpkbaCODYA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uSItEpQwEd-GUpkbaCODYA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uSItE5QwEd-GUpkbaCODYA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_OilRcBFtEeKu1LfuaJwFHw" name="patientImplantObservation" visibility="public" type="_9SOj8BFsEeKu1LfuaJwFHw" association="_Oifx4BFtEeKu1LfuaJwFHw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OioUwBFtEeKu1LfuaJwFHw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Oio70BFtEeKu1LfuaJwFHw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6426909FB02BE" name="patientTransfer" visibility="public" type="_420A62FD03B642690158012E" isUnique="false" association="_420A62FD03B6426909FA02BC">
          <ownedComment xmi:id="_MjF1e-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6426909FB02BE">
            <body>The act of transferring a patient from one location or responsible organization to another.  Note that a transfer from organization to another will, by definition, trigger a new encounter.  Note that a transfer from one location to another may trigger a new encounter depending on whether the responsible organization has changed.  A movement from one bed within the same ward to another probably will not, but a movement from one ward to another probably would. </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MjF1feLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MjF1fuLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_i1XxsGfmEeGK0elVFnH6lw" name="pendingLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_i1V8gGfmEeGK0elVFnH6lw">
          <ownedComment xmi:id="_nxlNAGfmEeGK0elVFnH6lw" annotatedElement="_i1XxsGfmEeGK0elVFnH6lw">
            <body>&quot;Indicates the point of care, room, bed, healthcare facility ID, and bed status to which the patient may be moved.  The first component may be the nursing station for inpatient locations, or the clinic, department, or home for locations other than inpatient.&quot; - HL7 Version 2.8, PV1-42</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_i1YYwGfmEeGK0elVFnH6lw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_i1Y_0GfmEeGK0elVFnH6lw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_w0ArsNymEeGh5_jMwegn_g" name="pregnancyMenstrualStatus" visibility="public" type="_c8AmgNymEeGh5_jMwegn_g" association="_wz9oYNymEeGh5_jMwegn_g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_w0B50NymEeGh5_jMwegn_g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_w0Cg4NymEeGh5_jMwegn_g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uLDpgBgBEd-hgZpk8HjFRw" name="primaryCarePhysician" visibility="public" type="_420A62FD03B6418A6B760063" association="_uK6fkBgBEd-hgZpk8HjFRw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uLDpgRgBEd-hgZpk8HjFRw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uLDpghgBEd-hgZpk8HjFRw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8kZUoGfmEeGK0elVFnH6lw" name="priorTemporaryLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_8kVDMGfmEeGK0elVFnH6lw">
          <ownedComment xmi:id="_CtrAAGfnEeGK0elVFnH6lw" annotatedElement="_8kZUoGfmEeGK0elVFnH6lw">
            <body>&quot;This field is used to reflect the patient's temporary location (such as the operating room/theatre or x-ray) prior to a transfer from a temporary location to an actual location, or from a temporary location to another temporary location. The first component may be the nursing station for inpatient locations, or the clinic, department, or home for locations other than inpatient.&quot; - HL7 Version 2.8, PV1-43</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8kaiwGfmEeGK0elVFnH6lw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8kaiwWfmEeGK0elVFnH6lw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KUp6IGfUEeGK0elVFnH6lw" name="referer" visibility="public" type="_420A62FD03B6418A6B760063" association="_KUoE8GfUEeGK0elVFnH6lw">
          <ownedComment xmi:id="_MSHsYGfUEeGK0elVFnH6lw" annotatedElement="_KUp6IGfUEeGK0elVFnH6lw">
            <body>&quot;Contains the referring physician information.&quot; - HL7 Version 2.8, PV1-8</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KUqhMGfUEeGK0elVFnH6lw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KUqhMWfUEeGK0elVFnH6lw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64318C0C200EF" name="serviceDeliveryLocation" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B64318C0C1001B">
          <ownedComment xmi:id="_MlLgJuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64318C0C200EF">
            <body>&quot;The location to which the patient is assigned. It is a role played by a place at which services may be provided. Note that a single physical place can play multiple service delivery location roles each with its own attributes. For example, a Podiatry clinic and Research clinic may meet on alternate days in the same physical location; each clinic uses its own mailing address and telephone number.&quot; (HL7) </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MlLgKOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MlLgKeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5q0koGfUEeGK0elVFnH6lw" name="temporaryLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_5qwTMGfUEeGK0elVFnH6lw">
          <ownedComment xmi:id="_86ry4GfUEeGK0elVFnH6lw" annotatedElement="_5q0koGfUEeGK0elVFnH6lw">
            <body>&quot;Contains a location other than the assigned location required for a temporary period of time (e.g., OR, operating theatre, etc.).&quot; - HL7 Version 2.8, PV1-11</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5q1ywGfUEeGK0elVFnH6lw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5q2Z0GfUEeGK0elVFnH6lw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_i6WkcHejEeOK6dlxi14PNA" name="healthConcernList" visibility="public" type="_55AJkPc4Ed-hU-zq4VwY5Q" association="_i6MzcHejEeOK6dlxi14PNA">
          <ownedComment xmi:id="_xc62AHejEeOK6dlxi14PNA" annotatedElement="_i6WkcHejEeOK6dlxi14PNA">
            <body>Pointer to a list of HealthConcerns as extant at the time of an encounter.  Used when the Encounter is the entry point.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_i6WkcXejEeOK6dlxi14PNA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_i6WkcnejEeOK6dlxi14PNA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CaqEAB92EeWsloQr5xbziw" name="reportableCondition" visibility="public" type="_Ckm70I_BEeGMX5b1YJ6DNQ" association="_Cao14B92EeWsloQr5xbziw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CaqrEB92EeWsloQr5xbziw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CarSIB92EeWsloQr5xbziw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64214277401EB" name="Appointment">
        <eAnnotations xmi:id="_MYg9LOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MYg9JOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64214277401EB">
          <body>&quot;An arrangement to meet a person or be at a place at a certain time&quot; - Dictionary.com  The scheduled time of the Encounter.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64243179F00B3" name="appointmentTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_MYg9J-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64243179F00B3">
            <body>The date and time for the appointment of the scheduled visit.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6426643090271" name="appointmentType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MYg9KuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6426643090271">
            <body>Identifies the Type of visit.  Possible values include: IHS; Contract; Tribal; VA; 638 program; VA; etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_IH0GcRgCEd-hgZpk8HjFRw" name="performer" visibility="public" type="_420A62FD03B6418A6B760063" association="_IH0GcBgCEd-hgZpk8HjFRw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IH0GchgCEd-hgZpk8HjFRw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IH0GcxgCEd-hgZpk8HjFRw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642142C63002F" name="ClinicalService">
        <eAnnotations xmi:id="_MYz4EeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MYg9L-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642142C63002F">
          <body>The provision of healthcare-related service(s) within the context of an encounter.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643A199250011" name="clinicalServceId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_MYqHFeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643A199250011">
            <body>Unique Identifier for this Clinical service .</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64243070E0040" name="typeOfService" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MYqHEuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64243070E0040">
            <body>Clinical Speciality ID</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FCi34ZQzEd-GUpkbaCODYA" name="clinicalProcedureRecord" visibility="public" type="_420A62FD03B64239AEAD0005" association="_FCi34JQzEd-GUpkbaCODYA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FCi34pQzEd-GUpkbaCODYA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FCi345QzEd-GUpkbaCODYA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64234567802CD" name="EmergencyEncounter">
        <eAnnotations xmi:id="_MY9pGOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MYz4FOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64234567802CD">
          <body>Emergency is an encounter without a scheduled appointment and urgent clinical services are required.</body>
        </ownedComment>
        <generalization xmi:id="_Zq_eAGiwEeG3pKm-C5y0hA" general="_420A62FD03B64213F5B40316"/>
        <ownedAttribute xmi:id="_420A62FD03B6423F48B30200" name="activityTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_MY9pE-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6423F48B30200">
            <body>&quot;The time interval starting with the administrative onset of the encounter (e.g. admission, registration, patient arrival) and ending with the patient's departure (e.g. discharge). (HL7). </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64241F5C30343" name="arrivedBy" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MY9pFuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64241F5C30343">
            <body>Identifies the mode of transportation.  ie. ambulance, car, walking etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64318ACDE0079" name="discharge" visibility="public" type="_420A62FD03B642CABAAE01BB" isUnique="false" association="_420A62FD03B64318ACDD0096">
          <ownedComment xmi:id="_Mk4lPeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64318ACDE0079">
            <body>The release of a patient from a course of care.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Mk4lP-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Mk4lQOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6423457A501AD" name="HomeBasePrimaryCareEncounter">
        <eAnnotations xmi:id="_MZGzAeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MY9pG-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6423457A501AD">
          <body>Patient is being treated &quot;In-Home&quot; for this encounter. </body>
        </ownedComment>
        <generalization xmi:id="_hgFK8GiwEeG3pKm-C5y0hA" general="_nbMJYGiuEeG3pKm-C5y0hA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64234584B0170" name="VirtualEncounter">
        <eAnnotations xmi:id="_MZGzB-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MZGzBOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64234584B0170">
          <body>Services provided includes Telehealth, Web health etc.</body>
        </ownedComment>
        <generalization xmi:id="_67VzMBgDEd-hgZpk8HjFRw" general="_420A62FD03B64213F5B40316"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64239451402E7" name="ServiceEpisode">
        <eAnnotations xmi:id="_MZje8eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MZGzCuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64239451402E7">
          <body>&quot;...a Service Episode is the context in which the treatment or management of an arbitrary subset of a Patient s medical conditions occurs. The definition of the start time, stop time, and included events of a Service Episode is entirely arbitrary; it may include a single outpatient visit or a hospitalization, or extend over significant period of time, e.g., the duration of a pregnancy, or an oncology treatment regimen, or a cardiac episode from infarction through rehabilitation. A Service Episode may involve one or more Healthcare Organizations.&quot; - HL7 Version 2.8, PV1-53    A collection of encounters that can be clustered based on a common clinically relevant factor such as the provider, diagnosis, health factor, or long-term problem. </body>
        </ownedComment>
        <ownedAttribute xmi:id="_Brjw0GfpEeGK0elVFnH6lw" name="description" visibility="public">
          <ownedComment xmi:id="_PxYcAGfpEeGK0elVFnH6lw" annotatedElement="_Brjw0GfpEeGK0elVFnH6lw">
            <body>&quot;A brief user-defined description of a Service Episode in or for which the visit occurs.  A Service Episode is the context in which the treatment or management of an arbitrary subset of a Patient s medical conditions occurs. The definition of the start time, stop time, and included events of a Service Episode is entirely arbitrary; it may include a single outpatient visit or a hospitalization, or extend over significant period of time, e.g., the duration of a pregnancy, or an oncology treatment regimen, or a cardiac episode from infarction through rehabilitation. A Service Episode may involve one or more Healthcare Organizations.&quot; - HL7 Version 2.8, PV1-53</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MZuFUJQpEd-GUpkbaCODYA" name="duration" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_MZuFUZQpEd-GUpkbaCODYA" annotatedElement="_MZuFUJQpEd-GUpkbaCODYA">
            <body>&quot;The time interval starting with the administrative onset of the encounter (e.g. admission, registration, patient arrival) and ending with the patient's departure (e.g. discharge).&quot; - HL7 V3  This is the start and end date/times of the Service Episode.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64318BA4B0248" name="careProtocol" visibility="public" type="_420A62FD03B642E8E8270286" isUnique="false" association="_420A62FD03B64318BA4A025A">
          <ownedComment xmi:id="_MlBvJuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64318BA4B0248">
            <body>TA proposed or tentative course of action for the maintenance and restoration of health by the treatment and prevention of disease by trained and licensed professionals.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MlBvKOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MlBvKeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642CEF06E0118" name="diagnosisRelatedGroup" visibility="public" type="_420A62FD03B642CEE9490169" isUnique="false" association="_420A62FD03B642CEF06D0013">
          <ownedComment xmi:id="_MjsSZ-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642CEF06E0118">
            <body>Provides the diagnosis grouping for the diagnosis/s provide for the patients visit</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MjsSaeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MjsSauLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FSl-UGisEeG3pKm-C5y0hA" name="serviceEpisodeId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_FSl-UWisEeG3pKm-C5y0hA" annotatedElement="_FSl-UGisEeG3pKm-C5y0hA">
            <body>&quot;Contains the identifier of a Service Episode in or for which the visit occurs.&quot; - HL7 Version 2.8, PV1-54    This field contains the unique identification number for this episode of care. This field associates the current encounter with a parent encounter.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_RfMMIGiuEeG3pKm-C5y0hA" name="abstractEncounter" visibility="public" type="_qS7A8GitEeG3pKm-C5y0hA" aggregation="shared" association="_RfH6sGiuEeG3pKm-C5y0hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RfNaQGiuEeG3pKm-C5y0hA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RfNaQWiuEeG3pKm-C5y0hA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642394F9A0060" name="GroupEncounterEvent">
        <eAnnotations xmi:id="_MZje-eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MZje9OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642394F9A0060">
          <body>A collection of like Encounters for multiple patients i.e. Group Therapy sessions.  Note that each patient has its own Episode of Care. </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6424317420163" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_MZje9-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6424317420163">
            <body>Uniquely identifies the group encounter.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64239961E003B" name="encounter" visibility="public" type="_420A62FD03B64213F5B40316" isUnique="false" aggregation="shared" association="_420A62FD03B64239961C0273">
          <ownedComment xmi:id="_MhmnuuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64239961E003B">
            <body>An interaction between a patient and a practitioner at a given location under the auspices of a given organization for the purpose of providing healthcare-related service(s).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MhmnvOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MhmnveLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642394FAA0398" name="AdministrativeEncounterEvent">
        <eAnnotations xmi:id="_MZtP9OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MZje_OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642394FAA0398">
          <body>A (perhaps artificial) grouping of encounters for administrative or financial purposes.  There is no specific requirement that the encounters have anything particular in common.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6424316F60241" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_MZtP8uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6424316F60241">
            <body>The unique identifier for the administrative grouping encounters.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64239A52501AB" name="encounter" visibility="public" type="_420A62FD03B64213F5B40316" isUnique="false" aggregation="shared" association="_420A62FD03B64239A5240055">
          <ownedComment xmi:id="_Mh5iquLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64239A52501AB">
            <body>An interaction between a patient and a practitioner at a given location under the auspices of a given organization for the purpose of providing healthcare-related service(s).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Mh5irOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Mh5ireLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64239A33400D4" name="OutpatientVisit">
        <eAnnotations xmi:id="_MaAK5eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MZtP9-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64239A33400D4">
          <body>One or more encounters at one site within a specified length of time.</body>
        </ownedComment>
        <generalization xmi:id="_Xmi6AGiwEeG3pKm-C5y0hA" general="_420A62FD03B64213F5B40316"/>
        <ownedAttribute xmi:id="_420A62FD03B6426D4C03036D" name="serviceCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MZ2Z4uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6426D4C03036D">
            <body>A categorization of the outpatient visit, based on the services provided and/or the circumstances under which the visit occurred.  Possible values include: Ambulatory, In-Hospital (i.e., an patient made an &quot;outpatient&quot; visit while concurrently being an inpatient), Day Surgery, Observation, Nursing Home, Day Hospitalization, etc.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64239A345018C" name="AncillaryServiceEvent">
        <eAnnotations xmi:id="_MaTF0eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MaAK6OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64239A345018C">
          <body>An interaction between a patient and a practitioner in which the practitioner does not exercise independent judgement.  For example, a lab test.  The lab technician may generate results, but the physician issues the diagnosis.</body>
        </ownedComment>
        <generalization xmi:id="_c18B8GiuEeG3pKm-C5y0hA" general="_qS7A8GitEeG3pKm-C5y0hA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64239A40603D9" name="PractitionerOnlyEvent">
        <eAnnotations xmi:id="_Mac21-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MaTF1OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64239A40603D9">
          <body>An action taken by a practitioner on the patient's behalf in which the patient is not present.  For example, a radiologist reading an x-ray.</body>
        </ownedComment>
        <generalization xmi:id="_dgNG8GiuEeG3pKm-C5y0hA" general="_qS7A8GitEeG3pKm-C5y0hA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64239AEAD0005" name="ClinicalProcedureRecord">
        <eAnnotations xmi:id="_MavxxOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Mac22uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64239AEAD0005">
          <body>Clinical Procedures provided and or performed for the patient during the Encounter.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_qcfEoIIhEeOJAM9SGJ4xug" name="bodySite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_qcfEoYIhEeOJAM9SGJ4xug" annotatedElement="_qcfEoIIhEeOJAM9SGJ4xug">
            <body>&quot;Anatomical site where procedure is performed.&quot; For example, &quot;Skin biopsy of the left eyelid.&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642404CFE01CF" name="dateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Mamn1eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642404CFE01CF">
            <body>The date (and optionaly the time) that the professional service was performed.&#xD;
&quot;Date and time of procedure, may include duration.&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F8DE10035E" name="description" visibility="public">
          <ownedComment xmi:id="_Mamn0uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F8DE10035E">
            <body>Textual description of the procedure.&#xD;
&quot;Narrative to further describe the procedure.&quot; For example, &quot;A 6 mm sessile polyp was found in the ascending colon and removed by snare, no cautery. Bleeding was controlled. Moderate diverticulosis and hemorrhoids were incidentally noted.&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_b7DOwIIREeO5ndfqpWQQKg" name="invasivenessOfProcedure" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NG1-IIISEeO5ndfqpWQQKg" annotatedElement="_b7DOwIIREeO5ndfqpWQQKg">
            <body>&quot;Describes invasiveness of the procedure.&quot; For example, Non-Invasive (ex: abdominal sonogram); Minimally Invasive (ex: endoscopy); Invasive (open surgery). - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eptX8IISEeO5ndfqpWQQKg" name="procedureFindings" visibility="public">
          <ownedComment xmi:id="_eptX8YISEeO5ndfqpWQQKg" annotatedElement="_eptX8IISEeO5ndfqpWQQKg">
            <body>&quot;Records clinically significant observations confirmed or discovered during the procedure or surgery.&quot; For example, &quot;Necrotic left ovarian cyst was discovered and removed.&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Ouy98IITEeO5ndfqpWQQKg" name="procedureImplants" visibility="public">
          <ownedComment xmi:id="_Ouy98YITEeO5ndfqpWQQKg" annotatedElement="_Ouy98IITEeO5ndfqpWQQKg">
            <body>&quot;Records any materials placed during the procedure including stents, tubes, and drains.&quot; For example, &quot;A doohickey pacemaker, number 3975359 was placed.&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DrL-MIIhEeOJAM9SGJ4xug" name="specimensTaken" visibility="public">
          <ownedComment xmi:id="_DrL-MYIhEeOJAM9SGJ4xug" annotatedElement="_DrL-MIIhEeOJAM9SGJ4xug">
            <body>&quot;Records the tissues, objects, or samples taken from the patient during the procedure including biopsies, aspiration fluid, or other samples sent for pathological analysis.&quot; For example, &quot;a .01x .02 cm biopsy was taken from the left ventricle.&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F8E70800F3" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MavxwuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F8E70800F3">
            <body>A value specifying the state of this patient encounter (based on the RIM Act class state machine), for example, active, aborted, completed  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6425C061F0210" name="complication" visibility="public" type="_420A62FD03B6425C0616011C" isUnique="false" association="_420A62FD03B6425C061E038B">
          <ownedComment xmi:id="_MipJieLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6425C061F0210">
            <body>An undesirable event experienced by a patient whilst undergoing a clinical procedure, especially if the event was caused by the procedure itself.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MipJi-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MipJjOLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_OicnkRgCEd-hgZpk8HjFRw" name="performer" visibility="public" type="_420A62FD03B6418A6B760063" association="_OicnkBgCEd-hgZpk8HjFRw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OicnkhgCEd-hgZpk8HjFRw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OicnkxgCEd-hgZpk8HjFRw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_w8Q0MIIQEeO5ndfqpWQQKg" name="procedureFacility" visibility="public" type="_420A62FD03B64242CAB30303">
          <ownedComment xmi:id="_w8Q0MYIQEeO5ndfqpWQQKg" annotatedElement="_w8Q0MIIQEeO5ndfqpWQQKg">
            <body>Pointer to the location (e.g., the Facility) at which the Procedure was performed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_w8Q0M4IQEeO5ndfqpWQQKg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_w8Q0MoIQEeO5ndfqpWQQKg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4QL_sJQyEd-GUpkbaCODYA" name="procedureList" visibility="public" type="_dP9loN3-Ed6yatlejfcw_g" association="_4QC1wJQyEd-GUpkbaCODYA">
          <ownedComment xmi:id="_i86xMIIgEeOJAM9SGJ4xug" annotatedElement="_4QL_sJQyEd-GUpkbaCODYA">
            <body>Pointer to a list of Procedures (i.e., procedure codes) performed as part of the clinical procedure record.&#xD;
&quot;Contains a code indicating a procedure or a non-procedural event involving the patient.  This code could come from various coding systems; typically the Common Procedure Terminology (CPT)&quot;. - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4QL_sZQyEd-GUpkbaCODYA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4QL_spQyEd-GUpkbaCODYA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_iQOIcJQyEd-GUpkbaCODYA" name="relatedProcedure" visibility="public" type="_Y5gQsJQyEd-GUpkbaCODYA" association="_iQEXcJQyEd-GUpkbaCODYA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iQOIcZQyEd-GUpkbaCODYA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iQOIcpQyEd-GUpkbaCODYA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6423F39840388" name="CensusEvent">
        <eAnnotations xmi:id="_Ma5iweLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Mavxx-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6423F39840388">
          <body>Date that an Inpatient or ShortStay Encounter was included in the Census. Census is taken 3 or 4 times a year at 11:59 pm.  Only those Encounters that are active (admitted), at the time the Census Event triggers receive a date timestamps.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6423F3AAC0347" name="censusDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_MavxyuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6423F3AAC0347">
            <body>This field contains the date the census was taken for this Encounter  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6425EAE1C03B1" name="shortstayCensus" visibility="public" type="_420A62FD03B6425437EC017A" isUnique="false" association="_420A62FD03B6425EAE0C0187">
          <ownedComment xmi:id="_Mif_kuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6425EAE1C03B1">
            <body>ShortStay Encounter was included in the Census. Census is taken 3 or 4 times a year at 11:59 pm.  Only those Encounters that are active (admitted), at the time the Census Event triggers receive a date timestamps.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Mif_lOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Mif_leLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6425EAE5601DD" name="inpatientCensus" visibility="public" type="_420A62FD03B64213B28C01E9" isUnique="false" association="_420A62FD03B6425EAE4B0051">
          <ownedComment xmi:id="_Mif_meLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6425EAE5601DD">
            <body>Inpatient Encounter was included in the Census. Census is taken 3 or 4 times a year at 11:59 pm.  Only those Encounters that are active (admitted), at the time the Census Event triggers receive a date timestamps.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Mif_m-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Mif_nOLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6425437EC017A" name="ShortStay">
        <eAnnotations xmi:id="_MbMdtOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MbCst-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6425437EC017A">
          <body>An encounter that is similar to outpatient but the patient is admitted to a bed.</body>
        </ownedComment>
        <generalization xmi:id="_i9uNoGiwEeG3pKm-C5y0hA" general="_nbMJYGiuEeG3pKm-C5y0hA"/>
        <ownedAttribute xmi:id="_420A62FD03B642663D530341" name="lengthOfStay" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_MbCsu-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642663D530341">
            <body>Will contain the actual, calculated quantity (the actual days quantity cannot be simply calculated from the admission and discharge dates because of possible leaves of absence) instead of the expected length of stay.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6425C0616011C" name="ComplicationEvent">
        <eAnnotations xmi:id="_MbWOseLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MbMdt-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6425C0616011C">
          <body>An undesirable event experienced by a patient whilst undergoing a clinical procedure, especially if the event was caused by the procedure itself.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6425C062900FC" name="description" visibility="public">
          <ownedComment xmi:id="_MbMduuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6425C062900FC">
            <body>Describes the complication that may have occurred during the exam procedure.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642690158012E" name="PatientTransfer">
        <eAnnotations xmi:id="_Mb8ElOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Mby6peLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642690158012E">
          <body>The act of transferring a patient from one location or responsible organization to another.  Note that a transfer from organization to another will, by definition, trigger a new encounter.  Note that a transfer from one location to another may trigger a new encounter depending on whether the responsible organization has changed.  A movement from one bed within the same ward to another probably will not, but a movement from one ward to another probably would. </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6425467AC01C5" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Mb8EkuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6425467AC01C5">
            <body>Categorizes the patient transfer.  Possible values include Admission, Transfer, Discharge, etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64269122901F6" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_Mby6qOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64269122901F6">
            <body>Uniquely identifies the patient transfer</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642406F9300A2" name="movementDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Mby6q-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642406F9300A2">
            <body>Date of the movement of the patient.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642CEEC0201B1" name="transferFromLocation" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B642CEEBF702F6">
          <ownedComment xmi:id="_MjihbeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642CEEC0201B1">
            <body>&quot;Contains the prior patient location if the patient is being transferred.  The old location is null if the patient is new.&quot; - HL7 Version 2.8, PV1-6</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Mjihb-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MjihcOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642CEEC190268" name="transferToLocation" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B642CEEC100189">
          <ownedComment xmi:id="_MjsSYOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642CEEC190268">
            <body>&quot;Contains the prior patient location if the patient is being transferred.  The old location is null if the patient is new.&quot; - HL7 Version 2.8, PV1-6</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MjsSYuLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MjsSY-LiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642545C4F0241" name="transferReason" visibility="public">
          <ownedComment xmi:id="_MeBvReLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642545C4F0241">
            <body>&quot;Contains the short description of the reason for a patient location change.&quot; - HL7 Version 2.8, PV2-4</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6426E871203C6" name="ExaminationEvent">
        <eAnnotations xmi:id="_McO_hOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Mb8El-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6426E871203C6">
          <body>&quot;An investigation or inspection for the purpose of diagnosis&quot; (The American Heritage Stedman's Medical Dictionary) </body>
        </ownedComment>
        <generalization xmi:id="_420A62FD03B6426E874601E1" general="_420A62FD03B642142C63002F"/>
        <ownedAttribute xmi:id="_420A62FD03B642D43ABE021E" name="date" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Mb8Em-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642D43ABE021E">
            <body>The date and time of the examination for the patient.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642D6A3A20233" name="examType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_McF1kuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642D6A3A20233">
            <body>Contains the code that identifies the type of examination performed for the patient.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642D6A2F20190" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_McF1leLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642D6A2F20190">
            <body>Unique identifier for the is Examination occurrence.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F122C801B9" name="isNormal" visibility="public">
          <ownedComment xmi:id="_Mdu0UuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F122C801B9">
            <body>Identifies  the results of the exam suggested values: A=Abnormal, N=Normal, etc  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642D43E2A0029" name="results" visibility="public">
          <ownedComment xmi:id="_McF1mOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642D43E2A0029">
            <body>The consequence of a particular action, operation, or course; an outcome. </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642D43A5500BE" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_McO_guLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642D43A5500BE">
            <body>The status of the examination for the patient.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gLvaIJQwEd-GUpkbaCODYA" name="relatedExamination" visibility="public" type="_SjvTYJQwEd-GUpkbaCODYA" association="_gLlpIJQwEd-GUpkbaCODYA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gLvaIZQwEd-GUpkbaCODYA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gLvaIpQwEd-GUpkbaCODYA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642CABAAE01BB" name="DischargeEvent">
        <eAnnotations xmi:id="_McihhOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_McO_h-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642CABAAE01BB">
          <body>The release of a patient from a course of care.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_9Uhg8NivEdyb35bKix456w" name="date" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_zdw9sCqKEd6tfJk2wVTfYw" annotatedElement="_9Uhg8NivEdyb35bKix456w">
            <body>&quot;This field contains the discharge date/time.  It is to be used if the event date/time is different than the discharge date and time, that is, a retroactive update.  This field is also used to reflect the date/time of an outpatient/emergency patient discharge.&quot; - HL7 Version 2.8, PV1-45</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Leg6cNiwEdyb35bKix456w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Leg6cdiwEdyb35bKix456w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642397A330322" name="disposition" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_McihiuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642397A330322">
            <body>&quot;Contains the disposition of the patient at time of discharge (i.e., discharged to home, expired, etc.).  ...use the Official Uniform Billing (UB) 04 2008 numeric codes found on form locator 17.&quot; - HL7 Version 2.8, PV1-36    Note that while the encounter is still &quot;active&quot; (i.e., the encounter does not have an end date yet) this attribute should be interpreted as the expected discharge disposition. When the encounter is &quot;completed&quot; this attribute contains the actual discharge disposition.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pEffIJQSEd-GUpkbaCODYA" name="needOutpatientFollowup" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642CD396600D9" name="dischargeFromLocation" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B642CD395F025F">
          <ownedComment xmi:id="_MjYwYOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642CD396600D9">
            <body>&quot;The location to which the patient is assigned. It is a role played by a place at which services may be provided. Note that a single physical place can play multiple service delivery location roles each with its own attributes. For example, a Podiatry clinic and Research clinic may meet on alternate days in the same physical location; each clinic uses its own mailing address and telephone number.&quot; (HL7) </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MjYwYuLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MjYwY-LiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642CD39B90255" name="dischargeToLocation" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B642CD39B80339">
          <ownedComment xmi:id="_MjYwZ-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642CD39B90255">
            <body>&quot;Indicates the healthcare facility to which the patient was discharged and the date.&quot; - HL7 Version 2.8, PV1-37</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MjYwaeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MjYwauLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_aWKcUHiUEeODk9Eid2o3dQ" name="dischargeDiagnosis" visibility="public" type="_e4dl4AgVEd6eWYJXJewDdQ" association="_aWJOMHiUEeODk9Eid2o3dQ">
          <ownedComment xmi:id="_gNZqkHiWEeODk9Eid2o3dQ" annotatedElement="_aWKcUHiUEeODk9Eid2o3dQ">
            <body>The diagnosis(es) determined to be the reason for hospitalization at the time of discharge (this may be the same or different from the hospital admission diagnosis (added for Transition of Care).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_aWLDYHiUEeODk9Eid2o3dQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_aWLDYXiUEeODk9Eid2o3dQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_afDfIM5LEeSoLYfuQMb72Q" name="dischargeInstructions" visibility="public" type="_420A62FD03B6437B871C002E" association="_afAb0M5LEeSoLYfuQMb72Q">
          <ownedComment xmi:id="_isx5EM5MEeSoLYfuQMb72Q" annotatedElement="_afDfIM5LEeSoLYfuQMb72Q">
            <body>Pointer to a Patient Education record which documents the Act of the provision of instructions to the Patient upon the completion of an Encounter.  These instructions may be in the form of a pre-defined document that is specific to the Patient's condition or the Procedure which has undergone, or it may be in the form of free-form text, or both.  We point to the Patient Education class rather than simply having a discharge instructions string property so that data can be collected regarding who provided the instructions and when, as well as an indication of the patient's level of understanding.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_afEGMM5LEeSoLYfuQMb72Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_afEtQM5LEeSoLYfuQMb72Q" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642CEE9490169" name="DiagnosisGroupingEvent">
        <eAnnotations xmi:id="_Mc1cd-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_McrrcOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642CEE9490169">
          <body>The act or process of grouping diagnosis that determined the nature and cause of a disease or injury through evaluation of patient history, examination, and review of laboratory data.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642CEE99502D0" name="diagnosisRelatedGroup" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Mcrrc-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642CEE99502D0">
            <body>Contains the diagnosis grouping code.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643089003024A" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_McrreeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643089003024A">
            <body>Unique Identifier for the Grouping type</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642CEE9A60249" name="DialysisEvent">
        <eAnnotations xmi:id="_Mc_NdeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Mc1ceuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642CEE9A60249">
          <body>dialysis type</body>
        </ownedComment>
        <generalization xmi:id="_420A62FD03B642CFD9DC036E" general="_420A62FD03B642142C63002F"/>
        <ownedAttribute xmi:id="_420A62FD03B642CEE9E602EB" name="dialysisType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Mc_Nc-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642CEE9E602EB">
            <body>Identifies the type of dialysis for this Encounter.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642E8E8270286" name="CareProtocol">
        <eAnnotations xmi:id="_MdlDUeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MdbSYOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642E8E8270286">
          <body>A proposed or tentative course of action for the maintenance and restoration of health by the treatment and prevention of disease by trained and licensed professionals.   </body>
        </ownedComment>
        <ownedAttribute xmi:id="_VRwnkJQqEd-GUpkbaCODYA" name="description" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Rs4LkJQqEd-GUpkbaCODYA" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ"/>
        <ownedAttribute xmi:id="_YY_eQJQqEd-GUpkbaCODYA" name="title" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
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      </packagedElement>
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          <body>Contains properties common to multiple kinds of Encounters.  This class shouldn't be instantiated, rather one of the concrete subtypes would be.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6431C494F03C4" name="confidentiallyCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <body>Contains a set of values that control the disclosure of information about this patient </body>
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        <ownedAttribute xmi:id="_420A62FD03B6426D52220172" name="comments" visibility="public">
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            <body>Any remarks concerning this encounter.    </body>
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        <ownedAttribute xmi:id="_P3m3wFO-EeO95rHo5Ki4qQ" name="description" visibility="public">
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            <body>&quot;Contains a brief user-defined description of the visit.&quot; - HL7 Version 2.8, PV2-12.</body>
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            <body>&quot;The time interval starting with the administrative onset of the encounter (e.g. admission, registration, patient arrival) and ending with the patient's departure (e.g. discharge). Note_1: for active encounters the end of the effectiveTime range is the anticipated end date-time. Note_2: all messages, except the &quot;nullify&quot; message, require at least a starting time.&quot;  (HL7).   This is the start and end date/times of the Encounter.</body>
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            <body>Categorizes the encounter.  Possible values include Phone Call, Outpatient, etc.</body>
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            <body>This property uniquely identifies the Encounter.  This property can be used, among other purposes, to associate the current Encounter with other Encounters, or with events that occurred during the Encounter.&#xD;
&#xD;
&quot;Contains the unique number assigned to each patient visit.&quot; - HL7 Version 2.8, PV1-19&#xD;
&quot;Contains the identifier of a Service Episode in or for which the visit occurs.&quot; - HL7 Version 2.8, PV1-54</body>
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            <body>&quot;Contains the priority of the visit.&quot; - HL7 Version 2.8, PV2-25    Possible values include (from HL7 Table 217): Emergency; Urgent; Elective</body>
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            <body>The patient who is the subject of the Episode of Care.  </body>
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        <ownedAttribute xmi:id="_OvIlsGi2EeG3pKm-C5y0hA" name="relatedEncounter" visibility="public" type="_ZzkrEJQYEd-GUpkbaCODYA" association="_OvEUQGi2EeG3pKm-C5y0hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OvJMwGi2EeG3pKm-C5y0hA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OvJz0Gi2EeG3pKm-C5y0hA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_yibDAIedEeOX_brmw15GsQ" name="scopingProvider" visibility="public" type="_aW26cBsbEd--ZY2-pbJ-Pw" association="_yiYmwIedEeOX_brmw15GsQ">
          <ownedComment xmi:id="_5-gaEIedEeOX_brmw15GsQ" annotatedElement="_yibDAIedEeOX_brmw15GsQ">
            <body>Pointer to the Healthcare Provider (organization) under whose auspices the Encounter occurred.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_yicRIIedEeOX_brmw15GsQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_yicRIYedEeOX_brmw15GsQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__XNqgIelEeOX_brmw15GsQ" name="careTeamMember" visibility="public" type="_GY1OsAY1EeGz0dkadElrkQ" association="__XMcYIelEeOX_brmw15GsQ">
          <ownedComment xmi:id="_WY6rkIemEeOX_brmw15GsQ" annotatedElement="__XNqgIelEeOX_brmw15GsQ">
            <body>Pointer to Practitioner(s) who make up a team comprising multiple disciplines in order to provide holistic care for the patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__XORkIelEeOX_brmw15GsQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__XORkYelEeOX_brmw15GsQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_RfH6sGiuEeG3pKm-C5y0hA" memberEnd="_RfMMIGiuEeG3pKm-C5y0hA _RfREoGiuEeG3pKm-C5y0hA">
        <ownedEnd xmi:id="_RfREoGiuEeG3pKm-C5y0hA" name="" visibility="public" type="_420A62FD03B64239451402E7" association="_RfH6sGiuEeG3pKm-C5y0hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RfSSwGiuEeG3pKm-C5y0hA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RfS50GiuEeG3pKm-C5y0hA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_nbMJYGiuEeG3pKm-C5y0hA" name="AbstractDurableEncounter" isAbstract="true">
        <ownedComment xmi:id="_JZlTEMlTEeKk-pg0LZnieg" annotatedElement="_nbMJYGiuEeG3pKm-C5y0hA">
          <body>Contains properties common to multiple kinds of Encounters which last more than a few hours.  Such encounters typically include an admission and discharge process.</body>
        </ownedComment>
        <generalization xmi:id="_atrqEGiwEeG3pKm-C5y0hA" general="_420A62FD03B64213F5B40316"/>
        <ownedAttribute xmi:id="_kvGW8ExgEdyVYrcEhQ5TbQ" name="admissionDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_TAidYCqKEd6tfJk2wVTfYw" annotatedElement="_kvGW8ExgEdyVYrcEhQ5TbQ">
            <body>&quot;This field contains the admit date/time.  It is to be used if the event date/time is different than the admit date and time, i.e., a retroactive update.  This field is also used to reflect the date/time of an outpatient/emergency patient registration.&quot; - HL7 Version 2.8, PV1-44</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rZH-8ExgEdyVYrcEhQ5TbQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rZH-8UxgEdyVYrcEhQ5TbQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QX1LwFPFEeO95rHo5Ki4qQ" name="admissionLevelOfCare" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_QX1LwVPFEeO95rHo5Ki4qQ" annotatedElement="_QX1LwFPFEeO95rHo5Ki4qQ">
            <body>&quot;Indicates the acuity level assigned to the patient at the time of admission.&quot; - HL7 Version 2.8, PV2-40.  Possible values include (from HL7 Table 432): Acute; Chronic; Comatose; Critical; Improved; Moribund.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QX1Lw1PFEeO95rHo5Ki4qQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QX1LwlPFEeO95rHo5Ki4qQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_yJHhMGfpEeGK0elVFnH6lw" name="admissionReason" visibility="public">
          <ownedComment xmi:id="_7iiHoGfpEeGK0elVFnH6lw" annotatedElement="_yJHhMGfpEeGK0elVFnH6lw">
            <body>&quot;Contains the short description of the reason for patient admission.&quot; - HL7 Version 2.8, PV2-3</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rDZUYMPuEeGriO8gBy203A" name="admissionSource" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_rDZUYcPuEeGriO8gBy203A" annotatedElement="_rDZUYMPuEeGriO8gBy203A">
            <body>&quot;Indicates where the patient was admitted....  In the US, this field should use the Official Uniform Billing (UB) 04 2008 numeric codes found on form locator 15 [which is] the Point of Origin for Admission or Visit.&quot; - HL7 Version 2.8, PV1-14.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rDZUY8PuEeGriO8gBy203A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rDZUYsPuEeGriO8gBy203A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xQr-AGfhEeGK0elVFnH6lw" name="admissionType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_3mGA4GfhEeGK0elVFnH6lw" annotatedElement="_xQr-AGfhEeGK0elVFnH6lw">
            <body>&quot;Indicates the circumstances under which the patient was or will be admitted. ...use the official Universal Billing (UB) 04 2008 numeric codes found on form locator 14.&quot; - HL7 Version 2.8, PV1-4.  Possible values include (from HL7 Table 7: Accident; Emergency; &#xD;
Labor and Delivery; Routine; Newborn (Birth in healthcare facility); Urgent; Elective.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1qnLoGfhEeGK0elVFnH6lw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1qnysGfhEeGK0elVFnH6lw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BuH5cGflEeGK0elVFnH6lw" name="dietType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_OYc3AGflEeGK0elVFnH6lw" annotatedElement="_BuH5cGflEeGK0elVFnH6lw">
            <body>&quot;Indicates a special diet type for a patient.&quot; - HL7 Version 2.8, PV1-38.  Note that HL7 does not suggest any values for this code (in User-defined Table 114).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_A60k0FO9EeO95rHo5Ki4qQ" name="expectedAdmissionDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_A60k0VO9EeO95rHo5Ki4qQ" annotatedElement="_A60k0FO9EeO95rHo5Ki4qQ">
            <body>&quot;Contains the date and time that the patient is expected to be admitted.  This field is also used to reflect the date/time of an outpatient/emergency patient registration.&quot; - HL7 Version 2.8, PV2-8.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_A60k01O9EeO95rHo5Ki4qQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_A60k0lO9EeO95rHo5Ki4qQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FC8QwFO9EeO95rHo5Ki4qQ" name="expectedDischargeDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_FC8QwVO9EeO95rHo5Ki4qQ" annotatedElement="_FC8QwFO9EeO95rHo5Ki4qQ">
            <body>&quot;Contains the date and time that the patient is expected to be discharged.  This is a non-event related date used by ancillaries to determine more accurately the projected workloads.  This field is also used to reflect the anticipated discharge date/time of an outpatient/emergency patient, or an inpatient.&quot; - HL7 Version 2.8, PV2-9.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FC8Qw1O9EeO95rHo5Ki4qQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FC8QwlO9EeO95rHo5Ki4qQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NwXhIGfWEeGK0elVFnH6lw" name="needsPreAdmitTest" visibility="public">
          <ownedComment xmi:id="_Tfb8wGfWEeGK0elVFnH6lw" annotatedElement="_NwXhIGfWEeGK0elVFnH6lw">
            <body>&quot;Indicates whether the patient must have pre admission testing done in order to be admitted.&quot; - HL7 Version 2.8, PV1-12</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_U4gogGfWEeGK0elVFnH6lw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_U4hPkGfWEeGK0elVFnH6lw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_au4XwFPIEeO95rHo5Ki4qQ" name="patientCondition" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_au4XwVPIEeO95rHo5Ki4qQ" annotatedElement="_au4XwFPIEeO95rHo5Ki4qQ">
            <body>&quot;Indicates the patient's current medical condition for the purpose of communicating to non-medical outside parties, e.g., family, employer, religious minister, media, etc.&quot; - HL7 Version 2.8, PV2-42.  Possible values include (from HL7 Table 434): Satisfactory; Critical; Poor; Stable; Other; Unknown.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_au4Xw1PIEeO95rHo5Ki4qQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_au4XwlPIEeO95rHo5Ki4qQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_I2qdMFPBEeO95rHo5Ki4qQ" name="patientStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_I2qdMVPBEeO95rHo5Ki4qQ" annotatedElement="_I2qdMFPBEeO95rHo5Ki4qQ">
            <body>&quot;Indicates the status of the episode of care.&quot; - HL7 Version 2.8, PV2-24.  Possible values include (from HL7 Table 216): Active Inpatient; Discharged Inpatient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_I2qdM1PBEeO95rHo5Ki4qQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_I2qdMlPBEeO95rHo5Ki4qQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fIb9AGfSEeGK0elVFnH6lw" name="preAdmitAccount" visibility="public">
          <ownedComment xmi:id="_oCfG4GfSEeGK0elVFnH6lw" annotatedElement="_fIb9AGfSEeGK0elVFnH6lw">
            <body>&quot;Uniquely identifies the patient's pre admit account.  Some systems will continue to use the pre admit number as the billing number after the patient has been admitted.&quot; - HL7 Version 2.8, PV1-5</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XlkIUFPGEeO95rHo5Ki4qQ" name="precautionCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_XlkIUVPGEeO95rHo5Ki4qQ" annotatedElement="_XlkIUFPGEeO95rHo5Ki4qQ">
            <body>&quot;Indicates non-clinical precautions that need to be taken with the patient.&quot; - HL7 Version 2.8, PV2-41.  Possible values include (from HL7 Table 433): Aggressive; Blind; Confused; Deaf; On IV; &quot;No-code&quot; (i.e. Do not resuscitate); Paraplegic; Other; Unknown.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XlkIU1PGEeO95rHo5Ki4qQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XlkIUlPGEeO95rHo5Ki4qQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3yy0oMPtEeGriO8gBy203A" name="reAdmissionIndicator" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_3yy0ocPtEeGriO8gBy203A" annotatedElement="_3yy0oMPtEeGriO8gBy203A">
            <body>&quot;Indicates that a patient is being re admitted to the healthcare facility and gives the circumstances.&quot; - HL7 Version 2.8, PV1-13.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pgXzkGi2EeG3pKm-C5y0hA" name="discharge" visibility="public" type="_420A62FD03B642CABAAE01BB" association="_pgTiIGi2EeG3pKm-C5y0hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pgZBsGi2EeG3pKm-C5y0hA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pgZowGi2EeG3pKm-C5y0hA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XsnAIHiUEeODk9Eid2o3dQ" name="admissionDiagnosis" visibility="public" type="_e4dl4AgVEd6eWYJXJewDdQ" association="_XshgkHiUEeODk9Eid2o3dQ">
          <ownedComment xmi:id="_kKMiMHiUEeODk9Eid2o3dQ" annotatedElement="_XsnAIHiUEeODk9Eid2o3dQ">
            <body>The diagnosis(es) that was the reason for hospitalization at the time of hospitalization (added for Transition of Care).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XspcYHiUEeODk9Eid2o3dQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XsqDcHiUEeODk9Eid2o3dQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_OvEUQGi2EeG3pKm-C5y0hA" memberEnd="_OvIlsGi2EeG3pKm-C5y0hA _OvM3IGi2EeG3pKm-C5y0hA">
        <ownedEnd xmi:id="_OvM3IGi2EeG3pKm-C5y0hA" name="" visibility="public" type="_qS7A8GitEeG3pKm-C5y0hA" association="_OvEUQGi2EeG3pKm-C5y0hA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Q24VUGi2EeG3pKm-C5y0hA" memberEnd="_Q28mwGi2EeG3pKm-C5y0hA _Q3A4MGi2EeG3pKm-C5y0hA">
        <ownedEnd xmi:id="_Q3A4MGi2EeG3pKm-C5y0hA" name="" visibility="public" type="_ZzkrEJQYEd-GUpkbaCODYA" association="_Q24VUGi2EeG3pKm-C5y0hA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_pgTiIGi2EeG3pKm-C5y0hA" memberEnd="_pgXzkGi2EeG3pKm-C5y0hA _pgbd8Gi2EeG3pKm-C5y0hA">
        <ownedEnd xmi:id="_pgbd8Gi2EeG3pKm-C5y0hA" name="" visibility="public" type="_nbMJYGiuEeG3pKm-C5y0hA" association="_pgTiIGi2EeG3pKm-C5y0hA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_fk5KsL2hEeG_PZtvUC92nw" name="medicationAdministrationEvent_administrationDevice" memberEnd="_fk81EL2hEeG_PZtvUC92nw _flBtkL2hEeG_PZtvUC92nw">
        <ownedEnd xmi:id="_flBtkL2hEeG_PZtvUC92nw" name="" visibility="public" type="_2QCQ4KwREeG4dfTp_XT2yg" association="_fk5KsL2hEeG_PZtvUC92nw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_-N1SgDh4EeC17O99ZX8o-w" name="medicationAdministrationPromise_medicationAdministrationEvent" memberEnd="_-OJbkDh4EeC17O99ZX8o-w _-OLQwDh4EeC17O99ZX8o-w">
        <ownedEnd xmi:id="_-OLQwDh4EeC17O99ZX8o-w" name="" visibility="public" type="_yQ2jIDh4EeC17O99ZX8o-w" association="_-N1SgDh4EeC17O99ZX8o-w">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-OL30Dh4EeC17O99ZX8o-w" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-OL30Th4EeC17O99ZX8o-w" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6459411D1033E" name="medicationAdministrationEvent_orderedItem" memberEnd="_420A62FD03B6459411D20283 _420A62FD03B6459411D20285">
        <ownedEnd xmi:id="_420A62FD03B6459411D20285" name="" visibility="public" type="_420A62FD03B641A349EF0070" isUnique="false" association="_420A62FD03B6459411D1033E"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_wmpQwL_sEeG9Y6ZcZJMJaA" name="medicationAdministrationEvent_medicationAdministrationPromise" memberEnd="_wmzBwL_sEeG9Y6ZcZJMJaA _wm9Z0L_sEeG9Y6ZcZJMJaA">
        <ownedEnd xmi:id="_wm9Z0L_sEeG9Y6ZcZJMJaA" name="" visibility="public" type="_420A62FD03B641A349EF0070" association="_wmpQwL_sEeG9Y6ZcZJMJaA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64304F50D0309" name="medicationAdministrationEvent_comments" memberEnd="_420A62FD03B64304F50E0274 _420A62FD03B64304F50E027E">
        <ownedComment xmi:id="_NgfR3OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64304F50D0309">
          <body>Comments regarding the Medication order.</body>
        </ownedComment>
        <ownedEnd xmi:id="_420A62FD03B64304F50E027E" name="" visibility="public" type="_420A62FD03B641A349EF0070" isUnique="false" association="_420A62FD03B64304F50D0309"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_kwrjsLycEeGK2djLWlLFew" name="medicationAdministrationEvent_indication" memberEnd="_kwvOELycEeGK2djLWlLFew _kwzfgLycEeGK2djLWlLFew">
        <ownedEnd xmi:id="_kwzfgLycEeGK2djLWlLFew" name="" visibility="public" type="_420A62FD03B641A349EF0070" association="_kwrjsLycEeGK2djLWlLFew"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_iL5zkL_uEeG9Y6ZcZJMJaA" name="medicationAdministrationEvent_contraIndication" memberEnd="_iMDkkL_uEeG9Y6ZcZJMJaA _iMNVkL_uEeG9Y6ZcZJMJaA">
        <ownedEnd xmi:id="_iMNVkL_uEeG9Y6ZcZJMJaA" name="" visibility="public" type="_420A62FD03B641A349EF0070" association="_iL5zkL_uEeG9Y6ZcZJMJaA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Bo3qQLyNEeGK2djLWlLFew" name="medicationAdministrationEvent_serviceDeliveryLocation" memberEnd="_Bo6tkLyNEeGK2djLWlLFew _Bo-_ALyNEeGK2djLWlLFew">
        <ownedEnd xmi:id="_Bo-_ALyNEeGK2djLWlLFew" name="" visibility="public" type="_420A62FD03B641A349EF0070" association="_Bo3qQLyNEeGK2djLWlLFew"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Fjz8UL_vEeG9Y6ZcZJMJaA" name="medicationAdministrationEvent_exemption" memberEnd="_Fj-UYL_vEeG9Y6ZcZJMJaA _FkIFYL_vEeG9Y6ZcZJMJaA">
        <ownedEnd xmi:id="_FkIFYL_vEeG9Y6ZcZJMJaA" name="" visibility="public" type="_420A62FD03B641A349EF0070" association="_Fjz8UL_vEeG9Y6ZcZJMJaA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_tSqYoKENEeGnfe88WF3uxw" name="medicationAdministrationEvent_administeringProvider" memberEnd="_tSuqEKENEeGnfe88WF3uxw _tSyUcKENEeGnfe88WF3uxw">
        <ownedEnd xmi:id="_tSyUcKENEeGnfe88WF3uxw" name="" visibility="public" type="_420A62FD03B641A349EF0070" association="_tSqYoKENEeGnfe88WF3uxw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_qU6wsLyOEeGK2djLWlLFew" name="medicationAdministrationEvent_patientLocation" memberEnd="_qU_CILyOEeGK2djLWlLFew _qVEhsLyOEeGK2djLWlLFew">
        <ownedEnd xmi:id="_qVEhsLyOEeGK2djLWlLFew" name="" visibility="public" type="_420A62FD03B641A349EF0070" association="_qU6wsLyOEeGK2djLWlLFew"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Sq89YKEREeGnfe88WF3uxw" name="medicationAdministrationEvent_administeredDrug" memberEnd="_Sq-ykKEREeGnfe88WF3uxw _SrBO0KEREeGnfe88WF3uxw">
        <ownedEnd xmi:id="_SrBO0KEREeGnfe88WF3uxw" name="" visibility="public" type="_420A62FD03B641A349EF0070" association="_Sq89YKEREeGnfe88WF3uxw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_c8AmgNymEeGh5_jMwegn_g" name="PregnancyMenstrualStatus">
        <ownedComment xmi:id="_KOF_UPIVEeWI5dLNhw9XrQ" annotatedElement="_c8AmgNymEeGh5_jMwegn_g">
          <body>An Observation of whether the Patient is known to be expecting and/or when the Patient last experienced a menstrual cycle. This information is needed in multiple situations where a procedure or medication is being contemplated that could be harmful to a fetus. For example, a clinician may wish to avoid exposing the Patient to X-Rays if she is pregnant. Naturally, this information is only recorded for female patients of childbearing age.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_lwD2ENymEeGh5_jMwegn_g" name="isPregnant" visibility="public" type="_yQqY4LyGEeGK2djLWlLFew">
          <ownedComment xmi:id="_a3VpgPIVEeWI5dLNhw9XrQ" annotatedElement="_lwD2ENymEeGh5_jMwegn_g">
            <body>Indicates whether the Patient is known to be expecting.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qIB74NymEeGh5_jMwegn_g" name="lastMenstrualPeriodDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_qI354PIVEeWI5dLNhw9XrQ" annotatedElement="_qIB74NymEeGh5_jMwegn_g">
            <body>The date when the Patient last experienced a menstrual cycle. This date may be imprecise (e.g., sometime in February of the current year).</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_wz9oYNymEeGh5_jMwegn_g" memberEnd="_w0ArsNymEeGh5_jMwegn_g _w0EWENymEeGh5_jMwegn_g">
        <ownedEnd xmi:id="_w0EWENymEeGh5_jMwegn_g" name="" visibility="public" type="_420A62FD03B64213F5B40316" association="_wz9oYNymEeGh5_jMwegn_g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_PiAJUAllEeKmMfGXbG9elQ" memberEnd="_PiHeEAllEeKmMfGXbG9elQ _PiLIcAllEeKmMfGXbG9elQ">
        <ownedEnd xmi:id="_PiLIcAllEeKmMfGXbG9elQ" name="" visibility="public" type="_420A62FD03B641A349EF0070" association="_PiAJUAllEeKmMfGXbG9elQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_9SOj8BFsEeKu1LfuaJwFHw" name="PatientImplantObservation">
        <ownedComment xmi:id="_on6bkBFtEeKu1LfuaJwFHw" annotatedElement="_9SOj8BFsEeKu1LfuaJwFHw">
          <body>An observation of the device(s) that the patient has had (or didn't have) implanted in them.  While this information is logically a property of the Patient, it is currently modeled at the encounter level.  *This needs to be further researched.*  Added 10/5/2012 for Public Health Reporting Initiative.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_EDFXQBFuEeKu1LfuaJwFHw" name="explantDate" visibility="public" type="_420A62FD03B64244824602F5"/>
        <ownedAttribute xmi:id="_OOMgYBFuEeKu1LfuaJwFHw" name="implantDate" visibility="public" type="_420A62FD03B64244824602F5"/>
        <ownedAttribute xmi:id="_fCKz4BFuEeKu1LfuaJwFHw" name="isReprocessedDevice" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PoYb4BFtEeKu1LfuaJwFHw" name="deviceInstance" visibility="public" type="_MsausFCxEeCsN-3dTKIrUA" association="_PoTjYBFtEeKu1LfuaJwFHw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PoZqABFtEeKu1LfuaJwFHw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PoZqARFtEeKu1LfuaJwFHw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_j5JJ4BFuEeKu1LfuaJwFHw" name="isReusedDevice" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Oifx4BFtEeKu1LfuaJwFHw" memberEnd="_OilRcBFtEeKu1LfuaJwFHw _OitNQBFtEeKu1LfuaJwFHw">
        <ownedEnd xmi:id="_OitNQBFtEeKu1LfuaJwFHw" name="" visibility="public" type="_420A62FD03B64213F5B40316" association="_Oifx4BFtEeKu1LfuaJwFHw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_PoTjYBFtEeKu1LfuaJwFHw" memberEnd="_PoYb4BFtEeKu1LfuaJwFHw _PodUYBFtEeKu1LfuaJwFHw">
        <ownedEnd xmi:id="_PodUYBFtEeKu1LfuaJwFHw" name="" visibility="public" type="_9SOj8BFsEeKu1LfuaJwFHw" association="_PoTjYBFtEeKu1LfuaJwFHw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_i6MzcHejEeOK6dlxi14PNA" name="encounterEvent_healthConcernList" memberEnd="_i6WkcHejEeOK6dlxi14PNA _i6Wkc3ejEeOK6dlxi14PNA">
        <ownedEnd xmi:id="_i6Wkc3ejEeOK6dlxi14PNA" name="" visibility="public" type="_420A62FD03B64213F5B40316" association="_i6MzcHejEeOK6dlxi14PNA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_XshgkHiUEeODk9Eid2o3dQ" name="abstractDurableEncounter_admissionDiagnosis" memberEnd="_XsnAIHiUEeODk9Eid2o3dQ _XsrRkHiUEeODk9Eid2o3dQ">
        <ownedEnd xmi:id="_XsrRkHiUEeODk9Eid2o3dQ" name="" visibility="public" type="_nbMJYGiuEeG3pKm-C5y0hA" association="_XshgkHiUEeODk9Eid2o3dQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_aWJOMHiUEeODk9Eid2o3dQ" name="DischargeEvent_dischargeDiagnosis" memberEnd="_aWKcUHiUEeODk9Eid2o3dQ _aWMRgHiUEeODk9Eid2o3dQ">
        <ownedEnd xmi:id="_aWMRgHiUEeODk9Eid2o3dQ" name="" visibility="public" type="_420A62FD03B642CABAAE01BB" association="_aWJOMHiUEeODk9Eid2o3dQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_yiYmwIedEeOX_brmw15GsQ" memberEnd="_yibDAIedEeOX_brmw15GsQ _yidfQIedEeOX_brmw15GsQ">
        <ownedEnd xmi:id="_yidfQIedEeOX_brmw15GsQ" name="" visibility="public" type="_qS7A8GitEeG3pKm-C5y0hA" association="_yiYmwIedEeOX_brmw15GsQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="__XMcYIelEeOX_brmw15GsQ" memberEnd="__XNqgIelEeOX_brmw15GsQ __XPfsIelEeOX_brmw15GsQ">
        <ownedEnd xmi:id="__XPfsIelEeOX_brmw15GsQ" name="" visibility="public" type="_qS7A8GitEeG3pKm-C5y0hA" association="__XMcYIelEeOX_brmw15GsQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_fL1F8KyOEeSUSIBAyhZNow" name="LongTermCare">
        <generalization xmi:id="_hKqKIKyOEeSUSIBAyhZNow" general="_nbMJYGiuEeG3pKm-C5y0hA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_l7k7cKyOEeSUSIBAyhZNow" name="Hospice">
        <generalization xmi:id="_oleV4KyOEeSUSIBAyhZNow" general="_nbMJYGiuEeG3pKm-C5y0hA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_afAb0M5LEeSoLYfuQMb72Q" memberEnd="_afDfIM5LEeSoLYfuQMb72Q _afFUUM5LEeSoLYfuQMb72Q">
        <ownedEnd xmi:id="_afFUUM5LEeSoLYfuQMb72Q" name="" visibility="public" type="_420A62FD03B642CABAAE01BB" association="_afAb0M5LEeSoLYfuQMb72Q"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Cao14B92EeWsloQr5xbziw" name="encounterEvent_reportableCondition" memberEnd="_CaqEAB92EeWsloQr5xbziw _Car5MB92EeWsloQr5xbziw">
        <ownedEnd xmi:id="_Car5MB92EeWsloQr5xbziw" name="" visibility="public" type="_420A62FD03B64213F5B40316" association="_Cao14B92EeWsloQr5xbziw">
          <lowerValue xmi:type="uml:OpaqueExpression" xmi:id="_CasgQB92EeWsloQr5xbziw">
            <language></language>
            <body>(none)</body>
          </lowerValue>
          <upperValue xmi:type="uml:OpaqueExpression" xmi:id="_CasgQR92EeWsloQr5xbziw">
            <language></language>
            <body>(none)</body>
          </upperValue>
        </ownedEnd>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B645465F2F00A1" name="EnrollEligCOB">
      <eAnnotations xmi:id="_PlQl8eLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_PlQl9OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_wDNA4FIrEd-y7__FceVOaw" annotatedElement="_bhPAgEwUEeCc9OmUU3L5_A _cBq0EEwUEeCc9OmUU3L5_A">
        <body>XOR</body>
      </ownedComment>
      <ownedComment xmi:id="_-QEd4La1Ed-Y0_knsxZjWg" annotatedElement="_420A62FD03B645465F2F00A1">
        <body>Enrollment, Eligibility, and Coordination of Benefits&amp;amp;amp;nbsp;Domain</body>
      </ownedComment>
      <ownedComment xmi:id="_RNx4UFVXEeCN_KTl5VCkdg" annotatedElement="_Kk8-kBs0Ed--ZY2-pbJ-Pw">
        <body>Entry Point for a Claim</body>
      </ownedComment>
      <ownedComment xmi:id="_XA34UFVXEeCN_KTl5VCkdg" annotatedElement="_-SSlgEsgEeCgDquuCdSxAg _420A62FD03B6418A4E500034">
        <body>Entry Point for Enrollment</body>
      </ownedComment>
      <ownedComment xmi:id="_7Kb60IVXEeCFWps2bBaH1A" annotatedElement="_wxWPICuxEd-mUrYY2zR9Jw">
        <body>Need to revisit  This class may not be in the right place in the model  CMS attribute needs to move</body>
      </ownedComment>
      <ownedComment xmi:id="_pAqVMIVbEeCFWps2bBaH1A" annotatedElement="_347b4IVZEeCFWps2bBaH1A">
        <body>Note: this should link to either an Agent or the Provider (in an exclusive OR), but since we don't instantiate those, we'll just stop here.</body>
      </ownedComment>
      <ownedComment xmi:id="_IrF0QL3_EeC-ttaZwaDxZw">
        <body>Need to model Residence Type (US Citizen, Resident Alien, etc.)</body>
      </ownedComment>
      <ownedComment xmi:id="_n1ytcJq0EeWM5elFdwkMRQ">
        <body>Parking Lot:&#xD;
   - EligibilityInquiry&#xD;
   - EligibilityResponse&#xD;
   - EnrollmentInquiry&#xD;
   - EnrollmentResponse&#xD;
   - RxHistoryRequest&#xD;
   - RxHistoryResponse</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_07EAwBd1EeC9Abp3tFVARg" name="PriorAuthorization">
        <ownedComment xmi:id="_vq8A8E79EeSJI4YBId-MmA" annotatedElement="_07EAwBd1EeC9Abp3tFVARg">
          <body>Prior authorization is a requirement that a prescribing physician obtain approval from the patient's health plan to prescribe a specific medication. Without this prior approval, the patient's health plan may not provide coverage, or pay for, the medication.  This class contains information concerning a prior authorization already issued by a payer so that (among other reasons) the pharmacy would be aware of the prior authorization and may cite the prior authorization details to the payer on a claim in order to ensure that the payer recognizes the claim as authorized and therefore improves the chances of payment.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_VoOxcCbuEeOyp-Ce3y08Wg" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_X3zAUCbuEeOyp-Ce3y08Wg" annotatedElement="_VoOxcCbuEeOyp-Ce3y08Wg">
            <body>&quot;Code clarifying the Prior Authorization Number Submitted or benefit/plan exemption.&quot; - NCPDP Telecommunication (Field 461-EU, Data Dictionary 201104).  Possible values include: Prior Authorization; Medical Certification; Early Periodic Screening Diagnosis Treatment; Exemption from Copay and/or Coinsurance; Exemption from RX; Family Planning Indicator; Temporary Assistance for Needy Families; Payer Defined Exemption; Emergency Preparedness; Not Specified.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Nhq78E8FEeSJI4YBId-MmA" name="dateProcessed" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_lBs3wE8FEeSJI4YBId-MmA" annotatedElement="_Nhq78E8FEeSJI4YBId-MmA">
            <body>This is the date that the Processor issued or processed the prior authorization.  Provided by the Processor to the Pharmacy.&#xD;
&quot;Date the prior authorization was processed&quot; - NCPDP Telecommunication (Field 498-PR, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RwyLQE8GEeSJI4YBId-MmA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RwyyUE8GEeSJI4YBId-MmA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fDjsgBd2EeC9Abp3tFVARg" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_CPZBUE8DEeSJI4YBId-MmA" annotatedElement="_fDjsgBd2EeC9Abp3tFVARg">
            <body>The time period during which medication which would ordinarily not be covered by the payer may be dispensed under the understanding that the payer will pay for the medication as per the pre-authorization.&#xD;
&quot;Date the prior authorization became effective&quot; and &quot;Date the prior authorization ends&quot; - NCPDP Telecommunication (Fields 498-PS and 498-PT, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TaabgE8GEeSJI4YBId-MmA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TabCkE8GEeSJI4YBId-MmA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4fABkBd1EeC9Abp3tFVARg" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_WBfdYE8EEeSJI4YBId-MmA" annotatedElement="_4fABkBd1EeC9Abp3tFVARg">
            <body>Identifies the pre-authorization.  This Id is assigned by the Processor.&#xD;
&quot;Unique number identifying the prior authorization asigned by the processor&quot; - NCPDP Telecommunication (Field 498-PY, Data Dictionary 201104).&#xD;
&quot;Number submitted by the provider to identify the prior authorization.&quot; - NCPDP Telecommunication (Field 462-EV, Data Dictionary 201104).&#xD;
&quot;Based on the type of insurance, some coverage plans require that an authorization number or code be obtained prior to all non-emergency admissions, and within 48 hours of an emergency admission.  Insurance billing would not be permitted without this number.  The date and source of authorization are the components of this field.&quot; - HL7 Version 2.8, IN1-14.&#xD;
&quot;Contains the number assigned by the certification agency.&quot; - HL7 Version 2.8, IN3-2.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oxGv4Bd2EeC9Abp3tFVARg" name="maximumQuantity" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_-jeTwE8DEeSJI4YBId-MmA" annotatedElement="_oxGv4Bd2EeC9Abp3tFVARg">
            <body>The quantity of medication which would ordinarily not be covered by the payer that may be dispensed under the understanding that the payer will pay for the medication as per the pre-authorization.&#xD;
&quot;Amount authorized expressed in decimal units.&quot; - NCPDP Telecommunication (Field 498-RA, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_s1rYkBd2EeC9Abp3tFVARg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_s1r_oBd2EeC9Abp3tFVARg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_E1TMQE8GEeSJI4YBId-MmA" name="moneyAuthorized" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_W3XqkE8GEeSJI4YBId-MmA" annotatedElement="_E1TMQE8GEeSJI4YBId-MmA">
            <body>The dollar amount authorized for the dispensing of a medication that otherwise would not have been covered by the Payer.&#xD;
&quot;Amount authorized in the prior authorization.&quot; - NCPDP Telecommunication (Field 498-RB, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SqCugE8GEeSJI4YBId-MmA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SqDVkE8GEeSJI4YBId-MmA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_d-DZYE8GEeSJI4YBId-MmA" name="nbrOfRefillsAuthorized" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_d-DZYU8GEeSJI4YBId-MmA" annotatedElement="_d-DZYE8GEeSJI4YBId-MmA">
            <body>&quot;Number of refills authorized by the prior authorization.&quot; - NCPDP Telecommunication (Field 498-PW, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_d-DZY08GEeSJI4YBId-MmA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_d-DZYk8GEeSJI4YBId-MmA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_--NnoE8GEeSJI4YBId-MmA" name="quantityAccumulated" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_--NnoU8GEeSJI4YBId-MmA" annotatedElement="_--NnoE8GEeSJI4YBId-MmA">
            <body>The amount of medication previously dispensed and paid for under this authorization.  Used to determine the quantity remaining for billing under this authorization.&#xD;
&quot;Accumulated authorized amount expressed in metric decimal units.&quot; - NCPDP Telecommunication (Field 498-PX, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_--Nno08GEeSJI4YBId-MmA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_--Nnok8GEeSJI4YBId-MmA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_D_qoYBd2EeC9Abp3tFVARg" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_lJyPINUlEeGzd-o9XtejuA" annotatedElement="_D_qoYBd2EeC9Abp3tFVARg">
            <body>&quot;The status of the prescription’s prior authorization as known by the sender.&quot; - NCPDP Script (Field 7891, Data Dictionary 201104)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UodjAE8GEeSJI4YBId-MmA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UoeKEE8GEeSJI4YBId-MmA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VEDnoCf3EeC-JKXSDMHR6A" name="orderablePharmacyItem" visibility="public" type="_420A62FD03B6426545CB0072" association="_VECZgCf3EeC-JKXSDMHR6A">
          <ownedComment xmi:id="_Y9eH4EqGEeSqlerh7YvyAA" annotatedElement="_VEDnoCf3EeC-JKXSDMHR6A">
            <body>Pointer to the medicinal product that is the subject of the pre-authorization request.  Note that this property may seem redundant as the Pharmacy Order contains an ordered item and points to the Prior Authorization class that owns this property.  It is not redundant, however, as the pre-authorization may have occurred before the order occurs, and may be for a (slightly) different orderable medication, for example, the prior authorization may have been for a brand name drug, but a generic version is ordered.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VEEOsCf3EeC-JKXSDMHR6A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VEEOsSf3EeC-JKXSDMHR6A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B645466193009E" name="GroupCoverage">
        <eAnnotations xmi:id="_Pkz6B-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_dgLWkMYlEd2ZAepatfUxXw" annotatedElement="_420A62FD03B645466193009E">
          <body>&quot;Group Health Insurance: A health insurance plan that provides benefits for employees of a business or members of an organization, as opposed to individual and family health insurance.&quot; - eHealthInsurance.org</body>
        </ownedComment>
        <ownedAttribute xmi:id="_5eUysPZzEeCbn6MPgQ_rxg" name="address" visibility="public" type="_420A62FD03B641886F6203C7">
          <ownedComment xmi:id="_feJQECrzEeOKCrmlnw-Z_w" annotatedElement="_5eUysPZzEeCbn6MPgQ_rxg">
            <body>(this property needs to be revisited - it may need to be deleted).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6454662290146" name="groupId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_Pkz6AuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6454662290146">
            <body>A unique identifier that the payer or information source uses to identify a specific Group OR an Identifier assigned by the health plan to be used as a key to the group's contractual benefits.&#xD;
&quot;Contains the group number of the insured’s insurance.&quot; - HL7 Version 2.8, IN1-8.&#xD;
&quot;ID assigned to the cardholder group or employer group.&quot; - NCPDP Telecommunication (Field 301-C1, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rPBx4Cu4Ed-mUrYY2zR9Jw" name="groupName" visibility="public">
          <ownedComment xmi:id="__PDfkAMfEeKTM4I4vlc5xg" annotatedElement="_rPBx4Cu4Ed-mUrYY2zR9Jw">
            <body>&quot;Contains the group name of the insured’s insurance.&quot; - HL7 Version 2.8, IN1-9.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SeF68EvmEeCrON7ycdFLuQ" name="healthPlan" visibility="public" type="_420A62FD03B64546640100C0" association="_SdqdIEvmEeCrON7ycdFLuQ">
          <ownedComment xmi:id="_xnPBoCU7EeO_iaEYDPvTaA" annotatedElement="_SeF68EvmEeCrON7ycdFLuQ">
            <body>Pointer to the Plan (i.e., the the defined set of benefits promised by the Payer) to which the Group has subscribed, thereby defining the set of benefits available to members of the Group.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SeF68UvmEeCrON7ycdFLuQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SeF68kvmEeCrON7ycdFLuQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-QUItB2aEd-4VI-lpu-JjQ" name="planSponsor" visibility="public" type="_xu5PgB2aEd-4VI-lpu-JjQ" association="_-QUIsB2aEd-4VI-lpu-JjQ">
          <ownedComment xmi:id="_3X-kYCcAEeOyp-Ce3y08Wg" annotatedElement="_-QUItB2aEd-4VI-lpu-JjQ">
            <body>Pointer to the company or organization that assumes financial responsibility for the Group Coverage.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-QUItR2aEd-4VI-lpu-JjQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-QUIth2aEd-4VI-lpu-JjQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pv3_9B2ZEd-4VI-lpu-JjQ" name="subscriber" visibility="public" type="_4ew1QBszEd--ZY2-pbJ-Pw" association="_pv3_8B2ZEd-4VI-lpu-JjQ">
          <ownedComment xmi:id="_lGXLACb8EeOyp-Ce3y08Wg" annotatedElement="_pv3_9B2ZEd-4VI-lpu-JjQ">
            <body>Pointer to (a Role of) the Person who is named as a beneficiary of a Group Coverage Health Policy.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pv3_9R2ZEd-4VI-lpu-JjQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pv3_9h2ZEd-4VI-lpu-JjQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6454662F10302" name="Payer">
        <eAnnotations xmi:id="_Pk9D9-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Pkz6CuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6454662F10302">
          <body>The public or private organization that is responsible for payment for health care expenses. Payers may be insurance companies or self-insured employers. </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6454663120296" name="address" visibility="public" type="_420A62FD03B6418A8DCD02C2">
          <ownedComment xmi:id="_Pkz6DeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6454663120296">
            <body>&quot;Contains the address of the insurance company.&quot; - HL7 Version 2.8, IN1-5.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QKLugAMhEeKTM4I4vlc5xg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QKMVkAMhEeKTM4I4vlc5xg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645466360027B" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_Pk9D8uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B645466360027B">
            <body>A unique identifier that is used to identify the payer. For example Medicare assigns an identifier to a payer, Blue Cross/Blue Shield assigns an identifier to a payer.  ASC X12 270/271 p 343, 358 example &#xD;
&quot;Contains unique identifiers for the insurance company.&quot; - HL7 Version 2.8, IN1-3.&#xD;
&quot;Carrier code assigned in Worker’s Compensation Program.&quot; - NCPDP Telecommunication (Field 327-CR, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6454663A3028F" name="name" visibility="public">
          <ownedComment xmi:id="_Pk9D9eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6454663A3028F">
            <body>&quot;Contains the name of the insurance company.&quot; - HL7 Version 2.8, IN1-4.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_roNVAEwdEeCc9OmUU3L5_A" name="phone" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_roNVAUwdEeCc9OmUU3L5_A" annotatedElement="_roNVAEwdEeCc9OmUU3L5_A">
            <body>&quot;Contains the phone number of the insurance company.&quot; - HL7 Version 2.8, IN1-7.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RURjEAMhEeKTM4I4vlc5xg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RUSKIAMhEeKTM4I4vlc5xg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XApwoBs8Ed--ZY2-pbJ-Pw" name="pointOfContact" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ">
          <ownedComment xmi:id="_VhL6UAMfEeKTM4I4vlc5xg" annotatedElement="_XApwoBs8Ed--ZY2-pbJ-Pw">
            <body>&quot;Contains the name of the person who should be contacted at the insurance company.&quot; - HL7 Version 2.8, IN1-6.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SRdkEAMhEeKTM4I4vlc5xg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SRdkEQMhEeKTM4I4vlc5xg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1X544SijEd--DMAvlHV1Yg" name="healthPlan" visibility="public" type="_420A62FD03B64546640100C0" association="_1X544CijEd--DMAvlHV1Yg">
          <ownedComment xmi:id="_ww7cICFTEeO3ioY7BiCZOQ" annotatedElement="_1X544SijEd--DMAvlHV1Yg">
            <body>Pointer to the Health Plan(s) that the owning Payer offers.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1X544iijEd--DMAvlHV1Yg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1X544yijEd--DMAvlHV1Yg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VV60gBs5Ed--ZY2-pbJ-Pw" name="organization" visibility="public" type="_420A62FD03B6418AA15801A9" association="_VVxqkBs5Ed--ZY2-pbJ-Pw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VV60gRs5Ed--ZY2-pbJ-Pw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VV60ghs5Ed--ZY2-pbJ-Pw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zKZBcVSLEeCZIfOFML-ypw" name="PayerOrAgent" visibility="public" type="_bj0YwFSLEeCZIfOFML-ypw" association="_zKZBcFSLEeCZIfOFML-ypw">
          <ownedComment xmi:id="_AaA7kCrxEeOKCrmlnw-Z_w" annotatedElement="_zKZBcVSLEeCZIfOFML-ypw">
            <body>Pointer to an organization that serves as an intermediary between the Biller and the Payer, and performs various value-added services, including routing of electronic payments.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zKZBclSLEeCZIfOFML-ypw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zKZBc1SLEeCZIfOFML-ypw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64546640100C0" name="HealthPlan">
        <eAnnotations xmi:id="_PlG0-uLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_z5qHECu1Ed-mUrYY2zR9Jw" annotatedElement="_420A62FD03B64546640100C0">
          <body>A Health Plan is a contract between an benefits provider (e.g. an insurance company or a government agency) and an individual or his/her sponsor (e.g. an employer or union).  The type and amount of health care costs that will be covered by the health insurance provider are specified in writing, in a member contract or &quot;Evidence of Coverage&quot; booklet for private insurance, or in a national health policy for public insurance.  For example, the Department of Veterans Affairs (VA) annually publishes the &quot;Federal Benefits for Veterans and Dependents,&quot; describing the benefits available during that year.  An insurance company will often offer multiple Health Plans.&#xD;
&#xD;
This class represents the contract, or the defined set of benefits that are promised by the benefits provider.  It is noted that we had difficulty finding a single generic term for the concept defined by this class, as many commonly used terms have specific meanings in different settings.  In some settings, this might be called an Insurance Plan, but that term doesn't fit VA's benefit package, or Medicare.&#xD;
&#xD;
While the set of benefits may be very closely associated with the organization that offers it (e.g., &quot;Medicare&quot;), the organization is a separate concept (for which we have chosen the generic term, &quot;Payer&quot;).  The term Health Plan includes not only Private Insurance Plans, but also Public Health Plans, Military Health Programs, and State Health Insurance Programs.&#xD;
&#xD;
Note that Private Insurance Plan, Public Health Plan, Military Health Program, and State Health Insurance Program were once modeled as subclasses of Health Plan, but were removed as these might be better represented by a type code instead.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_2MRN0EwWEeCc9OmUU3L5_A" name="deductibleAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_Kq7TECYBEeOkPsd2JhLMLw" annotatedElement="_2MRN0EwWEeCc9OmUU3L5_A">
            <body>Represents the amount of money for which patient is responsible for the provision of a medical product, procedure, or service, expressed as a periodic (usually annual) monetary limit.  For example, a plan may cover all doctor's visits after the first $200.  In this example, this property would contain $200.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64546642F0075" name="effectivePeriod" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_Pk9D_eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64546642F0075">
            <body>&quot;Contains the date that the insurance goes into effect.&quot; - HL7 Version 2.8, IN1-12.&#xD;
&quot;Indicates the last date of service that the insurance will cover or be responsible for.&quot; - HL7 Version 2.8, IN1-13.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_s_HSUFSIEeCZIfOFML-ypw" name="homePlan" visibility="public">
          <ownedComment xmi:id="_Nfn6QCU7EeO_iaEYDPvTaA" annotatedElement="_s_HSUFSIEeCZIfOFML-ypw">
            <body>&quot;Code identifying the Blue Cross or Blue Shield plan ID which indicates where the member’s coverage has been designated. Usually where the member lives or purchased their coverage.  This field is used for interstate processing between Blue Cross and Blue Shield plans.&quot; - NCPDP Telecommunication (Field 314-CE, Data Dictionary 201104).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-x7-QFSJEeCZIfOFML-ypw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-x7-QVSJEeCZIfOFML-ypw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64546644F024C" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_PlG08uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64546644F024C">
            <body>A unique identifier that the payer or information source uses to identify the Health Plan.&#xD;
&quot;Contains a unique identifier for the insurance plan.&quot; - HL7 Version 2.8, IN1-2.&#xD;
&quot;Assigned by the processor to identify a set of parameters, benefit, or coverage criteria used to adjudicate a claim.&quot; - NCPDP Telecommunication (Field 524-FO, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64546648F00D9" name="insuranceType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PlG09eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64546648F00D9">
            <body>Such as HMO, PPO, Medicare, etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6454664AA010A" name="planName" visibility="public">
          <ownedComment xmi:id="_PlG0-OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6454664AA010A">
            <body>The name of the Plan as assigned by the Payer.  Should this be 'description' instead of 'name'? </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5vK-8CFSEeO3ioY7BiCZOQ" name="requiresNoticeOfAdmission" visibility="public">
          <ownedComment xmi:id="_SviFECFTEeO3ioY7BiCZOQ" annotatedElement="_5vK-8CFSEeO3ioY7BiCZOQ">
            <body>&quot;Indicates whether the insurance company requires a written notice of admission from the healthcare provider.&quot; - HL7 Version 2.8, IN1-23.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_i1y-ACFTEeO3ioY7BiCZOQ" name="sendsReportOfEligibility" visibility="public">
          <ownedComment xmi:id="_i1y-ASFTEeO3ioY7BiCZOQ" annotatedElement="_i1y-ACFTEeO3ioY7BiCZOQ">
            <body>&quot;Indicates whether this insurance carrier sends a report that indicates that the patient is eligible for benefits and whether it identifies those benefits.&quot; - HL7 Version 2.8, IN1-25.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_q7bw8R2VEd-4VI-lpu-JjQ" name="coveredBenefit" visibility="public" type="_rRgvoB2KEd-4VI-lpu-JjQ" aggregation="shared" association="_q7bw8B2VEd-4VI-lpu-JjQ">
          <ownedComment xmi:id="_wpA9gCVJEeO_iaEYDPvTaA" annotatedElement="_q7bw8R2VEd-4VI-lpu-JjQ">
            <body>Pointer to a set of healthcare-related procedures or services, to include medications and durable equipment, that is anticipated to be funded, in full or in part, by a given Health Plan on behalf of holders of Policies written against that Plan.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_q7bw8h2VEd-4VI-lpu-JjQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_q7bw8x2VEd-4VI-lpu-JjQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Q0DZ0Cu2Ed-mUrYY2zR9Jw" name="financialArrangement" visibility="public" type="_AON0QBs0Ed--ZY2-pbJ-Pw" association="_Qz5o0Cu2Ed-mUrYY2zR9Jw">
          <ownedComment xmi:id="_RasCwCE3EeO3ioY7BiCZOQ" annotatedElement="_Q0DZ0Cu2Ed-mUrYY2zR9Jw">
            <body>Pointer to a predefined scheme(s) for payment or reimbursement to healthcare providers that are applicable to the owning Health Plan.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Q0DZ0Su2Ed-mUrYY2zR9Jw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Q0DZ0iu2Ed-mUrYY2zR9Jw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SeI-QEvmEeCrON7ycdFLuQ" name="group" visibility="public" type="_420A62FD03B645466193009E" association="_SdqdIEvmEeCrON7ycdFLuQ">
          <ownedComment xmi:id="_VwL9ACrzEeOKCrmlnw-Z_w" annotatedElement="_SeI-QEvmEeCrON7ycdFLuQ">
            <body>Pointer to the Group Health Insurance Policies established for a particular Health Plan.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SeI-QUvmEeCrON7ycdFLuQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SeMBkEvmEeCrON7ycdFLuQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1YDC0CijEd--DMAvlHV1Yg" name="payer" visibility="public" type="_420A62FD03B6454662F10302" association="_1X544CijEd--DMAvlHV1Yg">
          <ownedComment xmi:id="_0JYlsCFTEeO3ioY7BiCZOQ" annotatedElement="_1YDC0CijEd--DMAvlHV1Yg">
            <body>Pointer to the Payer which offers the Health Plan.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1YDC0SijEd--DMAvlHV1Yg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1YDC0iijEd--DMAvlHV1Yg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tsC3ZB2VEd-4VI-lpu-JjQ" name="healthcarePolicy" visibility="public" type="_nwgwQB2ZEd-4VI-lpu-JjQ" association="_tsC3YB2VEd-4VI-lpu-JjQ">
          <ownedComment xmi:id="_MOuusCYuEeOkPsd2JhLMLw" annotatedElement="_tsC3ZB2VEd-4VI-lpu-JjQ">
            <body>Pointer to the Insurance Policies written against the Health Plan.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tsC3ZR2VEd-4VI-lpu-JjQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tsC3Zh2VEd-4VI-lpu-JjQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_e7qPdB2ZEd-4VI-lpu-JjQ" name="providerPlanParticipation" visibility="public" type="_coTswB2ZEd-4VI-lpu-JjQ" association="_e7qPcB2ZEd-4VI-lpu-JjQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_e7qPdR2ZEd-4VI-lpu-JjQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_e7qPdh2ZEd-4VI-lpu-JjQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Wdc-YEC6EeO2aaQpQxRerg" name="planNetworkAffliliation" visibility="public" type="_0f65ACu5Ed-mUrYY2zR9Jw" association="_WdaiIEC6EeO2aaQpQxRerg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WddlcEC6EeO2aaQpQxRerg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WddlcUC6EeO2aaQpQxRerg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4ew1QBszEd--ZY2-pbJ-Pw" name="Subscriber">
        <ownedComment xmi:id="_OdeR0BtAEd--ZY2-pbJ-Pw" annotatedElement="_4ew1QBszEd--ZY2-pbJ-Pw">
          <body>This class represents a Person who is named as a beneficiary of a Health Policy.  Usually, this is the person who is paying for the premiums of the Health Policy, or the person on whose behalf an organization, such as their employer, is paying the premiums.  In the case of government programs, this person is the named beneficiary. &#xD;
&#xD;
The concept which we chose to name &quot;Subscriber&quot; is known by multiple terms, depending on the setting.  For all intents and purposes, Subscriber, Sponsor, Policy Holder, and Contract Holder are synonymous.&#xD;
&#xD;
Other terms which sometimes overlap and sometimes do not include: Insured-Or-Member, Member, Beneficiary, Enrollee, Cardholder, Recipient, and Covered Person.  For the most part, these terms relate closer to the person being treated (what we call the Covered Patient) than to the named Subscriber.  It is worth noting though that not all Insured-Or-Members are necessarily ever patients, only those that have actually been treated are patients.  The person referred to by many of these concepts, especially Insured-Or-Member, may be either a Dependent, or may be the Subscriber (i.e., &quot;self&quot;).&#xD;
&#xD;
The Subscriber may have dependents who may or may not be known by name to the Payer.  The Payer may or may not issue insurances cards to those dependents, so the term &quot;Cardholder&quot; does not distinguish between the Subscriber and their dependents.&#xD;
&#xD;
In the Department of Defense, active duty personnel are automatically enrolled into the &quot;direct care&quot; program as a Subscriber.  Retirees are eligible to enroll in several programs such as Tricare for Life.  In this case, person is still considered a Subscriber.&#xD;
&#xD;
The following definitions are from eHealthInsurance.org:&#xD;
Subscriber: &quot;This term may be used in two senses: First, it may refer to the person or organization that pays for health insurance premiums; secondly, it may refer to the person whose employment makes him or her eligible for group health insurance benefits.&quot;&#xD;
&#xD;
Enrollee: &quot;An eligible person or eligible employee who is enrolled in a health insurance plan. Dependents are not referred to as enrollees.&quot;&#xD;
&#xD;
Member: &quot;Anyone covered under a health insurance plan, an enrollee or eligible dependent.&quot;</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6454661FF03E5" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_PkqJBeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6454661FF03E5">
            <body>A unique identifier that the payer or information source can use to identify the person as a Policy Holder.&#xD;
&quot;Contains a healthcare institution’s identifiers for the insured.&quot; - HL7 Version 2.8, IN1-49.&#xD;
&quot;Insurance ID assigned to the cardholder or identification number used by the plan.&quot; - NCPDP Telecommunication (Field 302-C2, Data Dictionary 201104).  Note that the some payers issue cards to dependents, some do not; therefore the cardholder might be the patient, the subscriber, or both.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Wcxc8Rs7Ed--ZY2-pbJ-Pw" name="asPerson" visibility="public" type="_420A62FD03B6425125E800E0" association="_Wcxc8Bs7Ed--ZY2-pbJ-Pw">
          <ownedComment xmi:id="__K1mkAMiEeKTM4I4vlc5xg" annotatedElement="_Wcxc8Rs7Ed--ZY2-pbJ-Pw">
            <body>Pointer to the Person playing the Role of Subscriber.&#xD;
&quot;Contains the name of the insured person.  The insured is the person who has an agreement with the insurance company to provide healthcare services to persons covered by the insurance policy.&quot; - HL7 Version 2.8, IN1-16.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Wcxc8hs7Ed--ZY2-pbJ-Pw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Wcxc8xs7Ed--ZY2-pbJ-Pw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pv3_8R2ZEd-4VI-lpu-JjQ" name="group" visibility="public" type="_420A62FD03B645466193009E" association="_pv3_8B2ZEd-4VI-lpu-JjQ">
          <ownedComment xmi:id="_GOohgCb_EeOyp-Ce3y08Wg" annotatedElement="_pv3_8R2ZEd-4VI-lpu-JjQ">
            <body>Pointer to the Group Health Insurance Policy under which the Subscriber is entitled benefits.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pv3_8h2ZEd-4VI-lpu-JjQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pv3_8x2ZEd-4VI-lpu-JjQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_UeNRQUslEeCgDquuCdSxAg" name="healthcarePolicy" visibility="public" type="_nwgwQB2ZEd-4VI-lpu-JjQ" association="_UeNRQEslEeCgDquuCdSxAg">
          <ownedComment xmi:id="_ixol0CYsEeOkPsd2JhLMLw" annotatedElement="_UeNRQUslEeCgDquuCdSxAg">
            <body>Pointer to the Insurance Policy (a contract between an benefits provider and an individual or his/her sponsor to pay for a set of benefits) for which the Subscriber is a beneficiary.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UeNRQkslEeCgDquuCdSxAg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UeNRQ0slEeCgDquuCdSxAg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_iWlnsFlaEeCyw5g2lQh-Ug" name="otherPolicyInfo" visibility="public" type="_oeVegFlZEeCyw5g2lQh-Ug" association="_iWikYFlaEeCyw5g2lQh-Ug">
          <ownedComment xmi:id="_vZ8F0CVKEeO_iaEYDPvTaA" annotatedElement="_iWlnsFlaEeCyw5g2lQh-Ug">
            <body>Pointer to additional information needed by specific payers to properly identify either the subscriber or the health plan.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iWorAFlaEeCyw5g2lQh-Ug"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iWorAVlaEeCyw5g2lQh-Ug" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_a0jhIPaAEeCbn6MPgQ_rxg" name="coverageTerm" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_-wY7sAMhEeKTM4I4vlc5xg" annotatedElement="_a0jhIPaAEeCbn6MPgQ_rxg">
            <body>&quot;Contains the date that the insurance goes into effect.&quot; - HL7 Version 2.8, IN1-12.&#xD;
&quot;Indicates the last date of service that the insurance will cover or be responsible for.&quot; - HL7 Version 2.8, IN1-13.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_992mIPaAEeCbn6MPgQ_rxg" name="coverageType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_rncC8AMjEeKTM4I4vlc5xg" annotatedElement="_992mIPaAEeCbn6MPgQ_rxg">
            <body>&quot;Contains the coding structure that identifies the various plan types, for example, Medicare, Medicaid, Blue Cross, HMO, etc.&quot; - HL7 Version 2.8, IN1-15.  Note that HL7 links this field to User Defined Table 0086, which contains no suggested values.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_AON0QBs0Ed--ZY2-pbJ-Pw" name="FinancialArrangement">
        <ownedComment xmi:id="_vqfnUDA8Ed-1aYBV65Lrnw" annotatedElement="_AON0QBs0Ed--ZY2-pbJ-Pw">
          <body>Describes the nature of the financial arrangement or contract between a healthcare provider and a health plan.  Financial Arrangements are commonly based on Fee Schedules, Capitation arrangements, or some kind of combination of the two.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_DQOTUCu0Ed-mUrYY2zR9Jw" name="contractId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="__w9L8CE2EeO3ioY7BiCZOQ" annotatedElement="_DQOTUCu0Ed-mUrYY2zR9Jw">
            <body>Identifies the legal agreement between a Health Plan and a (group of) provider(s) in which the method and value of payments are defined.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Qz5o0Su2Ed-mUrYY2zR9Jw" name="healthPlan" visibility="public" type="_420A62FD03B64546640100C0" association="_Qz5o0Cu2Ed-mUrYY2zR9Jw">
          <ownedComment xmi:id="_00vEECE4EeO3ioY7BiCZOQ" annotatedElement="_Qz5o0Su2Ed-mUrYY2zR9Jw">
            <body>Pointer to the healthcare-financing-related product offering which utilizes the Financial Arrangement for payment determination.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Qz5o0iu2Ed-mUrYY2zR9Jw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Qz5o0yu2Ed-mUrYY2zR9Jw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TE7sICE5EeO3ioY7BiCZOQ" name="effectivePeriod" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_TE7sISE5EeO3ioY7BiCZOQ" annotatedElement="_TE7sICE5EeO3ioY7BiCZOQ">
            <body>The time period for which the Financial Arrangement is valid.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_EafncBs0Ed--ZY2-pbJ-Pw" name="CapitationArrangement">
        <ownedComment xmi:id="_NTPqMEyfEd-ir98gTBezYA" annotatedElement="_EafncBs0Ed--ZY2-pbJ-Pw">
          <body>&quot;A method of paying for medical services on a per-person rather than a per-procedure basis. Under capitation, an HMO pays a doctor a fixed amount each month to take care of HMO members, regardless of how much or how little care each member needs.&quot; -eHealthInsurance.org</body>
        </ownedComment>
        <generalization xmi:id="_HKH2cBs0Ed--ZY2-pbJ-Pw" general="_AON0QBs0Ed--ZY2-pbJ-Pw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_FLDhsBs0Ed--ZY2-pbJ-Pw" name="FeeForServiceArrangement">
        <ownedComment xmi:id="_v9UAEEygEd-ir98gTBezYA" annotatedElement="_FLDhsBs0Ed--ZY2-pbJ-Pw">
          <body>Fee Schedule: &quot;A list of maximum fees for providers who are on a fee-for-service basis.&quot;  Fee-for-Service: &quot;A payment system for health care where the provider is paid for each service rendered rather than a pre-negotiated amount for each patient.&quot; -eHealthInsurance.org</body>
        </ownedComment>
        <generalization xmi:id="_HrVtIBs0Ed--ZY2-pbJ-Pw" general="_AON0QBs0Ed--ZY2-pbJ-Pw"/>
        <ownedAttribute xmi:id="_C4ttQU4ZEd-2ltKWH2NjJw" name="feeSchedule" visibility="public" type="_D53CgEyrEd-ir98gTBezYA" association="_C4ttQE4ZEd-2ltKWH2NjJw">
          <ownedComment xmi:id="_Dpx3oCE3EeO3ioY7BiCZOQ" annotatedElement="_C4ttQU4ZEd-2ltKWH2NjJw">
            <body>&quot;A list of maximum fees for providers who are on a fee-for-service basis.&quot; -eHealthInsurance.org</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_C4ttQk4ZEd-2ltKWH2NjJw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_C4ttQ04ZEd-2ltKWH2NjJw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3IaXsUvvEeCrON7ycdFLuQ" name="diagnosisRelatedGroup" visibility="public" type="_75QqIEyfEd-ir98gTBezYA" association="_3IaXsEvvEeCrON7ycdFLuQ">
          <ownedComment xmi:id="_Fbd3sCE3EeO3ioY7BiCZOQ" annotatedElement="_3IaXsUvvEeCrON7ycdFLuQ">
            <body>&quot;A method of classifying [medical] services. It is used as a method of determining financing to reimburse various providers for services performed.&quot; -eHealthInsurance.org</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3IdbAEvvEeCrON7ycdFLuQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3IdbAUvvEeCrON7ycdFLuQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Kk8-kBs0Ed--ZY2-pbJ-Pw" name="BillableService">
        <eAnnotations xmi:id="_WKZ7ECijEd--DMAvlHV1Yg" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_rzIogPj5EeCL4956HPvowQ" key="EntryPoint"/>
        </eAnnotations>
        <ownedComment xmi:id="_XuMS4CXyEeOkPsd2JhLMLw" annotatedElement="_Kk8-kBs0Ed--ZY2-pbJ-Pw">
          <body>This class represents the provision of a healthcare-related product, procedure, or service that may be charged to the patient or to the patient's Health Plan.  This class serves to connect the clinical information that may be recorded in an EHR, such as a procedure or the dispensing of a drug, to the financial information detailing the billing and adjudication of charges for that clinical activity.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_5BcLQCatEeOyp-Ce3y08Wg" name="associatedTransactionDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_5BcLQSatEeOyp-Ce3y08Wg" annotatedElement="_5BcLQCatEeOyp-Ce3y08Wg">
            <body>Contains the Transaction Date of a related Billable Service.  Typically used to relate a completed fill to a partial fill for the same prescription.&#xD;
&quot;Date of the Associated Prescription/Service Reference Number.&quot; - NCPDP Telecommunication (Field 457-EP, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_h9egYCatEeOyp-Ce3y08Wg" name="associatedTransactionId" visibility="public">
          <ownedComment xmi:id="_h9egYSatEeOyp-Ce3y08Wg" annotatedElement="_h9egYCatEeOyp-Ce3y08Wg">
            <body>Contains the Transaction Id of a related Billable Service.  Typically used to relate a completed fill to a partial fill for the same prescription.&#xD;
&quot;Related Prescription/Service Reference Number to which the service is associated.&quot; - NCPDP Telecommunication (Field 456-EN, Data Dictionary 201104).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__qfu4CFHEeO3ioY7BiCZOQ" name="canBenefitsBeCoordinated" visibility="public">
          <ownedComment xmi:id="__qfu4SFHEeO3ioY7BiCZOQ" annotatedElement="__qfu4CFHEeO3ioY7BiCZOQ">
            <body>&quot;Indicates whether this insurance works in conjunction with other insurance plans, or if it provides independent coverage and payment of benefits regardless of other insurance that might be available to the patient.&quot; - HL7 Version 2.8, IN1-21.  Note that HL7 Version 2 models this as a code with possible values (Table 173) of: Coordination, Independent.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fkIX0CVXEeO_iaEYDPvTaA" name="productServiceId" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_r1teMCVXEeO_iaEYDPvTaA" annotatedElement="_fkIX0CVXEeO_iaEYDPvTaA">
            <body>&quot;ID of the product dispensed or service provided.&quot; - NCPDP Telecommunication (Field 407-D7, Data Dictionary 201104).  Note that the NCPDP Telecommunication structure uses a separate qualifier field (436-E1 ) to indicate what kind of data is in this field.  Possible values include: NDC, UPC, HRI, and 37 other codes.  This is not modeled as a separate property in the FHIM, rather this can be handled by the Code data type.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HL2p0FlcEeCyw5g2lQh-Ug" name="doesPatientAssignBenefits" visibility="public">
          <ownedComment xmi:id="_AJQj8CFHEeO3ioY7BiCZOQ" annotatedElement="_HL2p0FlcEeCyw5g2lQh-Ug">
            <body>&quot;Indicates whether the insured agreed to assign the insurance benefits to the healthcare provider.  If so, the insurance will pay the provider directly.&quot; - HL7 Version 2.8, IN1-20.  Note that HL7 Version 2 models this as a code with possible values (Table 135) of: &quot;Yes&quot;, &quot;No&quot;, and &quot;Modified Assignment&quot;.&#xD;
&quot;Code to indicate a patient’s choice on assignment of benefits.&quot; - NCPDP Telecommunication (Field 391-MT, Data Dictionary 201104).  Note that while this is a code in the NCPDP Telecommunication structure, the valid values are Yes and No.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1zp_gGuREeCZQ_Ui4wPHHw" name="doesProviderAcceptAssignment" visibility="public">
          <ownedComment xmi:id="_EOF0wCVMEeO_iaEYDPvTaA" annotatedElement="_1zp_gGuREeCZQ_Ui4wPHHw">
            <body>&quot;Code indicating whether the provider accepts assignment.&quot; - NCPDP Telecommunication (Field 361-2D, Data Dictionary 201104).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ms7lwFSMEeCZIfOFML-ypw" name="eligibilityClarificationCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MVD5sCU9EeO_iaEYDPvTaA" annotatedElement="_ms7lwFSMEeCZIfOFML-ypw">
            <body>&quot;Code indicating that the pharmacy is clarifying eligibility for a patient.  Example: The patient has become a student but eligibility has not yet been updated. The pharmacy can indicate [Full Time Student] so that the carrier may override eligibility for this patient.&quot; - NCPDP Telecommunication (Field 309-C9, Data Dictionary 201104).  Possible values include: No Override; Override; Full Time Student; Disabled  Dependent; Dependent Parent; Significant Other; Not Specified.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_W_1aUCU9EeO_iaEYDPvTaA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_W_2ocCU9EeO_iaEYDPvTaA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KwabYGuUEeCZQ_Ui4wPHHw" name="medicaidTransactionId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_ALJrACbREeOyp-Ce3y08Wg" annotatedElement="_KwabYGuUEeCZQ_Ui4wPHHw">
            <body>This is the Medicaid Subrogation Internal Control Number / Transaction Control Number (ICN/TCN).&#xD;
&quot;Claim number assigned by the Medicaid Agency.&quot; - NCPDP Telecommunication (Field 114-N4, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0fbQYGYTEeC_U5wVHbS9Yw" name="otherCoverageCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Bi0qkCa7EeOyp-Ce3y08Wg" annotatedElement="_0fbQYGYTEeC_U5wVHbS9Yw">
            <body>&quot;Code indicating whether or not the patient has other insurance coverage.&quot; - NCPDP Telecommunication (Field 420-DK, Data Dictionary 201104).  Possible values include: Not Specified by patient; No other coverage; Other coverage exists-payment collected; Other Coverage Billed – claim not covered; Other coverage exists-payment not collected; Claim is billing for patient financial responsibility only.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kmNa4C4VEd-PMuDpZFGUxw" name="serviceDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_KIOfYCrHEeO8Bco4fXbdUg" annotatedElement="_kmNa4C4VEd-PMuDpZFGUxw">
            <body>The date and/or time upon which the Billable Service was performed.&#xD;
&quot;Identifies date the prescription was filled or professional service rendered or subsequent payer began coverage following Part A expiration in a long-term care setting only.&quot; - NCPDP Telecommunication (Field 401-D1, Data Dictionary 201104).&#xD;
&quot;The time at which the service is performed as local time that will correspond with the actual date of service.&quot; - NCPDP Telecommunication (Field 678-Y6, Data Dictionary 201104).  Used primarily for controlled substance reporting.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8HAiQGYSEeC_U5wVHbS9Yw" name="submissionClarificationCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_xZaMcCa5EeOyp-Ce3y08Wg" annotatedElement="_8HAiQGYSEeC_U5wVHbS9Yw">
            <body>&quot;Code indicating that the pharmacist is clarifying the submission.&quot; - NCPDP Telecommunication (Field 420-DK, Data Dictionary 201104).  Possible values include: No Override; Other Override; Vacation Supply; Lost Prescription; Therapy Change; Starter Dose; Medically Necessary; Process Compound For Approved Ingredients; Encounters; Meets Plan Limitations; Certification on File; DME Replacement Indicator; Payer-Recognized Emergency/Disaster Assistance Request; Long Term Care Leave of Absence; Long Term Care Replacement Medication; Long Term Care Emergency box (kit) or automated dispensing machine; Long Term Care Emergency supply remainder; Long Term Care Patient Admit/Readmit Indicator; Split Billing; Section 340B; LTC dispensing (NCPDP has 15 additional codes for Long Term Care dispensing mostly differentiating on the number of days supply); Other.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3YcWsCa5EeOyp-Ce3y08Wg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3Yc9wCa5EeOyp-Ce3y08Wg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_aQT_QGuREeCZQ_Ui4wPHHw" name="transactionId" visibility="public">
          <ownedComment xmi:id="__9syECVVEeO_iaEYDPvTaA" annotatedElement="_aQT_QGuREeCZQ_Ui4wPHHw">
            <body>&quot;Reference number assigned by the provider for the dispensed drug/product and/or service provided.&quot; - NCPDP Telecommunication (Field 402-D2, Data Dictionary 201104).  Note that the NCPDP Telecommunication structure uses a separate qualifier field (455-EM) to indicate what kind of data is in this field.  Possible values include: Rx Billing; Service Billing.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NLxdQF7gEeCcBvMgXNMeOQ" name="billableProcedure" visibility="public" type="_rr-pACaOEdyiJKb4ZqIfnw" association="_NLuZ8F7gEeCcBvMgXNMeOQ">
          <ownedComment xmi:id="_bccbYCX0EeOkPsd2JhLMLw" annotatedElement="_NLxdQF7gEeCcBvMgXNMeOQ">
            <body>Identifies a healthcare procedure which is being invoiced or which is associated with the service being invoiced.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NLxdQV7gEeCcBvMgXNMeOQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NLxdQl7gEeCcBvMgXNMeOQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_aS6ykG9bEeC7Xu_kGrVjuQ" name="billingSequence" visibility="public" type="_e8sMUG9WEeC7Xu_kGrVjuQ" association="_aS3vQG9bEeC7Xu_kGrVjuQ">
          <ownedComment xmi:id="_yEjoMCFIEeO3ioY7BiCZOQ" annotatedElement="_aS6ykG9bEeC7Xu_kGrVjuQ">
            <body>Pointer to the Billing Event(s) in which the Health Plans are invoiced for the Billable Service.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_aS6ykW9bEeC7Xu_kGrVjuQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_aS6ykm9bEeC7Xu_kGrVjuQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1R2_APj0EeCL4956HPvowQ" name="certificateOfMedicalNecessity" visibility="public" type="_N9_qQJXcEeCD7vwmJe8BlA" association="_1R1J0Pj0EeCL4956HPvowQ">
          <ownedComment xmi:id="_Vpt0gCYEEeOkPsd2JhLMLw" annotatedElement="_1R2_APj0EeCL4956HPvowQ">
            <body>Pointer to additional documentation, especially Certificate(s) of Medical Necessity which justify the eligibility of the Billable Service for payment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1R4NIPj0EeCL4956HPvowQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1R4NIfj0EeCL4956HPvowQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eF6oYFVXEeCN_KTl5VCkdg" name="patient" visibility="public" type="_-SSlgEsgEeCgDquuCdSxAg" association="_eF3lEFVXEeCN_KTl5VCkdg">
          <ownedComment xmi:id="___6TQCbvEeOyp-Ce3y08Wg" annotatedElement="_eF6oYFVXEeCN_KTl5VCkdg">
            <body>Identifies the Person who is the recipient of the Billable Service.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eF6oYVVXEeCN_KTl5VCkdg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eF6oYlVXEeCN_KTl5VCkdg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_u34L4Pj5EeCL4956HPvowQ" name="patientCaseManagement" visibility="public" type="_wxWPICuxEd-mUrYY2zR9Jw" association="_u31voPj5EeCL4956HPvowQ">
          <ownedComment xmi:id="_vlGbwCbxEeOyp-Ce3y08Wg" annotatedElement="_u34L4Pj5EeCL4956HPvowQ">
            <body>Pointer to the Case that is applicable to the Billable Event.  In other words, the Billable Event must cite the appropriate Case (if applicable) in order to be reimbursed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_u35aAPj5EeCL4956HPvowQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_u35aAfj5EeCL4956HPvowQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_m12ocPj0EeCL4956HPvowQ" name="priorAuthorizationRequest" visibility="public" type="_Dbl4MHphEeCYy4DzyFpAzQ" association="_m10zQPj0EeCL4956HPvowQ">
          <ownedComment xmi:id="_pqPL4AMiEeKTM4I4vlc5xg" annotatedElement="_m12ocPj0EeCL4956HPvowQ">
            <body>&quot;Based on the type of insurance, some coverage plans require that an authorization number or code be obtained prior to all non-emergency admissions, and within 48 hours of an emergency admission.  Insurance billing would not be permitted without this number.  The date and source of authorization are the components of this field.&quot; - HL7 Version 2.8, IN1-14.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_m132kPj0EeCL4956HPvowQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_m132kfj0EeCL4956HPvowQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3fUEsJBfEeCMBO4kb261_A" name="serviceDeliveryLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_3fRBYJBfEeCMBO4kb261_A">
          <ownedComment xmi:id="_-HUjcCVOEeO_iaEYDPvTaA" annotatedElement="_3fUEsJBfEeCMBO4kb261_A">
            <body>Pointer to the location where the billable service took place.&#xD;
&quot;Code identifying the place where a drug or service is dispensed or administered.&quot; - NCPDP Telecommunication (Field 3Ø7-C7, Data Dictionary 201104).  Use CMS's Place of Service Codes for Professional Claims.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3fUEsZBfEeCMBO4kb261_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3fUEspBfEeCMBO4kb261_A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_VVxqkBs5Ed--ZY2-pbJ-Pw" memberEnd="_VV60gBs5Ed--ZY2-pbJ-Pw _VV60gxs5Ed--ZY2-pbJ-Pw">
        <ownedEnd xmi:id="_VV60gxs5Ed--ZY2-pbJ-Pw" name="" visibility="public" type="_420A62FD03B6454662F10302" association="_VVxqkBs5Ed--ZY2-pbJ-Pw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Wcxc8Bs7Ed--ZY2-pbJ-Pw" memberEnd="_Wcxc8Rs7Ed--ZY2-pbJ-Pw _Wcxc9Bs7Ed--ZY2-pbJ-Pw">
        <ownedEnd xmi:id="_Wcxc9Bs7Ed--ZY2-pbJ-Pw" name="" visibility="public" type="_4ew1QBszEd--ZY2-pbJ-Pw" association="_Wcxc8Bs7Ed--ZY2-pbJ-Pw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_rRgvoB2KEd-4VI-lpu-JjQ" name="CoveredBenefit">
        <ownedComment xmi:id="_9losUCVGEeO_iaEYDPvTaA" annotatedElement="_rRgvoB2KEd-4VI-lpu-JjQ">
          <body>A healthcare-related procedure or service, to include medications and durable equipment, that is anticipated to be funded, in full or in part, by a given Healthcare Policy.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_7wH38EwWEeCc9OmUU3L5_A" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_tFaT4CVJEeO_iaEYDPvTaA" annotatedElement="_7wH38EwWEeCc9OmUU3L5_A">
            <body>Identifies a healthcare-related procedure or service, to include medications and durable equipment, that is anticipated to be funded, in full or in part, by a given Healthcare Policy.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_v2TxUEwWEeCc9OmUU3L5_A" name="coinsuranceAmount" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_Ds_tECYAEeOkPsd2JhLMLw" annotatedElement="_v2TxUEwWEeCc9OmUU3L5_A">
            <body>Represents the amount of money for which patient is responsible for the provision of a medical product, procedure, or service, expressed as a percentage of its cost.  For example, if a plan pays 80% of the cost of non-formulary drugs, the patient is responsible for 20%, and this property would contain 0.20.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0IRVwEwWEeCc9OmUU3L5_A" name="copaymentAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_zkx24CYAEeOkPsd2JhLMLw" annotatedElement="_0IRVwEwWEeCc9OmUU3L5_A">
            <body>Represents the amount of money for which patient is responsible for the provision of a medical product, procedure, or service, expressed as a flat monetary amount.  For example, if a plan pays all but $25 of the cost of on-formulary prescription drugs, the patient is responsible for the remaining $25.  In this example, this property would contain $25.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_q7bw8B2VEd-4VI-lpu-JjQ" memberEnd="_q7bw8R2VEd-4VI-lpu-JjQ _q7bw9B2VEd-4VI-lpu-JjQ">
        <ownedEnd xmi:id="_q7bw9B2VEd-4VI-lpu-JjQ" name="" visibility="public" type="_420A62FD03B64546640100C0" association="_q7bw8B2VEd-4VI-lpu-JjQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_q7bw9R2VEd-4VI-lpu-JjQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_q7bw9h2VEd-4VI-lpu-JjQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_tsC3YB2VEd-4VI-lpu-JjQ" memberEnd="_tsC3YR2VEd-4VI-lpu-JjQ _tsC3ZB2VEd-4VI-lpu-JjQ"/>
      <packagedElement xmi:type="uml:Class" xmi:id="_nwgwQB2ZEd-4VI-lpu-JjQ" name="HealthcarePolicy">
        <ownedComment xmi:id="_e6HisCYhEeOkPsd2JhLMLw" annotatedElement="_nwgwQB2ZEd-4VI-lpu-JjQ">
          <body>An Insurance Policy is a contract between an benefits provider (e.g. an insurance company or a government agency) and an individual or his/her sponsor (e.g. an employer or union).&#xD;
&#xD;
A Payer will generally offer one or more pre-defined sets of benefits, to which we assigned the generic term, &quot;Health Plan&quot;.  An Insurance Policy is an instance of a Health Plan.  For example, Payer A might offer a Gold Plan and a Silver Plan.  John Smith may have a Gold Plan Policy number 123, and Jane Doe may have Gold Plan Policy number 456.  ABC Motors may purchase the Silver Plan (Policy number 789) for their employees.&#xD;
&#xD;
Claims for reimbursement will cite the Insurance Policy number, and sometimes a Group Number, if applicable.  In the above example, ABC Motors' Insurance Policy is a Group Policy, so individual employees will cite the Group Number.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6454662960263" name="policyId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_Pkz6BeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6454662960263">
            <body>A unique identifier that the payer or information source uses to identify the Policy Holder as belonging to a specific Plan.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0aqDMEyiEd-ir98gTBezYA" name="policyTerm" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_WT3cYCr0EeOKCrmlnw-Z_w" annotatedElement="_0aqDMEyiEd-ir98gTBezYA">
            <body>The time period during which the Healthcare Policy is / will be in effect.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tsC3YR2VEd-4VI-lpu-JjQ" name="healthPlan" visibility="public" type="_420A62FD03B64546640100C0" association="_tsC3YB2VEd-4VI-lpu-JjQ">
          <ownedComment xmi:id="_D5-20CYZEeOkPsd2JhLMLw" annotatedElement="_tsC3YR2VEd-4VI-lpu-JjQ">
            <body>Pointer to the Plan which defines the set of benefits available to the Policy.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tsC3Yh2VEd-4VI-lpu-JjQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tsC3Yx2VEd-4VI-lpu-JjQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_UeNRREslEeCgDquuCdSxAg" name="subscriber" visibility="public" type="_4ew1QBszEd--ZY2-pbJ-Pw" association="_UeNRQEslEeCgDquuCdSxAg">
          <ownedComment xmi:id="_p_ljwCb8EeOyp-Ce3y08Wg" annotatedElement="_UeNRREslEeCgDquuCdSxAg">
            <body>Pointer to (a Role of) the Person who is named as a beneficiary of a Health Policy.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UeQUkEslEeCgDquuCdSxAg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UeQUkUslEeCgDquuCdSxAg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_pv3_8B2ZEd-4VI-lpu-JjQ" memberEnd="_pv3_8R2ZEd-4VI-lpu-JjQ _pv3_9B2ZEd-4VI-lpu-JjQ"/>
      <packagedElement xmi:type="uml:Class" xmi:id="_xu5PgB2aEd-4VI-lpu-JjQ" name="PlanSponsor">
        <ownedComment xmi:id="_621rcB2aEd-4VI-lpu-JjQ" annotatedElement="_xu5PgB2aEd-4VI-lpu-JjQ">
          <body>The company or organization that assumes financial responsibility for an insured group.  Note that the Plan Sponsor could be a government agency in charge of an Entitlement Program, not just private groups such as Employers.&#xD;
&quot;An entity that sponsors a health plan.  Employer, Union&quot; - Medicare.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_-QUIsR2aEd-4VI-lpu-JjQ" name="group" visibility="public" type="_420A62FD03B645466193009E" association="_-QUIsB2aEd-4VI-lpu-JjQ">
          <ownedComment xmi:id="_RMAYkCcAEeOyp-Ce3y08Wg" annotatedElement="_-QUIsR2aEd-4VI-lpu-JjQ">
            <body>Pointer to the Group Health Insurance Policy which the Plan Sponsor has funded for the benefit of a group of individuals.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-QUIsh2aEd-4VI-lpu-JjQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-QUIsx2aEd-4VI-lpu-JjQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_-QUIsB2aEd-4VI-lpu-JjQ" memberEnd="_-QUIsR2aEd-4VI-lpu-JjQ _-QUItB2aEd-4VI-lpu-JjQ"/>
      <packagedElement xmi:type="uml:Class" xmi:id="_O8xe8B2bEd-4VI-lpu-JjQ" name="EntitlementProgramAdministrator">
        <ownedComment xmi:id="_RPhxMCcBEeOyp-Ce3y08Wg" annotatedElement="_O8xe8B2bEd-4VI-lpu-JjQ">
          <body>This class represents an government agency which has financial responsibility for a specific group of beneficiaries.  Examples include Medicare, State Medicaid agencies, and IHS.</body>
        </ownedComment>
        <generalization xmi:id="_QxdIoB2bEd-4VI-lpu-JjQ" general="_xu5PgB2aEd-4VI-lpu-JjQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_1X544CijEd--DMAvlHV1Yg" memberEnd="_1X544SijEd--DMAvlHV1Yg _1YDC0CijEd--DMAvlHV1Yg"/>
      <packagedElement xmi:type="uml:Class" xmi:id="_wxWPICuxEd-mUrYY2zR9Jw" name="PatientCaseManagement">
        <ownedComment xmi:id="_ncxpwCbxEeOyp-Ce3y08Wg" annotatedElement="_wxWPICuxEd-mUrYY2zR9Jw">
          <body>Case Management, in the context of a health insurer or health plan, is defined as:  &quot;A method of managing the provision of health care to members with high-cost medical conditions. The goal is to coordinate the care so as to both improve continuity and quality of care and lower costs.&quot;  This class contains properties needed to identify a Case for the purposes of managing costs associated with that Case.  Therefore claims for Billable Services will cite the Case Id contained herein.  Note that a Workers' Compensation Claim is not a single claim as the name implies, but a Case, and is modeled as a sub-type of Case Management.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_y35r8CuxEd-mUrYY2zR9Jw" name="caseId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_y35r8SuxEd-mUrYY2zR9Jw" annotatedElement="_y35r8CuxEd-mUrYY2zR9Jw">
            <body>A unique identifier assigned to the Patient's Case.&#xD;
&quot;Identifies the claim number assigned by Worker’s Compensation Program.&quot; - NCPDP Telecommunication (Field 435-DZ, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MxXqYFSGEeCZIfOFML-ypw" name="diagnosisList" visibility="public" type="_e4dl4AgVEd6eWYJXJewDdQ" association="_MxUnEFSGEeCZIfOFML-ypw">
          <ownedComment xmi:id="_aeoi4CbyEeOyp-Ce3y08Wg" annotatedElement="_MxXqYFSGEeCZIfOFML-ypw">
            <body>Pointer to a set of Diagnoses of the Patient's condition that are the subject of the Managed Case.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MxXqYVSGEeCZIfOFML-ypw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MxXqYlSGEeCZIfOFML-ypw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gWtSQFSGEeCZIfOFML-ypw" name="dateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_Mggr8Cr0EeOKCrmlnw-Z_w" annotatedElement="_gWtSQFSGEeCZIfOFML-ypw">
            <body>Represents the time period during which the Patient's case was actively being managed.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lF4XIVSGEeCZIfOFML-ypw" name="priorAuthorization" visibility="public" type="_07EAwBd1EeC9Abp3tFVARg" association="_lF4XIFSGEeCZIfOFML-ypw">
          <ownedComment xmi:id="_nLrewAMiEeKTM4I4vlc5xg" annotatedElement="_lF4XIVSGEeCZIfOFML-ypw">
            <body>&quot;Based on the type of insurance, some coverage plans require that an authorization number or code be obtained prior to all non-emergency admissions, and within 48 hours of an emergency admission.  Insurance billing would not be permitted without this number.  The date and source of authorization are the components of this field.&quot; - HL7 Version 2.8, IN1-14.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lF7acFSGEeCZIfOFML-ypw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lF7acVSGEeCZIfOFML-ypw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jLCuAFlbEeCyw5g2lQh-Ug" name="isResidentOfCmsQualifiedFacility" visibility="public">
          <ownedComment xmi:id="_7dctQCVFEeO_iaEYDPvTaA" annotatedElement="_jLCuAFlbEeCyw5g2lQh-Ug">
            <body>&quot;Indicates that the patient resides in a facility that qualifies for the CMS Part D benefit.&quot; - NCPDP Telecommunication (Field 997-G2, Data Dictionary 201104).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zutlEJBYEeCMBO4kb261_A" name="clinicalInformation" visibility="public" type="_nbH1LVaeEd6rJ7jpZ7LBFg" association="_zuqhwJBYEeCMBO4kb261_A">
          <ownedComment xmi:id="_SmfHoCcCEeOyp-Ce3y08Wg" annotatedElement="_zutlEJBYEeCMBO4kb261_A">
            <body>Pointer to a set of clinical observation that indicate the patient's current condition and justify the services needed to treat the patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zutlEZBYEeCMBO4kb261_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zutlEpBYEeCMBO4kb261_A" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Qz5o0Cu2Ed-mUrYY2zR9Jw" memberEnd="_Qz5o0Su2Ed-mUrYY2zR9Jw _Q0DZ0Cu2Ed-mUrYY2zR9Jw"/>
      <packagedElement xmi:type="uml:Class" xmi:id="_75QqIEyfEd-ir98gTBezYA" name="DiagnosisWeightedPayment">
        <ownedComment xmi:id="_CSmKwEygEd-ir98gTBezYA" annotatedElement="_75QqIEyfEd-ir98gTBezYA">
          <body>&quot;A method of classifying [medical] services. It is used as a method of determining financing to reimburse various providers for services performed.&quot; -eHealthInsurance.org</body>
        </ownedComment>
        <ownedAttribute xmi:id="_wjwlIFSFEeCZIfOFML-ypw" name="amount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_QUp5sCE1EeO3ioY7BiCZOQ" annotatedElement="_wjwlIFSFEeCZIfOFML-ypw">
            <body>The amount of money that may be paid for the performance of a set of services related to the given diagnosis group.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SrOvgCE1EeO3ioY7BiCZOQ" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_SrOvgSE1EeO3ioY7BiCZOQ" annotatedElement="_SrOvgCE1EeO3ioY7BiCZOQ">
            <body>Categorizes the medical services that may be performed in order to establish a reimbursement rate for those services.  Note that this could be a DRG, and APG, or one of their derivatives.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_EuwrMEygEd-ir98gTBezYA" name="DrugFormulary">
        <ownedComment xmi:id="_HUnTIEygEd-ir98gTBezYA" annotatedElement="_EuwrMEygEd-ir98gTBezYA">
          <body>&quot; A list of preferred pharmaceutical products to be used by a managed care plan's network physicians. Formularies are based on evaluations of the efficacy, safety, and cost-effectiveness of drugs.&quot; -eHealthInsurance.org</body>
        </ownedComment>
        <generalization xmi:id="_aiZ5YEwXEeCc9OmUU3L5_A" general="_AON0QBs0Ed--ZY2-pbJ-Pw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_k0e7YEypEd-ir98gTBezYA" name="DmeProvision">
        <ownedComment xmi:id="_Xnw8sCagEeOyp-Ce3y08Wg" annotatedElement="_k0e7YEypEd-ir98gTBezYA">
          <body>This class represents the billable aspects of the provision of Durable Medical Equipment (DME).  This class will link the clinical data related to a DME dispense to the administrative data needed to bill for the dispense.</body>
        </ownedComment>
        <generalization xmi:id="_ewQSkF7eEeCcBvMgXNMeOQ" general="_Kk8-kBs0Ed--ZY2-pbJ-Pw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_D53CgEyrEd-ir98gTBezYA" name="FeeSchedule">
        <ownedComment xmi:id="_D53CgUyrEd-ir98gTBezYA" annotatedElement="_D53CgEyrEd-ir98gTBezYA">
          <body>&quot;A list of maximum fees for providers who are on a fee-for-service basis.&quot; -eHealthInsurance.org</body>
        </ownedComment>
        <ownedAttribute xmi:id="_sdyHkCE1EeO3ioY7BiCZOQ" name="amount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_sdyHkSE1EeO3ioY7BiCZOQ" annotatedElement="_sdyHkCE1EeO3ioY7BiCZOQ">
            <body>The amount of money that may be paid for the performance of a set of services related to the given diagnosis group.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_D53Cg0yrEd-ir98gTBezYA" name="billableAct" visibility="public" type="_Kk8-kBs0Ed--ZY2-pbJ-Pw">
          <ownedComment xmi:id="_wTEhoCE2EeO3ioY7BiCZOQ" annotatedElement="_D53Cg0yrEd-ir98gTBezYA">
            <body>Identifies a service such as an office visit, test, procedure, or provision of medications which may be billed or reimbursed.  Payments are typically issued retrospectively, after the services are provided.  Billable services are typically identified by a procedure code such as a Current Procedural Terminology (CPT) code.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_D53ChUyrEd-ir98gTBezYA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_D53ChEyrEd-ir98gTBezYA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="___1ngEyrEd-ir98gTBezYA" name="DrugProvision">
        <ownedComment xmi:id="_m28SECafEeOyp-Ce3y08Wg" annotatedElement="___1ngEyrEd-ir98gTBezYA">
          <body>This class represents the billable aspects of a pharmacy dispense.  It serves to link the clinical data related to a dispense to the administrative data needed to bill for the dispense.  As a sub-type of Billable Service, it inherits all of the data related to billing and Coodination Of Benefits, adds some data elements specifically needed to bill for the pharmacy dispense, and points to the Pharmacy Dispense clinical data for any remaining data needed for billing.  Note that this class also points to Professional Service Provision to handle any professional servies charges related to the dispense, such as patient counseling.  Note that this class contains some properties that are clearly billing oriented, which are modeled here rather than in Billable Service, because they're only needed for the billing of Drug Provision.</body>
        </ownedComment>
        <generalization xmi:id="_gafm0F7eEeCcBvMgXNMeOQ" general="_Kk8-kBs0Ed--ZY2-pbJ-Pw"/>
        <ownedAttribute xmi:id="_4zIakGnfEeCyXraDASYTcQ" name="benefitLimitationOverrideCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
        <ownedAttribute xmi:id="__bOwAGuMEeCZQ_Ui4wPHHw" name="benefitLimitationOverrideId" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Dkb90GncEeCyXraDASYTcQ" name="billingUnitOfMeasure" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_FXkcoCa9EeOyp-Ce3y08Wg" annotatedElement="_Dkb90GncEeCyXraDASYTcQ">
            <body>&quot;NCPDP standard product billing codes.&quot; - NCPDP Telecommunication (Field 600-28, Data Dictionary 201104).  Possible values include: Each; Grams; Milliliters.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oYQm0GuQEeCZQ_Ui4wPHHw" name="claimDelayReason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_yVVxkCarEeOyp-Ce3y08Wg" annotatedElement="_oYQm0GuQEeCZQ_Ui4wPHHw">
            <body>&quot;Code to specify the reason that submission of the transactions has been delayed.&quot; - NCPDP Telecommunication (Field 357-NV, Data Dictionary 201104).  Possible values include: Proof of eligibility unknown or unavailable; Litigation; Authorization delays; Delay in certifying provider; Delay in supplying billing forms; Delay in delivery of custom-made appliances; Third party processing delay; Delay in eligibility determination; Original claims rejected or denied due to a reason unrelated to the billing limitation rules; Administration delay in the prior approval process; Received late with no exceptions; Substantial damage by fire, etc to provider records; Theft, sabotage/other willful acts by employee; Other.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lCPYIGuOEeCZQ_Ui4wPHHw" name="intermediaryAuthorizationCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_-Fv44GuOEeCZQ_Ui4wPHHw" annotatedElement="_lCPYIGuOEeCZQ_Ui4wPHHw">
            <body>This property, in conjunction with intermediaryAuthorizationId, is used to inform an intermediary (i.e., a switch) to override edit(s) that they normally perform on the claim due to some special circumstance, which has been pre-arranged with the intermediary or the Payer.&#xD;
&quot;Value indicating that authorization occurred for intermediary processing.&quot; - NCPDP Telecommunication (Field 463-EW, Data Dictionary 201104).  Possible values include: Intermediary Authorization; Other Override; Not Specified.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tK7WgGuOEeCZQ_Ui4wPHHw" name="intermediaryAuthorizationId" visibility="public">
          <ownedComment xmi:id="_vjSbgCa9EeOyp-Ce3y08Wg" annotatedElement="_tK7WgGuOEeCZQ_Ui4wPHHw">
            <body>This property, in conjunction with intermediaryAuthorizationCategory, is used to inform an intermediary (i.e., a switch) to override edit(s) that they normally perform on the claim due to some special circumstance, which has been pre-arranged with the intermediary or the Payer.&#xD;
&quot;Value indicating intermediary authorization occurred.&quot; - NCPDP Telecommunication (Field 464-EX, Data Dictionary 201104).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_40leAGndEeCyXraDASYTcQ" name="levelOfService" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_kPSXsCa9EeOyp-Ce3y08Wg" annotatedElement="_40leAGndEeCyXraDASYTcQ">
            <body>&quot;Coding indicating the type of service the provider rendered.&quot; - NCPDP Telecommunication (Field 418-DI, Data Dictionary 201104).  Possible values include: Patient consultation; Home delivery; Emergency; 24 hour service; Patient consultation regarding generic product selection; In-Home Service; Not Specified.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9-sDQJBcEeCMBO4kb261_A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9-sDQZBcEeCMBO4kb261_A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_28o5cGuUEeCZQ_Ui4wPHHw" name="pharmacyType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
        <ownedAttribute xmi:id="_kcs4AF7eEeCcBvMgXNMeOQ" name="medicationDispense" visibility="public" type="_420A62FD03B641928F4302E4" association="_kcp0sF7eEeCcBvMgXNMeOQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kcs4AV7eEeCcBvMgXNMeOQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kcs4Al7eEeCcBvMgXNMeOQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZQ6poGniEeCyXraDASYTcQ" name="priorAuthorization" visibility="public" type="_07EAwBd1EeC9Abp3tFVARg" association="_ZQ3mUGniEeCyXraDASYTcQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZQ9s8GniEeCyXraDASYTcQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZQ9s8WniEeCyXraDASYTcQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Xr3vwGuVEeCZQ_Ui4wPHHw" name="serviceProvision" visibility="public" type="_UKz94F7eEeCcBvMgXNMeOQ" association="_Xr1TgGuVEeCZQ_Ui4wPHHw">
          <ownedComment xmi:id="_A4aZcCasEeOyp-Ce3y08Wg" annotatedElement="_Xr3vwGuVEeCZQ_Ui4wPHHw">
            <body>Pointer to the billable aspects of the provision of professional services.  This class will link the clinical data related to professional services to the administrative data needed to bill for the services.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Xr494GuVEeCZQ_Ui4wPHHw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Xr494WuVEeCZQ_Ui4wPHHw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_C4ttQE4ZEd-2ltKWH2NjJw" memberEnd="_C4ttQU4ZEd-2ltKWH2NjJw _C4ttRE4ZEd-2ltKWH2NjJw">
        <ownedEnd xmi:id="_C4ttRE4ZEd-2ltKWH2NjJw" name="" visibility="public" type="_FLDhsBs0Ed--ZY2-pbJ-Pw" association="_C4ttQE4ZEd-2ltKWH2NjJw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_pxWL0FIsEd-y7__FceVOaw" name="Dependent">
        <ownedComment xmi:id="_c-hPQCb-EeOyp-Ce3y08Wg" annotatedElement="_pxWL0FIsEd-y7__FceVOaw">
          <body>This class represents the Role that a Person plays when he or she receives healthcare benefits as a Dependent of someone else who is the named beneficiary of a Health Policy.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_bIqNkVPAEd-QprPKS8GTLg" name="subscriber" visibility="public" type="_4ew1QBszEd--ZY2-pbJ-Pw" association="_bIqNkFPAEd-QprPKS8GTLg">
          <ownedComment xmi:id="_NBkVQCb8EeOyp-Ce3y08Wg" annotatedElement="_bIqNkVPAEd-QprPKS8GTLg">
            <body>Pointer to (a Role of) the Person who is named as a beneficiary of a Health Policy.  This is the Person of whom the Covered Patient is considered to be a Dependent.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bIqNklPAEd-QprPKS8GTLg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bIqNk1PAEd-QprPKS8GTLg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_EycAcCFFEeO3ioY7BiCZOQ" name="relationshipToPatient" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_JBOfoCFGEeO3ioY7BiCZOQ" annotatedElement="_EycAcCFFEeO3ioY7BiCZOQ">
            <body>&quot;Indicates the insured’s relationship to the patient.&quot; - HL7 Version 2.8, IN1-17.  Note that HL7 identifies a Code Table (Table 63) for this property, which currently contains 32 suggested values.&#xD;
&quot;Code indicating relationship of patient to cardholder.&quot; - NCPDP Telecommunication (Field 306-C6, Data Dictionary 201104).  Possible values include: Cardholder; Spouse; Child; Student; Disabled Dependent; Adult Dependent; Significant Other; Not Specified; Other.&#xD;
Note also that this property is derived; the value of this code could potentially be discerned by Role Link classes.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5xMTsFIsEd-y7__FceVOaw" name="PatientSubscriber">
        <ownedComment xmi:id="_-0q8QCb8EeOyp-Ce3y08Wg" annotatedElement="_5xMTsFIsEd-y7__FceVOaw">
          <body>This class represents the Role that a Person plays when he or she is both the Covered Patient and the Subscriber (i.e., &quot;Self&quot;).</body>
        </ownedComment>
        <ownedAttribute xmi:id="_wB018VItEd-y7__FceVOaw" name="subscriber" visibility="public" type="_4ew1QBszEd--ZY2-pbJ-Pw" association="_wB018FItEd-y7__FceVOaw">
          <ownedComment xmi:id="_aZc8YCb8EeOyp-Ce3y08Wg" annotatedElement="_wB018VItEd-y7__FceVOaw">
            <body>Pointer to (a Role of) the Person who is named as a beneficiary of a Health Policy.  In this case, it is the same Person who is in the Role of Patient Subscriber, but it is a different Role that they are playing.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wB018lItEd-y7__FceVOaw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wB0181ItEd-y7__FceVOaw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WO6ZICb9EeOyp-Ce3y08Wg" name="relationshipToPatient" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_WO6ZISb9EeOyp-Ce3y08Wg" annotatedElement="_WO6ZICb9EeOyp-Ce3y08Wg">
            <body>&quot;Indicates the insured’s relationship to the patient.&quot; - HL7 Version 2.8, IN1-17.  Note that HL7 identifies a Code Table (Table 63) for this property, which currently contains 32 suggested values.&#xD;
&quot;Code indicating relationship of patient to cardholder.&quot; - NCPDP Telecommunication (Field 306-C6, Data Dictionary 201104).  Possible values include: Cardholder; Spouse; Child; Student; Disabled Dependent; Adult Dependent; Significant Other; Not Specified; Other.&#xD;
Note also that this property is derived; the value of this code could potentially be discerned by Role Link classes.</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_ZRnVICb9EeOyp-Ce3y08Wg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>Self</body>
          </defaultValue>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_wB018FItEd-y7__FceVOaw" memberEnd="_wB018VItEd-y7__FceVOaw _wB019FItEd-y7__FceVOaw">
        <ownedEnd xmi:id="_wB019FItEd-y7__FceVOaw" name="" visibility="public" type="_5xMTsFIsEd-y7__FceVOaw" association="_wB018FItEd-y7__FceVOaw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_bIqNkFPAEd-QprPKS8GTLg" memberEnd="_bIqNkVPAEd-QprPKS8GTLg _bIqNlFPAEd-QprPKS8GTLg">
        <ownedEnd xmi:id="_bIqNlFPAEd-QprPKS8GTLg" name="" visibility="public" type="_pxWL0FIsEd-y7__FceVOaw" association="_bIqNkFPAEd-QprPKS8GTLg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_-SSlgEsgEeCgDquuCdSxAg" name="CoveredPatient">
        <ownedComment xmi:id="_eqy74CoUEeOycdNGQCOAtw" annotatedElement="_-SSlgEsgEeCgDquuCdSxAg">
          <body>This class represents the Role of a Patient from a financial, rather than a clinical point of view.  This class contains information concerning who is going to pay for services / materials provided, and links to Health Plan information via relationships to Subscriber.  Covered Patient serves to link the financial aspects to the clinical Patient without encumbering clinical information with the financial or administrative considerations.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_Q-2MAPabEeCbn6MPgQ_rxg" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_WRX1kPabEeCbn6MPgQ_rxg" annotatedElement="_Q-2MAPabEeCbn6MPgQ_rxg">
            <body>Payer-assigned identifier for the Patient.&#xD;
&quot;Insurance ID assigned to the cardholder or identification number used by the plan.&quot; - NCPDP Telecommunication (Field 302-C2, Data Dictionary 201104).  Note that the some payers issue cards to dependents, some do not; therefore the cardholder might be the patient, the subscriber, or both.&#xD;
&quot;ID assigned to the patient.&quot; - NCPDP Telecommunication (Field 332-CY, Data Dictionary 201104).  Note that the NCPDP Telecommunication structure uses a separate field (331-CX) to describe what kind of patient id is found here (i.e., who issued the id).  This information is not modeled as a separate field in the FHIM as it is part of the ID data type.  Possible values for the id type include: Social Security Number; Facility ID Number; Driver's License Number; U.S. Military ID; Non-SSN-based patient identifier assigned by health plan; SSN-based patient identifier assigned by health plan; Medicaid ID; State Issued ID; Passport ID; Medicare HIC#; Employer Assigned ID; Payer/PBM Assigned ID; Alien Number (Government Permanent Residence Residence Number); Government Student VISA Number; Indian Tribal ID; Medical Record Identification Number; Other.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HCvGAPaMEeCbn6MPgQ_rxg" name="patientResidenceType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_SXDQcCYxEeOkPsd2JhLMLw" annotatedElement="_HCvGAPaMEeCbn6MPgQ_rxg">
            <body>&quot;Code identifying the patient’s place of residence.&quot; - NCPDP Telecommunication (Field 384-4X, Data Dictionary 201104).  Possible values include: Home; Skilled Nursing Facility; Nursing Facility; Assisted Living Facility; Custodial Care Facility; Group Home; Inpatient Psychiatric Facility; Psychiatric Facility – Partial Hospitalization; Intermediate Care Facility/Mentally Retarded; Residential Substance Abuse Treatment Facility; Hospice; Psychiatric Residential Treatment Facility; Comprehensive Inpatient Rehabilitation Facility; Homeless Shelter; Correctional Institution; Not Specified.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hnXksFSNEeCZIfOFML-ypw" name="personCode" visibility="public">
          <ownedComment xmi:id="_ow6aQFSNEeCZIfOFML-ypw" annotatedElement="_hnXksFSNEeCZIfOFML-ypw">
            <body>&quot;Code assigned to a specific person within a family.  Example: 001=Cardholder; 002=Spouse; 003-999=Dependents and Others (including second spouses, etc.).&quot; - NCPDP Telecommunication (Field 303-C3, Data Dictionary 201104).  Note that while the definition implies a Code datatype, NCPDP models this as a string.  In practice, this property acts like an identifier.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bhYKcEwUEeCc9OmUU3L5_A" name="dependent" visibility="public" type="_pxWL0FIsEd-y7__FceVOaw" association="_bhPAgEwUEeCc9OmUU3L5_A">
          <ownedComment xmi:id="_eza7YCb-EeOyp-Ce3y08Wg" annotatedElement="_bhYKcEwUEeCc9OmUU3L5_A">
            <body>Pointer to the Role that a Person plays when he or she receives healthcare benefits as a Dependent of someone else who is the named beneficiary of a Health Policy.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bhYKcUwUEeCc9OmUU3L5_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bhYKckwUEeCc9OmUU3L5_A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_s1JjwEshEeCgDquuCdSxAg" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_s1GgcEshEeCgDquuCdSxAg">
          <ownedComment xmi:id="_j37k0CcDEeOyp-Ce3y08Wg" annotatedElement="_s1JjwEshEeCgDquuCdSxAg">
            <body>Pointer to the Role that a Person plays when he or she is the recipient of healthcare services from a healthcare provider.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_s1JjwUshEeCgDquuCdSxAg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_s1JjwkshEeCgDquuCdSxAg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cBq0EUwUEeCc9OmUU3L5_A" name="patientSubscriber" visibility="public" type="_5xMTsFIsEd-y7__FceVOaw" association="_cBq0EEwUEeCc9OmUU3L5_A">
          <ownedComment xmi:id="_RvM3ICb-EeOyp-Ce3y08Wg" annotatedElement="_cBq0EUwUEeCc9OmUU3L5_A">
            <body>Pointer to the Role that a Person plays when he or she is both the Covered Patient and the Subscriber (i.e., &quot;Self&quot;).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cBq0EkwUEeCc9OmUU3L5_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cBq0E0wUEeCc9OmUU3L5_A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6EzkEPaYEeCbn6MPgQ_rxg" name="responsibleParty" visibility="public" type="_tYozcPaYEeCbn6MPgQ_rxg" association="_6Exu4PaYEeCbn6MPgQ_rxg">
          <ownedComment xmi:id="_Ri3RwCoTEeOycdNGQCOAtw" annotatedElement="_6EzkEPaYEeCbn6MPgQ_rxg">
            <body>Pointer to the (Role of the) Person who is responsible for the payment of services / materials provided.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6E0yMPaYEeCbn6MPgQ_rxg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6E0yMfaYEeCbn6MPgQ_rxg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_s1GgcEshEeCgDquuCdSxAg" memberEnd="_s1JjwEshEeCgDquuCdSxAg _s1MnEEshEeCgDquuCdSxAg">
        <ownedEnd xmi:id="_s1MnEEshEeCgDquuCdSxAg" name="" visibility="public" type="_-SSlgEsgEeCgDquuCdSxAg" association="_s1GgcEshEeCgDquuCdSxAg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_s1MnEUshEeCgDquuCdSxAg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_s1MnEkshEeCgDquuCdSxAg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_UeNRQEslEeCgDquuCdSxAg" memberEnd="_UeNRQUslEeCgDquuCdSxAg _UeNRREslEeCgDquuCdSxAg"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_SdqdIEvmEeCrON7ycdFLuQ" memberEnd="_SeF68EvmEeCrON7ycdFLuQ _SeI-QEvmEeCrON7ycdFLuQ"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_3IaXsEvvEeCrON7ycdFLuQ" memberEnd="_3IaXsUvvEeCrON7ycdFLuQ _3IdbAkvvEeCrON7ycdFLuQ">
        <ownedEnd xmi:id="_3IdbAkvvEeCrON7ycdFLuQ" name="" visibility="public" type="_FLDhsBs0Ed--ZY2-pbJ-Pw" association="_3IaXsEvvEeCrON7ycdFLuQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3IdbA0vvEeCrON7ycdFLuQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3IgeUEvvEeCrON7ycdFLuQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_EMWvIEvwEeCrON7ycdFLuQ" name="DiagnosisRelatedGroup">
        <ownedComment xmi:id="_omRVYCEzEeO3ioY7BiCZOQ" annotatedElement="_EMWvIEvwEeCrON7ycdFLuQ">
          <body>Diagnosis-related group (DRG) is a system to classify the &quot;products&quot; that a hospital provides. One example of a &quot;product&quot; is an appendectomy. The system was developed to replace &quot;cost based&quot; reimbursement. DRGs are assigned by a &quot;grouper&quot; program based on ICD (International Classification of Diseases) diagnoses, procedures, age, sex, discharge status, and the presence of complications or comorbidities. DRGs have been used in the US since 1982 to determine how much Medicare pays the hospital for each &quot;product&quot;, since patients within each category are clinically similar and are expected to use the same level of hospital resources. – Adapted from Wikipedia.  Note that DRGs are primarily used for inpatient settings.</body>
        </ownedComment>
        <generalization xmi:id="_F5dKIEvwEeCrON7ycdFLuQ" general="_75QqIEyfEd-ir98gTBezYA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_FAL_0EvwEeCrON7ycdFLuQ" name="AmbulatoryPatientGroup">
        <ownedComment xmi:id="_AMJpsPjyEeCL4956HPvowQ" annotatedElement="_FAL_0EvwEeCrON7ycdFLuQ">
          <body>Ambulatory Patient Group (APG) is a classification system for outpatient services reimbursement developed for Medicare by the Health Care Financing Administration. It classifies patients into nearly 300 pathology groups rather than the 14,000 of the International Classification of Diseases. The APG system is similar to the Diagnosis-related groups (DRG), which apply to urgent care. – Adapted from Wikipedia.</body>
        </ownedComment>
        <generalization xmi:id="_GS0sYEvwEeCrON7ycdFLuQ" general="_75QqIEyfEd-ir98gTBezYA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_bhPAgEwUEeCc9OmUU3L5_A" memberEnd="_bhYKcEwUEeCc9OmUU3L5_A _bhYKc0wUEeCc9OmUU3L5_A">
        <ownedEnd xmi:id="_bhYKc0wUEeCc9OmUU3L5_A" name="" visibility="public" type="_-SSlgEsgEeCgDquuCdSxAg" association="_bhPAgEwUEeCc9OmUU3L5_A">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bhYKdEwUEeCc9OmUU3L5_A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bhYKdUwUEeCc9OmUU3L5_A" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_cBq0EEwUEeCc9OmUU3L5_A" memberEnd="_cBq0EUwUEeCc9OmUU3L5_A _cBq0FEwUEeCc9OmUU3L5_A">
        <ownedEnd xmi:id="_cBq0FEwUEeCc9OmUU3L5_A" name="" visibility="public" type="_-SSlgEsgEeCgDquuCdSxAg" association="_cBq0EEwUEeCc9OmUU3L5_A">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cBq0FUwUEeCc9OmUU3L5_A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cBq0FkwUEeCc9OmUU3L5_A" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_MxUnEFSGEeCZIfOFML-ypw" memberEnd="_MxXqYFSGEeCZIfOFML-ypw _MxatsFSGEeCZIfOFML-ypw">
        <ownedEnd xmi:id="_MxatsFSGEeCZIfOFML-ypw" name="" visibility="public" type="_wxWPICuxEd-mUrYY2zR9Jw" association="_MxUnEFSGEeCZIfOFML-ypw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MxatsVSGEeCZIfOFML-ypw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MxatslSGEeCZIfOFML-ypw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_lF4XIFSGEeCZIfOFML-ypw" memberEnd="_lF4XIVSGEeCZIfOFML-ypw _lF7aclSGEeCZIfOFML-ypw">
        <ownedEnd xmi:id="_lF7aclSGEeCZIfOFML-ypw" name="" visibility="public" type="_wxWPICuxEd-mUrYY2zR9Jw" association="_lF4XIFSGEeCZIfOFML-ypw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lF-dwFSGEeCZIfOFML-ypw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lF-dwVSGEeCZIfOFML-ypw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_bj0YwFSLEeCZIfOFML-ypw" name="Processor">
        <ownedComment xmi:id="_GPjBcFVdEeCN_KTl5VCkdg" annotatedElement="_bj0YwFSLEeCZIfOFML-ypw">
          <body>A Processor is an organization that performs various tasks upon claim data in order to ensure that the Payer's systems can accept that data.  Some processors assist the Payer in certain adjudication tasks.  This organization is an intermediary between the Biller and the Payer, and performs various value-added services, including routing of electronic payments.  Note that a Processor might be a Third Party Administrator or a Pharmacy Benefits Manager.  For the purposes of claims processing, we do not need to distinguish these.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_iA5w8FSLEeCZIfOFML-ypw" name="bankIdNumber" visibility="public">
          <ownedComment xmi:id="_hOOAQCVFEeO_iaEYDPvTaA" annotatedElement="_iA5w8FSLEeCZIfOFML-ypw">
            <body>&quot;The secondary, tertiary, etc. card issuer or bank ID number used for network routing.&quot; - NCPDP Telecommunication (Field 990-MG, Data Dictionary 201104).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rKRJMFSLEeCZIfOFML-ypw" name="planId" visibility="public">
          <ownedComment xmi:id="_cuqngCryEeOKCrmlnw-Z_w" annotatedElement="_rKRJMFSLEeCZIfOFML-ypw">
            <body>&quot;Assigned by the processor to identify a set of parameters, benefit, or coverage criteria used to adjudicate a claim.&quot; - NCPDP Telecommunication (Field 524-FO, Data Dictionary 201104).&#xD;
Note that this property may relate more to the Health Plan than to the Processor, in which case it would be a duplicate of HealthPlan.id.  In that case this property may need to be removed.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nPf8wFSLEeCZIfOFML-ypw" name="processorControlNumber" visibility="public">
          <ownedComment xmi:id="_8BYR8CrxEeOKCrmlnw-Z_w" annotatedElement="_nPf8wFSLEeCZIfOFML-ypw">
            <body>&quot;Number assigned by the processor.&quot; - NCPDP Telecommunication (Field 104-A4, Data Dictionary 201104).&#xD;
Note that this property may relate more to the transaction than to the Processor, in which case it will need to move to the Billing Event.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zKcEwFSLEeCZIfOFML-ypw" name="payer" visibility="public" type="_420A62FD03B6454662F10302" association="_zKZBcFSLEeCZIfOFML-ypw">
          <ownedComment xmi:id="_K_rSsCrxEeOKCrmlnw-Z_w" annotatedElement="_zKcEwFSLEeCZIfOFML-ypw">
            <body>Pointer to the Payer for which the Processor is acting as an intermediary for claims processing.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zKcEwVSLEeCZIfOFML-ypw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zKcEwlSLEeCZIfOFML-ypw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_zKZBcFSLEeCZIfOFML-ypw" memberEnd="_zKZBcVSLEeCZIfOFML-ypw _zKcEwFSLEeCZIfOFML-ypw"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_eF3lEFVXEeCN_KTl5VCkdg" memberEnd="_eF6oYFVXEeCN_KTl5VCkdg _eF6oY1VXEeCN_KTl5VCkdg">
        <ownedEnd xmi:id="_eF6oY1VXEeCN_KTl5VCkdg" name="" visibility="public" type="_Kk8-kBs0Ed--ZY2-pbJ-Pw" association="_eF3lEFVXEeCN_KTl5VCkdg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eF9rsFVXEeCN_KTl5VCkdg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eF9rsVVXEeCN_KTl5VCkdg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_x68SEFVXEeCN_KTl5VCkdg" name="BillingEvent">
        <ownedComment xmi:id="_McvZgCYCEeOkPsd2JhLMLw" annotatedElement="_x68SEFVXEeCN_KTl5VCkdg">
          <body>This class represents an invoice or bill for a Billable Service.  A single Billable Service may have multiple Billing Events due to the coordination of multiple payers (e.g.,, Health Plan A is billed for 70%, Health Plan B is billed for 20%, and the Patient is billed for the remaining 10%), and a single Payer may be billed multiple times as payment is negotiated electronically (e.g., the Payer might initially reject a bill, and may accept it upon submission of a second bill containing more information).</body>
        </ownedComment>
        <ownedAttribute xmi:id="_FHKmgG9bEeC7Xu_kGrVjuQ" name="amountPaid" visibility="public" type="_420A62FD03B641886F630160" isDerived="true">
          <ownedComment xmi:id="_q4FFQCR7EeOGsKsAZqPe7g" annotatedElement="_FHKmgG9bEeC7Xu_kGrVjuQ">
            <body>&quot;Total amount to be paid by the claims processor (i.e. pharmacy receivable).  Represents a sum of Ingredient Cost Paid, Dispensing Fee Paid, Flat Sales Tax Amount Paid, Percentage Sales Tax Amount Paid, Incentive Amount Paid, Professional Service Fee Paid, and Other Amount Paid, less Patient Pay Amount and Other Payer Amount Recognized.&quot; - NCPDP Telecommunication (Field 509-F9, Data Dictionary 201104).  Note that this field may be calculated and has therefore been modeled as a derived field.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ypkCwG9aEeC7Xu_kGrVjuQ" name="amountSubmitted" visibility="public" type="_420A62FD03B641886F630160" isDerived="true">
          <ownedComment xmi:id="_znbmkCRxEeOGsKsAZqPe7g" annotatedElement="_ypkCwG9aEeC7Xu_kGrVjuQ">
            <body>&quot;Total price claimed from all sources. For prescription claim requests, field represents a sum of Ingredient Cost Submitted, Dispensing Fee Submitted, Flat Sales Tax Amount Submitted, Percentage Sales Tax Amount Submitted, Incentive Amount Submitted, and Other Amount Claimed. For service claim requests, field represents a sum of Professional Services Fee Submitted, Flat Sales Tax Amount Submitted, Percentage Sales Tax Amount Submitted, and Other Amount&quot; - NCPDP Telecommunication (Field 430-DU, Data Dictionary 201104).  Note that this field may be calculated and has therefore been modeled as a derived field.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nEJJMHpaEeCYy4DzyFpAzQ" name="billingResponse" visibility="public" type="_VlqyEHpYEeCYy4DzyFpAzQ" association="_nEGF4HpaEeCYy4DzyFpAzQ">
          <ownedComment xmi:id="_Q9IvoCYPEeOkPsd2JhLMLw" annotatedElement="_nEJJMHpaEeCYy4DzyFpAzQ">
            <body>Pointer to a set of data sent by a Payer in response to a Billing Event detailing the components and reasons for any payments made or not made.&#xD;
Note: this may need to be 0..1, not 0..*.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nEJJMXpaEeCYy4DzyFpAzQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nEJJMnpaEeCYy4DzyFpAzQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_sSr1MHpbEeCYy4DzyFpAzQ" name="billingSubmission" visibility="public" type="_mNIzQHpbEeCYy4DzyFpAzQ" association="_sSox4HpbEeCYy4DzyFpAzQ">
          <ownedComment xmi:id="_QXrSICYPEeOkPsd2JhLMLw" annotatedElement="_sSr1MHpbEeCYy4DzyFpAzQ">
            <body>Pointer to set of data sent to a Payer as part of a Billing Event detailing the components and reasons for the charges being billed.&#xD;
Note: this may need to be 0..1, not 0..*.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sSr1MXpbEeCYy4DzyFpAzQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sSr1MnpbEeCYy4DzyFpAzQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7SXRUJtcEeClAtaO_zSM7g" name="coordinationOfBenefits" visibility="public" type="_yxy-cJtcEeClAtaO_zSM7g" association="_7SRKsJtcEeClAtaO_zSM7g">
          <ownedComment xmi:id="_HgHnICYFEeOkPsd2JhLMLw" annotatedElement="_7SXRUJtcEeClAtaO_zSM7g">
            <body>Pointer to a set of the results of prior Billing Events, including previous payments, which are used in part to determine the liability of the Payer and of the Patient for the current Billing Event.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7SXRUZtcEeClAtaO_zSM7g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7SXRUptcEeClAtaO_zSM7g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0jpZsFVXEeCN_KTl5VCkdg" name="processor" visibility="public" type="_bj0YwFSLEeCZIfOFML-ypw" association="_0jmWYFVXEeCN_KTl5VCkdg">
          <ownedComment xmi:id="__lOBkCrwEeOKCrmlnw-Z_w" annotatedElement="_0jpZsFVXEeCN_KTl5VCkdg">
            <body>Pointer to an organization that serves as an intermediary between the Biller and the Payer, and performs various value-added services, including routing of electronic payments.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0jpZsVVXEeCN_KTl5VCkdg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0jpZslVXEeCN_KTl5VCkdg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eOiPYYVbEeCFWps2bBaH1A" name="payee" visibility="public" type="_347b4IVZEeCFWps2bBaH1A" association="_eOiPYIVbEeCFWps2bBaH1A">
          <ownedComment xmi:id="_379wICRsEeOGsKsAZqPe7g" annotatedElement="_eOiPYYVbEeCFWps2bBaH1A">
            <body>Pointer to the entity to receive payment for the claim.  The entity might be the billing physician, an agent, or a third party.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eOlSsIVbEeCFWps2bBaH1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eOlSsYVbEeCFWps2bBaH1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_0jmWYFVXEeCN_KTl5VCkdg" memberEnd="_0jpZsFVXEeCN_KTl5VCkdg _0jsdAFVXEeCN_KTl5VCkdg">
        <ownedEnd xmi:id="_0jsdAFVXEeCN_KTl5VCkdg" name="" visibility="public" type="_x68SEFVXEeCN_KTl5VCkdg" association="_0jmWYFVXEeCN_KTl5VCkdg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0jsdAVVXEeCN_KTl5VCkdg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0jsdAlVXEeCN_KTl5VCkdg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_oeVegFlZEeCyw5g2lQh-Ug" name="OtherPolicyInfo">
        <ownedComment xmi:id="_Z0Hz8CVKEeO_iaEYDPvTaA" annotatedElement="_oeVegFlZEeCyw5g2lQh-Ug">
          <body>This class contains additional information needed by specific payers to properly identify either the subscriber or the health plan.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_N4RT8FlbEeCyw5g2lQh-Ug" name="medicaidAgencyId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_N4RT8VlbEeCyw5g2lQh-Ug" annotatedElement="_N4RT8FlbEeCyw5g2lQh-Ug">
            <body>&quot;Number assigned by processor to identify the individual Medicaid Agency or representative.&quot; - NCPDP Telecommunication (Field 116-N6, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uRB14FlZEeCyw5g2lQh-Ug" name="medicaidId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_FICC0FlaEeCyw5g2lQh-Ug" annotatedElement="_uRB14FlZEeCyw5g2lQh-Ug">
            <body>&quot;A unique member identification number assigned by the Medicaid Agency.&quot; - NCPDP Telecommunication (Field 115-N5, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MH1NoCVLEeO_iaEYDPvTaA" name="medicaidState" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_hNIMYCVLEeO_iaEYDPvTaA" annotatedElement="_MH1NoCVLEeO_iaEYDPvTaA">
            <body>&quot;Two character State Postal Code indicating the state where Medicaid coverage exists.&quot; - NCPDP Telecommunication (Field 360-2B, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6RR7sFlZEeCyw5g2lQh-Ug" name="medigapId" visibility="public">
          <ownedComment xmi:id="_I-0qwCVKEeO_iaEYDPvTaA" annotatedElement="_6RR7sFlZEeCyw5g2lQh-Ug">
            <body>&quot;Patient’s ID assigned by the Medigap Insurer.&quot; - NCPDP Telecommunication (Field 359-2A, Data Dictionary 201104).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_iWikYFlaEeCyw5g2lQh-Ug" memberEnd="_iWlnsFlaEeCyw5g2lQh-Ug _iWorAllaEeCyw5g2lQh-Ug">
        <ownedEnd xmi:id="_iWorAllaEeCyw5g2lQh-Ug" name="" visibility="public" type="_4ew1QBszEd--ZY2-pbJ-Pw" association="_iWikYFlaEeCyw5g2lQh-Ug">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iWruUFlaEeCyw5g2lQh-Ug" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iWruUVlaEeCyw5g2lQh-Ug" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Wtz0cFlfEeCyw5g2lQh-Ug" name="WorkersCompClaim">
        <ownedComment xmi:id="_hx__cCRYEeOGsKsAZqPe7g" annotatedElement="_Wtz0cFlfEeCyw5g2lQh-Ug">
          <body>&quot;Workers' compensation is a form of insurance providing wage replacement and medical benefits to employees injured in the course of employment in exchange for mandatory relinquishment of the employee's right to sue his or her employer for the tort of negligence.&quot; - Wikipedia.  This class represents a Workers' Compensation Claim, which identifies a particular work-related injury and the employer, and which accumulates the costs for billable medical services related to treatment of the injury.  Claims for reimbursement must cite the case identifier in order to be processed.  Note that the FHIM treats Workers Compensation Claims as a type of Patient Case Management, in that they share a certain amount of active oversight by a case manager.</body>
        </ownedComment>
        <generalization xmi:id="_GxUeYIVYEeCFWps2bBaH1A" general="_wxWPICuxEd-mUrYY2zR9Jw"/>
        <ownedAttribute xmi:id="_PWW3AIVXEeCFWps2bBaH1A" name="dateOfInjury" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_yjupgCRTEeOGsKsAZqPe7g" annotatedElement="_PWW3AIVXEeCFWps2bBaH1A">
            <body>&quot;Date on which the injury occurred.&quot; - NCPDP Telecommunication (Field 434-DY, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NYCTsIVYEeCFWps2bBaH1A" name="employerAddress" visibility="public" type="_420A62FD03B641886F6203C7">
          <ownedComment xmi:id="_Acu2ICRTEeOGsKsAZqPe7g" annotatedElement="_NYCTsIVYEeCFWps2bBaH1A">
            <body>Mailing address of the employer (street address, city, state, and zipcode). - NCPDP Telecommunication (Fields 316-CG, 317-CH, 318-CI, and 319-CJ).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MG-fwCVQEeO_iaEYDPvTaA" name="employerId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_km6ZYCVQEeO_iaEYDPvTaA" annotatedElement="_MG-fwCVQEeO_iaEYDPvTaA">
            <body>&quot;ID assigned to employer.  Required if required by law as defined in the HIPAA final Privacy regulations....  Required if needed for Workers’ Compensation billing.&quot; - NCPDP Telecommunication (Field 333-CZ, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hYZqsIVYEeCFWps2bBaH1A" name="employerName" visibility="public">
          <ownedComment xmi:id="_xTOLQCRQEeOGsKsAZqPe7g" annotatedElement="_hYZqsIVYEeCFWps2bBaH1A">
            <body>&quot;Complete name of employer.&quot; - NCPDP Telecommunication (Field 315-CF, Data Dictionary 201104).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_mox_MIVYEeCFWps2bBaH1A" name="employerPhone" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_ZJGCMCRTEeOGsKsAZqPe7g" annotatedElement="_mox_MIVYEeCFWps2bBaH1A">
            <body>&quot;Ten-digit phone number of employer.&quot; - NCPDP Telecommunication (Field 320-CK, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_p9vI0IVYEeCFWps2bBaH1A" name="employerPointOfContact" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ">
          <ownedComment xmi:id="_iA8MoCRTEeOGsKsAZqPe7g" annotatedElement="_p9vI0IVYEeCFWps2bBaH1A">
            <body>&quot;Employer primary contact.&quot; - NCPDP Telecommunication (Field 321-CL, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_P4vc8CYbEeOkPsd2JhLMLw" name="healthcarePolicy" visibility="public" type="_nwgwQB2ZEd-4VI-lpu-JjQ" association="_P4u14CYbEeOkPsd2JhLMLw">
          <ownedComment xmi:id="_PCzDsCYsEeOkPsd2JhLMLw" annotatedElement="_P4vc8CYbEeOkPsd2JhLMLw">
            <body>Pointer to the Insurance Policy (a contract between an benefits provider and an individual or his/her sponsor to pay for a set of benefits) being cited by the Workmans' Compensation claim for payment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_P4wEACYbEeOkPsd2JhLMLw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_P4wEASYbEeOkPsd2JhLMLw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_UKz94F7eEeCcBvMgXNMeOQ" name="ProfessionalServiceProvision">
        <ownedComment xmi:id="_87URwCarEeOyp-Ce3y08Wg" annotatedElement="_UKz94F7eEeCcBvMgXNMeOQ">
          <body>This class represents the billable aspects of the provision of professional services.  This class will link the clinical data related to professional services to the administrative data needed to bill for the services.</body>
        </ownedComment>
        <generalization xmi:id="_hUkpcF7eEeCcBvMgXNMeOQ" general="_Kk8-kBs0Ed--ZY2-pbJ-Pw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_kcp0sF7eEeCcBvMgXNMeOQ" memberEnd="_kcs4AF7eEeCcBvMgXNMeOQ _kcv7UF7eEeCcBvMgXNMeOQ">
        <ownedEnd xmi:id="_kcv7UF7eEeCcBvMgXNMeOQ" name="" visibility="public" type="___1ngEyrEd-ir98gTBezYA" association="_kcp0sF7eEeCcBvMgXNMeOQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kcv7UV7eEeCcBvMgXNMeOQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kcv7Ul7eEeCcBvMgXNMeOQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_NLuZ8F7gEeCcBvMgXNMeOQ" name="billableService_procedure" memberEnd="_NLxdQF7gEeCcBvMgXNMeOQ _NL0gkF7gEeCcBvMgXNMeOQ">
        <ownedEnd xmi:id="_NL0gkF7gEeCcBvMgXNMeOQ" name="" visibility="public" type="_Kk8-kBs0Ed--ZY2-pbJ-Pw" association="_NLuZ8F7gEeCcBvMgXNMeOQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NL0gkV7gEeCcBvMgXNMeOQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NL0gkl7gEeCcBvMgXNMeOQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ZQ3mUGniEeCyXraDASYTcQ" memberEnd="_ZQ6poGniEeCyXraDASYTcQ _ZQ9s8mniEeCyXraDASYTcQ">
        <ownedEnd xmi:id="_ZQ9s8mniEeCyXraDASYTcQ" name="" visibility="public" type="___1ngEyrEd-ir98gTBezYA" association="_ZQ3mUGniEeCyXraDASYTcQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZRAwQGniEeCyXraDASYTcQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZRAwQWniEeCyXraDASYTcQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Xr1TgGuVEeCZQ_Ui4wPHHw" memberEnd="_Xr3vwGuVEeCZQ_Ui4wPHHw _Xr7aIGuVEeCZQ_Ui4wPHHw">
        <ownedEnd xmi:id="_Xr7aIGuVEeCZQ_Ui4wPHHw" name="" visibility="public" type="___1ngEyrEd-ir98gTBezYA" association="_Xr1TgGuVEeCZQ_Ui4wPHHw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Xr8BMGuVEeCZQ_Ui4wPHHw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Xr8oQGuVEeCZQ_Ui4wPHHw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_e8sMUG9WEeC7Xu_kGrVjuQ" name="BillingSequence">
        <ownedComment xmi:id="_wZDIoCFIEeO3ioY7BiCZOQ" annotatedElement="_e8sMUG9WEeC7Xu_kGrVjuQ">
          <body>This class links the Billable Service with the Billing Events in which the Health Plans are invoiced for the service.  There will typically be one or more Billing Events for a Billable Service: one if benefits are not coordinated among multiple payers (assuming no re-billing is needed); many if benefits coordination takes place (or if some kind of re-billing is needed for a single payer).  This relationship is modeled as zero to many because a Billable Service may exist before a Billing Event is created for it, and it is possible that no Billing Event might occur in the case of cash payments or if the fee is written off.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_dZYNMG9bEeC7Xu_kGrVjuQ" name="sequenceNbr" visibility="public">
          <ownedComment xmi:id="_v09kICFIEeO3ioY7BiCZOQ" annotatedElement="_dZYNMG9bEeC7Xu_kGrVjuQ">
            <body>&quot;If the insurance works in conjunction with other insurance plans, this field contains priority sequence.  Values are: 1, 2, 3, etc.&quot; - HL7 Version 2.8, IN1-22.&#xD;
&quot;Code identifying the type of Other Payer ID&quot; - NCPDP Telecommunication (Field 338-5C, Data Dictionary 201104).  Possible values are 1-9.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_f9koQG9bEeC7Xu_kGrVjuQ" name="billingEvent" visibility="public" type="_x68SEFVXEeCN_KTl5VCkdg" association="_f9hk8G9bEeC7Xu_kGrVjuQ">
          <ownedComment xmi:id="_SIjFwCYCEeOkPsd2JhLMLw" annotatedElement="_f9koQG9bEeC7Xu_kGrVjuQ">
            <body>Pointer to an instance of an invoice or bill for a Billable Service.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_f9koQW9bEeC7Xu_kGrVjuQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_f9koQm9bEeC7Xu_kGrVjuQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_aS3vQG9bEeC7Xu_kGrVjuQ" memberEnd="_aS6ykG9bEeC7Xu_kGrVjuQ _aS914G9bEeC7Xu_kGrVjuQ">
        <ownedEnd xmi:id="_aS914G9bEeC7Xu_kGrVjuQ" name="" visibility="public" type="_Kk8-kBs0Ed--ZY2-pbJ-Pw" association="_aS3vQG9bEeC7Xu_kGrVjuQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_aS914W9bEeC7Xu_kGrVjuQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_aS914m9bEeC7Xu_kGrVjuQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_f9hk8G9bEeC7Xu_kGrVjuQ" memberEnd="_f9koQG9bEeC7Xu_kGrVjuQ _f9nrkG9bEeC7Xu_kGrVjuQ">
        <ownedEnd xmi:id="_f9nrkG9bEeC7Xu_kGrVjuQ" name="" visibility="public" type="_e8sMUG9WEeC7Xu_kGrVjuQ" association="_f9hk8G9bEeC7Xu_kGrVjuQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_f9nrkW9bEeC7Xu_kGrVjuQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_f9nrkm9bEeC7Xu_kGrVjuQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_VlqyEHpYEeCYy4DzyFpAzQ" name="BillingResponse">
        <ownedComment xmi:id="_J2nY4CYPEeOkPsd2JhLMLw" annotatedElement="_VlqyEHpYEeCYy4DzyFpAzQ">
          <body>This class contains data sent by a Payer in response to a Billing Event detailing the components and reasons for any payments made or not made.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_JWApgCSLEeOTgcVYMe3cWA" name="accumulatedDeductibleAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_Iz17ICSMEeOTgcVYMe3cWA" annotatedElement="_JWApgCSLEeOTgcVYMe3cWA">
            <body>&quot;Amount in dollars met by the patient/family in a deductible plan.&quot; - NCPDP Telecommunication (Field 512-FC, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_04F0kCUeEeO_iaEYDPvTaA" name="amountAppliedToDeductible" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_98d_ICUeEeO_iaEYDPvTaA" annotatedElement="_04F0kCUeEeO_iaEYDPvTaA">
            <body>&quot;Amount to be collected from a patient that is included in Patient Pay Amount that is applied to a periodic deductible.&quot; - NCPDP Telecommunication (Field 517-FH, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lV_X4CSKEeOTgcVYMe3cWA" name="amountAttributableToSalesTax" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_quiJ4CSKEeOTgcVYMe3cWA" annotatedElement="_lV_X4CSKEeOTgcVYMe3cWA">
            <body>&quot;Amount to be collected from the patient that is included in Patient Pay Amount that is due to sales tax paid.&quot; - NCPDP Telecommunication (Field 523-FN, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_x69-UCUtEeO_iaEYDPvTaA" name="amountAttributedToBrandSelection" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_xPZKYCUwEeO_iaEYDPvTaA" annotatedElement="_x69-UCUtEeO_iaEYDPvTaA">
            <body>&quot;Amount to be collected from the patient that is included in Patient Pay Amount that is due to the patient’s selection of a Brand product.&quot; - NCPDP Telecommunication (Field 134-UK, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pPMkMCUxEeO_iaEYDPvTaA" name="amountAttributedToBrandNonFormularySelection" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_ABq2cCUyEeO_iaEYDPvTaA" annotatedElement="_pPMkMCUxEeO_iaEYDPvTaA">
            <body>&quot;Amount to be collected from the patient that is included in Patient Pay Amount that is due to the patient’s selection of a Brand Non-Preferred Formulary product.&quot; - NCPDP Telecommunication (Field 136-UN, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hGZboCUyEeO_iaEYDPvTaA" name="amountAttributedToCoverageGap" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_rowAECUyEeO_iaEYDPvTaA" annotatedElement="_hGZboCUyEeO_iaEYDPvTaA">
            <body>&quot;Amount to be collected from the patient that is included in Patient Pay Amount that is due to the patient being in the coverage gap (for example Medicare Part D Coverage Gap (donut hole)). A coverage gap is defined as the period or amount during which the previous coverage ends and before an additional coverage begins.&quot; - NCPDP Telecommunication (Field 137-UP, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_x8pZUCUtEeO_iaEYDPvTaA" name="amountAttributedToNonFormularySelection" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_2_mZACUxEeO_iaEYDPvTaA" annotatedElement="_x8pZUCUtEeO_iaEYDPvTaA">
            <body>&quot;Amount to be collected from the patient that is included in Patient Pay Amount that is due to the patient’s selection of a Non-Preferred Formulary product.&quot; - NCPDP Telecommunication (Field 135-UM, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_x5GWECUtEeO_iaEYDPvTaA" name="amountAttributedToProviderNetworkSelection" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_-WX5oCUuEeO_iaEYDPvTaA" annotatedElement="_x5GWECUtEeO_iaEYDPvTaA">
            <body>&quot;Amount to be collected from the patient that is included in Patient Pay Amount that is due to the patient’s provider network selection.&quot; - NCPDP Telecommunication (Field 133-UJ, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SoaCsCUfEeO_iaEYDPvTaA" name="amountExceedingBenefitMaximum" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_fMnKICUfEeO_iaEYDPvTaA" annotatedElement="_SoaCsCUfEeO_iaEYDPvTaA">
            <body>&quot;Amount to be collected from the patient that is included in Patient Pay Amount that is due to the patient exceeding a periodic benefit maximum.&quot; - NCPDP Telecommunication (Field 520-FK, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-ymxYCUoEeO_iaEYDPvTaA" name="amountOfCoinsurance" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_GI5pgCUpEeO_iaEYDPvTaA" annotatedElement="_-ymxYCUoEeO_iaEYDPvTaA">
            <body>&quot;Amount to be collected from the patient that is included in Patient Pay Amount that is due to a per prescription coinsurance.&quot; - NCPDP Telecommunication (Field 572-4U, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JoT7MCUfEeO_iaEYDPvTaA" name="amountOfCopay" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_NnSSMCUfEeO_iaEYDPvTaA" annotatedElement="_JoT7MCUfEeO_iaEYDPvTaA">
            <body>&quot;Amount to be collected from the patient that is included in Patient Pay Amount that is due to a per prescription copay.&quot; - NCPDP Telecommunication (Field 518-FI, Data Dictionary 201104).&#xD;
</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SuT2YCUfEeO_iaEYDPvTaA" name="amountOfProcessingFee" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_0OcBUCUjEeO_iaEYDPvTaA" annotatedElement="_SuT2YCUfEeO_iaEYDPvTaA">
            <body>&quot;Amount to be collected from the patient that is included in Patient Pay Amount that is due to the processing fee imposed by the processor.&quot; - NCPDP Telecommunication (Field 571-NZ, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-5SFUCUhEeO_iaEYDPvTaA" name="basisOfCalculationCoInsurance" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_fOjfUCUpEeO_iaEYDPvTaA" annotatedElement="_-5SFUCUhEeO_iaEYDPvTaA">
            <body>&quot;Code indicating how the Coinsurance reimbursement amount was calculated for Patient Pay Amount.&quot; - NCPDP Telecommunication (Field 573-4V, Data Dictionary 201104).  Possible values include: Quantity Dispensed; Quantity Intended To Be Dispensed; Usual and Customary/Prorated; Waived Due To Partial Fill; Other.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_i53NECUhEeO_iaEYDPvTaA" name="basisOfCalculationCopay" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_3rNVECUhEeO_iaEYDPvTaA" annotatedElement="_i53NECUhEeO_iaEYDPvTaA">
            <body>&quot;Code indicating how the Copay reimbursement amount was calculated for Patient Pay Amount.&quot; - NCPDP Telecommunication (Field 347-HJ, Data Dictionary 201104).  Possible values include: Quantity Dispensed; Quantity Intended To Be Dispensed; Usual and Customary/Prorated; Waived Due To Partial Fill; Other.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SrbhgCUfEeO_iaEYDPvTaA" name="basisOfCalculationDispensingFee" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_wX1gACUfEeO_iaEYDPvTaA" annotatedElement="_SrbhgCUfEeO_iaEYDPvTaA">
            <body>&quot;Code indicating how the reimbursement amount was calculated for Dispensing Fee Paid&quot; - NCPDP Telecommunication (Field 346-HH, Data Dictionary 201104).  Possible values include: Quantity Dispensed; Quantity Intended To Be Dispensed; Usual and Customary/Prorated; Waived Due To Partial Fill; Other.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-2IqsCUhEeO_iaEYDPvTaA" name="basisOfCalculationFlatSalesTax" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_QT5iECUiEeO_iaEYDPvTaA" annotatedElement="_-2IqsCUhEeO_iaEYDPvTaA">
            <body>&quot;Code indicating how the reimbursement amount was calculated for Flat Sales Tax Amount Paid&quot; - NCPDP Telecommunication (Field 348-HK, Data Dictionary 201104).  Possible values include: Quantity Dispensed; Quantity Intended To Be Dispensed.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-3xCYCUhEeO_iaEYDPvTaA" name="basisOfCalculationPercentageSalesTax" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_eTlTkCUjEeO_iaEYDPvTaA" annotatedElement="_-3xCYCUhEeO_iaEYDPvTaA">
            <body>&quot;Code indicating how the reimbursement amount was calculated for Percentage Sales Tax Amount Paid.&quot; - NCPDP Telecommunication (Field 349-HM, Data Dictionary 201104).  Possible values include: Quantity Dispensed; Quantity Intended To Be Dispensed.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WRj1cHpdEeCYy4DzyFpAzQ" name="basisOfReimbursementDetermination" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_3H_PUCSJEeOTgcVYMe3cWA" annotatedElement="_WRj1cHpdEeCYy4DzyFpAzQ">
            <body>&quot;Code identifying how the reimbursement amount was calculated for &quot;Ingredient Cost Paid.&quot; - NCPDP Telecommunication (Field 522-FM, Data Dictionary 201104).  Possible values include: Default; AWP (Average Wholesale Price); Local Wholesaler; Direct; EAC (Estimated Acquisition Cost); Acquisition; MAC (Maximum Allowable Cost); Usual &amp; Customary; 340B /Disproportionate Share Pricing/Public Health Service; ASP (Average Sales Price); AMP (Average Manufacturer Price); WAC (Wholesale Acquisition Cost); Special Patient Pricing; Other.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JsVXMCUtEeO_iaEYDPvTaA" name="benefitStage" visibility="public" type="_Sb7_gJteEeClAtaO_zSM7g" association="_JsRs0CUtEeO_iaEYDPvTaA">
          <ownedComment xmi:id="_Mk5fwCUtEeO_iaEYDPvTaA" annotatedElement="_JsVXMCUtEeO_iaEYDPvTaA">
            <body>Pointer to a record of the number and dollar amount of payments made in each Medicare Part D stage.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JsWlUCUtEeO_iaEYDPvTaA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JsWlUSUtEeO_iaEYDPvTaA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qLXkkCYNEeOkPsd2JhLMLw" name="benefitStageCount" visibility="public" isDerived="true">
          <ownedComment xmi:id="_qLXkkSYNEeOkPsd2JhLMLw" annotatedElement="_qLXkkCYNEeOkPsd2JhLMLw">
            <body>&quot;Count of Benefit Stage Amount occurrences.&quot; - NCPDP Telecommunication (Field 392-MU, Data Dictionary 201104).  Note that this property is marked as derived, since this number can be calculated from the number of Benefit Stage class instances.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_D2ONcHpbEeCYy4DzyFpAzQ" name="dispensingFee" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_uKNWoCR2EeOGsKsAZqPe7g" annotatedElement="_D2ONcHpbEeCYy4DzyFpAzQ">
            <body>&quot;Dispensing fee paid included in the Total Amount Paid&quot; - NCPDP Telecommunication (Field 507-F7, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_g77nYCSKEeOTgcVYMe3cWA" name="dispensingFeeAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_bkYvICUzEeO_iaEYDPvTaA" annotatedElement="_g77nYCSKEeOTgcVYMe3cWA">
            <body>&quot;Informational field used when Other Payer-Patient Responsibility Amount or Patient Pay Amount is used for reimbursement. Amount is equal to contracted or reimbursable dispensing fee for product being dispensed.&quot; - NCPDP Telecommunication (Field 149-U9, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-0ZhICUoEeO_iaEYDPvTaA" name="estimatedGenericSavings" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_bRWtICUtEeO_iaEYDPvTaA" annotatedElement="_-0ZhICUoEeO_iaEYDPvTaA">
            <body>&quot;The amount, not included in the Total Amount Paid, that the patient would have saved if they had chosen the generic drug instead of the brand drug.&quot; - NCPDP Telecommunication (Field 577-G3, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="__IZW8HpbEeCYy4DzyFpAzQ" name="flatSalesTaxAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_1St_gCR4EeOGsKsAZqPe7g" annotatedElement="__IZW8HpbEeCYy4DzyFpAzQ">
            <body>&quot;Flat sales tax paid which is included in the Total Amount Paid&quot; - NCPDP Telecommunication (Field 558-AW, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_x2iKQCUtEeO_iaEYDPvTaA" name="healthPlanFundedAssistanceAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_nHTK8CUuEeO_iaEYDPvTaA" annotatedElement="_x2iKQCUtEeO_iaEYDPvTaA">
            <body>&quot;The amount from the health plan-funded assistance account for the patient that was applied to reduce Patient Pay Amount. This amount is used in Healthcare Reimbursement Account (HRA) benefits only. This field is always a negative amount or zero. The Health Plan-funded Assistance Amount is part of the patient pay amount calculation and is used to report back to the provider and patient the portion of Patient Pay Amount that was reduced due to this plan-funded assistance. NOTE: There is no credit card transaction involved in this type of Patient Spending Assistance, as in a Flexible Spending Account (FSA).&quot; - NCPDP Telecommunication (Field 129-UD, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="__ES6EHpbEeCYy4DzyFpAzQ" name="incentiveAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_mpJ4oCR5EeOGsKsAZqPe7g" annotatedElement="__ES6EHpbEeCYy4DzyFpAzQ">
            <body>&quot;Amount represents the contractually agreed upon incentive fee paid for specific services rendered. Amount is included in the Total Amount Paid.&quot; - NCPDP Telecommunication (Field 521-FL, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0wrKoHpaEeCYy4DzyFpAzQ" name="ingredientCost" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_iHOs8CR2EeOGsKsAZqPe7g" annotatedElement="_0wrKoHpaEeCYy4DzyFpAzQ">
            <body>&quot;Drug ingredient cost paid included in the Total Amount Paid.&quot; - NCPDP Telecommunication (Field 506-F6, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_x-OtsCUtEeO_iaEYDPvTaA" name="ingredientCostAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_Ac0r8CUzEeO_iaEYDPvTaA" annotatedElement="_x-OtsCUtEeO_iaEYDPvTaA">
            <body>&quot;Informational field used when Other Payer-Patient Responsibility Amount or Patient Pay Amount  is used for reimbursement. Amount is equal to contracted or reimbursable amount for product being dispensed.&quot; - NCPDP Telecommunication (Field 148-U8, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5WIWICRuEeOGsKsAZqPe7g" name="otherAmountPaidCount" visibility="public" isDerived="true">
          <eAnnotations xmi:id="_PGHQoCRvEeOGsKsAZqPe7g" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_Ol9w8CRvEeOGsKsAZqPe7g" annotatedElement="_5WIWICRuEeOGsKsAZqPe7g">
            <body>&quot;Count of the other amount paid occurrences.&quot; - NCPDP Telecommunication (Field 563-J2, Data Dictionary 201104).  Note that this property could potentially be calculated based on the number of instances of the Other Amount class.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Nzk0QCR7EeOGsKsAZqPe7g" name="otherPayerAmountRecognized" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_Nzk0QSR7EeOGsKsAZqPe7g" annotatedElement="_Nzk0QCR7EeOGsKsAZqPe7g">
            <body>&quot;Total amount recognized by the processor of any payment from another source.&quot; - NCPDP Telecommunication (Field 566-J5, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="__Ch_gHpbEeCYy4DzyFpAzQ" name="patientPayAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_TcFHICR2EeOGsKsAZqPe7g" annotatedElement="__Ch_gHpbEeCYy4DzyFpAzQ">
            <body>&quot;Amount that is calculated by the processor and returned to the pharmacy as the TOTAL amount to be paid by the patient to the pharmacy; the patient’s total cost share, including copayments, amounts applied to deductible, over maximum amounts, penalties, etc.&quot; - NCPDP Telecommunication (Field 505-F5, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SwoKkCUfEeO_iaEYDPvTaA" name="patientSalesTaxAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_TMkwoCUoEeO_iaEYDPvTaA" annotatedElement="_SwoKkCUfEeO_iaEYDPvTaA">
            <body>&quot;Patient sales tax responsibility. This field is not a component of the Patient Pay Amount formula.&quot; - NCPDP Telecommunication (Field 575-EQ, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lFeLIHpcEeCYy4DzyFpAzQ" name="percentageSalesTaxAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_9kDjkCR4EeOGsKsAZqPe7g" annotatedElement="_lFeLIHpcEeCYy4DzyFpAzQ">
            <body>&quot;Amount of percentage sales tax paid which is included in the Total Amount Paid&quot; - NCPDP Telecommunication (Field 559-AX, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lIYVMHpcEeCYy4DzyFpAzQ" name="percentageSalesTaxBasis" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ZlktkCR5EeOGsKsAZqPe7g" annotatedElement="_lIYVMHpcEeCYy4DzyFpAzQ">
            <body>&quot;Code indicating the percentage sales tax paid basis.&quot; - NCPDP Telecommunication (Field 561-AZ, Data Dictionary 201104).  Possible values include: Ingredient Cost; Ingredient Cost plus Dispensing Fee; Not Specified.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lG5ugHpcEeCYy4DzyFpAzQ" name="percentageSalesTaxRate" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_FUG_gCR5EeOGsKsAZqPe7g" annotatedElement="_lG5ugHpcEeCYy4DzyFpAzQ">
            <body>&quot;Percentage sales tax rate used to calculate Percentage Sales Tax Amount Paid&quot; - NCPDP Telecommunication (Field 560-AY, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SzYjoCUfEeO_iaEYDPvTaA" name="planSalesTaxAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_ie5EICUoEeO_iaEYDPvTaA" annotatedElement="_SzYjoCUfEeO_iaEYDPvTaA">
            <body>&quot;Plan sales tax responsibility. This field is not a component of the Patient Pay Amount formula.&quot; - NCPDP Telecommunication (Field 574-2Y, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JL3ccHpbEeCYy4DzyFpAzQ" name="professionalServiceFee" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_x1i4kCR5EeOGsKsAZqPe7g" annotatedElement="_JL3ccHpbEeCYy4DzyFpAzQ">
            <body>&quot;Amount representing the contractually agreed upon fee for professional services rendered.  This amount is included in the Total Amount Paid.&quot; - NCPDP Telecommunication (Field 562-J1, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QNJOgCSNEeOTgcVYMe3cWA" name="remainingBenefitAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_SF2ckCSNEeOTgcVYMe3cWA" annotatedElement="_QNJOgCSNEeOTgcVYMe3cWA">
            <body>&quot;Amount remaining in a patient/family plan with a periodic maximum benefit.&quot; - NCPDP Telecommunication (Field 514-FE, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2kLQQCSMEeOTgcVYMe3cWA" name="remainingDeductibleAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_F-ykICSNEeOTgcVYMe3cWA" annotatedElement="_2kLQQCSMEeOTgcVYMe3cWA">
            <body>&quot;Amount not met by the patient/family in the deductible plan.&quot; - NCPDP Telecommunication (Field 513-FD, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-2NfACUoEeO_iaEYDPvTaA" name="spendingAccountAmountRemaining" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_pY7r0CUtEeO_iaEYDPvTaA" annotatedElement="_-2NfACUoEeO_iaEYDPvTaA">
            <body>&quot;The balance from the patient’s spending account after this transaction was applied.&quot; - NCPDP Telecommunication (Field 128-UC, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DnJZUCR3EeOGsKsAZqPe7g" name="taxExemptCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_HIOTYCR3EeOGsKsAZqPe7g" annotatedElement="_DnJZUCR3EeOGsKsAZqPe7g">
            <body>&quot;Code indicating the payer and/or the patient is exempt from taxes.&quot; - NCPDP Telecommunication (Field 557-AV, Data Dictionary 201104).  Possible values include: Payer/Plan is Tax Exempt; Patient is Tax Exempt; Payer/Plan and Patient are Tax Exempt.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fFeFoHpeEeCYy4DzyFpAzQ" name="otherAmount" visibility="public" type="_68JHAHpdEeCYy4DzyFpAzQ" association="_fFbCUHpeEeCYy4DzyFpAzQ">
          <ownedComment xmi:id="_Bgg0ICYQEeOkPsd2JhLMLw" annotatedElement="_fFeFoHpeEeCYy4DzyFpAzQ">
            <body>Pointer to a set of additional costs associated with a dispensed prescription or service that were reimbursed.  Examples of such costs include shipping, compound preparation, incentives, and taxes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fFeFoXpeEeCYy4DzyFpAzQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fFhI8HpeEeCYy4DzyFpAzQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_nEGF4HpaEeCYy4DzyFpAzQ" memberEnd="_nEJJMHpaEeCYy4DzyFpAzQ _nEJJM3paEeCYy4DzyFpAzQ">
        <ownedEnd xmi:id="_nEJJM3paEeCYy4DzyFpAzQ" name="" visibility="public" type="_x68SEFVXEeCN_KTl5VCkdg" association="_nEGF4HpaEeCYy4DzyFpAzQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nEJJNHpaEeCYy4DzyFpAzQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nEJJNXpaEeCYy4DzyFpAzQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_mNIzQHpbEeCYy4DzyFpAzQ" name="BillingSubmission">
        <ownedComment xmi:id="_DnxRACYPEeOkPsd2JhLMLw" annotatedElement="_mNIzQHpbEeCYy4DzyFpAzQ">
          <body>This class contains data sent to a Payer as part of a Billing Event detailing the components and reasons for the charges being billed.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_wmQRQHpdEeCYy4DzyFpAzQ" name="basisOfCostDetermination" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_f1wWYCRyEeOGsKsAZqPe7g" annotatedElement="_wmQRQHpdEeCYy4DzyFpAzQ">
            <body>&quot;Code indicating the method by which Ingredient Cost Submitted was calculated.&quot; - NCPDP Telecommunication (Field 423-DN, Data Dictionary 201104).  Possible values include: Default; AWP (Average Wholesale Price); Local Wholesaler; Direct; EAC (Estimated Acquisition Cost); Acquisition; MAC (Maximum Allowable Cost); Usual &amp; Customary; 340B /Disproportionate Share Pricing/Public Health Service; ASP (Average Sales Price); AMP (Average Manufacturer Price); WAC (Wholesale Acquisition Cost); Special Patient Pricing; Other.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wmQRQXpdEeCYy4DzyFpAzQ" name="dispensingFee" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_snbrYCRtEeOGsKsAZqPe7g" annotatedElement="_wmQRQXpdEeCYy4DzyFpAzQ">
            <body>&quot;Dispensing fee submitted by the pharmacy. This amount is included in the Gross Amount Due&quot; - NCPDP Telecommunication (Field 412-DC, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wmQRQnpdEeCYy4DzyFpAzQ" name="flatSalesTaxAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_adXAQCRwEeOGsKsAZqPe7g" annotatedElement="_wmQRQnpdEeCYy4DzyFpAzQ">
            <body>&quot;Flat sales tax submitted for prescription. This amount is included in the Gross Amount Due.&quot; - NCPDP Telecommunication (Field 481-HA, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wmQRQ3pdEeCYy4DzyFpAzQ" name="incentiveAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_j1vW0CRuEeOGsKsAZqPe7g" annotatedElement="_wmQRQ3pdEeCYy4DzyFpAzQ">
            <body>&quot;Amount represents a fee that is submitted by the pharmacy for contractually agreed upon services. This amount is included in the Gross Amount Due.&quot; - NCPDP Telecommunication (Field 438-E3, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wmQRRHpdEeCYy4DzyFpAzQ" name="ingredientCost" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_j-5IQCRtEeOGsKsAZqPe7g" annotatedElement="_wmQRRHpdEeCYy4DzyFpAzQ">
            <body>&quot;Submitted product component cost of the dispensed prescription. This amount is included in the Gross Amount Due&quot; - NCPDP Telecommunication (Field 409-D9, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wmQRRXpdEeCYy4DzyFpAzQ" name="medicaidPaidAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_wJSPQCRyEeOGsKsAZqPe7g" annotatedElement="_wmQRRXpdEeCYy4DzyFpAzQ">
            <body>&quot;Amount paid by the Medicaid Agency.  Required if affects pricing in Medicaid Subrogation (contains the amount paid to the pharmacy). See Medicaid Subrogation Implementation Guide.&quot; - NCPDP Telecommunication (Field 113-N3, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TxnnQJBhEeCMBO4kb261_A" name="narrative" visibility="public">
          <ownedComment xmi:id="_TKVXMCRzEeOGsKsAZqPe7g" annotatedElement="_TxnnQJBhEeCMBO4kb261_A">
            <body>Contains any comments to describe the billable event or to provide justification for payment.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XGt60JBhEeCMBO4kb261_A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XGt60ZBhEeCMBO4kb261_A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wmQRRnpdEeCYy4DzyFpAzQ" name="patientPaidAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_WzxVUCRuEeOGsKsAZqPe7g" annotatedElement="_wmQRRnpdEeCYy4DzyFpAzQ">
            <body>&quot;Amount the pharmacy received from the patient for the prescription dispensed.&quot; - NCPDP Telecommunication (Field 433-DX, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wmQRR3pdEeCYy4DzyFpAzQ" name="percentageSalesTaxAmount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_mqpcgCRwEeOGsKsAZqPe7g" annotatedElement="_wmQRR3pdEeCYy4DzyFpAzQ">
            <body>&quot;Percentage sales tax submitted. This amount is included in the Gross Amount Due.&quot; - NCPDP Telecommunication (Field 482-GE, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wmQRSHpdEeCYy4DzyFpAzQ" name="percentageSalesTaxBasis" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_B0glwCRxEeOGsKsAZqPe7g" annotatedElement="_wmQRSHpdEeCYy4DzyFpAzQ">
            <body>&quot;Code indicating the basis for percentage sales tax.&quot; - NCPDP Telecommunication (Field 483-HE, Data Dictionary 201104).  Possible values include: Ingredient Cost; Ingredient Cost plus Dispensing Fee; Not Specified.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wmQRSXpdEeCYy4DzyFpAzQ" name="percentageSalesTaxRate" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_vsuhACRwEeOGsKsAZqPe7g" annotatedElement="_wmQRSXpdEeCYy4DzyFpAzQ">
            <body>&quot;Percentage sales tax rate used to calculate Percentage Sales Tax Amount Submitted&quot; - NCPDP Telecommunication (Field 483-HE, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wmQRSnpdEeCYy4DzyFpAzQ" name="professionalServiceFee" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_KZyg4CRuEeOGsKsAZqPe7g" annotatedElement="_wmQRSnpdEeCYy4DzyFpAzQ">
            <body>&quot;Amount submitted by the provider for professional services rendered.&quot; - NCPDP Telecommunication (Field 477-BE, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wmQRS3pdEeCYy4DzyFpAzQ" name="usualAndCustomaryCharge" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_NFvpcCRxEeOGsKsAZqPe7g" annotatedElement="_wmQRS3pdEeCYy4DzyFpAzQ">
            <body>&quot;Amount charged cash customers for the prescription exclusive of sales tax or other amounts claimed.&quot; - NCPDP Telecommunication (Field 426-DQ, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ep9OUXpeEeCYy4DzyFpAzQ" name="otherAmount" visibility="public" type="_68JHAHpdEeCYy4DzyFpAzQ" association="_ep9OUHpeEeCYy4DzyFpAzQ">
          <ownedComment xmi:id="_34ETMCYPEeOkPsd2JhLMLw" annotatedElement="_ep9OUXpeEeCYy4DzyFpAzQ">
            <body>Pointer to a set of additional costs incurred or claimed for a dispensed prescription or service.  Examples of such costs include shipping, compound preparation, incentives, and taxes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eqARoHpeEeCYy4DzyFpAzQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eqARoXpeEeCYy4DzyFpAzQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PzNmMCR6EeOGsKsAZqPe7g" name="otherAmountSubmittedCount" visibility="public" isDerived="true">
          <eAnnotations xmi:id="_PzNmMSR6EeOGsKsAZqPe7g" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PzNmMiR6EeOGsKsAZqPe7g" annotatedElement="_PzNmMCR6EeOGsKsAZqPe7g">
            <body>&quot;Count of other amount claimed submitted occurrences.&quot; - NCPDP Telecommunication (Field 478-H7, Data Dictionary 201104).  Note that this property could potentially be calculated based on the number of instances of the Other Amount class.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_sSox4HpbEeCYy4DzyFpAzQ" memberEnd="_sSr1MHpbEeCYy4DzyFpAzQ _sSu4gHpbEeCYy4DzyFpAzQ">
        <ownedEnd xmi:id="_sSu4gHpbEeCYy4DzyFpAzQ" name="" visibility="public" type="_x68SEFVXEeCN_KTl5VCkdg" association="_sSox4HpbEeCYy4DzyFpAzQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sSu4gXpbEeCYy4DzyFpAzQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sSu4gnpbEeCYy4DzyFpAzQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_68JHAHpdEeCYy4DzyFpAzQ" name="OtherAmount">
        <ownedComment xmi:id="_0Mq_gCYPEeOkPsd2JhLMLw" annotatedElement="_68JHAHpdEeCYy4DzyFpAzQ">
          <body>This class provides details concerning any additional costs incurred or claimed for a dispensed prescription or service.  Examples of such costs include shipping, compound preparation, incentives, and taxes.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_Y-ijoHpeEeCYy4DzyFpAzQ" name="amount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_jT28UCRvEeOGsKsAZqPe7g" annotatedElement="_Y-ijoHpeEeCYy4DzyFpAzQ">
            <body>&quot;Amount representing the additional incurred costs for a dispensed prescription or service.&quot; - NCPDP Telecommunication (Field 480-H9, Data Dictionary 201104).&#xD;
&quot;Amount paid for additional costs claimed in Other Amount Claimed Submitted.&quot; - NCPDP Telecommunication (Field 565-J4, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ccPZkHpeEeCYy4DzyFpAzQ" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_xku2YCRuEeOGsKsAZqPe7g" annotatedElement="_ccPZkHpeEeCYy4DzyFpAzQ">
            <body>&quot;Code identifying the additional incurred cost claimed in Other Amount Claimed Submitted&quot; - NCPDP Telecommunication (Field 479-H8, Data Dictionary 201104).&#xD;
&quot;Code clarifying the value in the Other Amount Paid.&quot; - NCPDP Telecommunication (Field 564-J3, Data Dictionary 201104).&#xD;
Possible values include: Delivery Cost; Shipping Cost; Postage Cost; Administrative Cost; Incentive; Cognitive Service; Drug Benefit; Compound Preparation Cost Submitted; Sales Tax.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ep9OUHpeEeCYy4DzyFpAzQ" memberEnd="_ep9OUXpeEeCYy4DzyFpAzQ _eqARonpeEeCYy4DzyFpAzQ">
        <ownedEnd xmi:id="_eqARonpeEeCYy4DzyFpAzQ" name="" visibility="public" type="_mNIzQHpbEeCYy4DzyFpAzQ" association="_ep9OUHpeEeCYy4DzyFpAzQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eqARo3peEeCYy4DzyFpAzQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eqARpHpeEeCYy4DzyFpAzQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_fFbCUHpeEeCYy4DzyFpAzQ" memberEnd="_fFeFoHpeEeCYy4DzyFpAzQ _fFhI8XpeEeCYy4DzyFpAzQ">
        <ownedEnd xmi:id="_fFhI8XpeEeCYy4DzyFpAzQ" name="" visibility="public" type="_VlqyEHpYEeCYy4DzyFpAzQ" association="_fFbCUHpeEeCYy4DzyFpAzQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fFhI8npeEeCYy4DzyFpAzQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fFhI83peEeCYy4DzyFpAzQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_B95dEHpfEeCYy4DzyFpAzQ" name="CouponRedemption">
        <ownedComment xmi:id="_8id9QCPUEeOWt_Gp5Q0GJA" annotatedElement="_B95dEHpfEeCYy4DzyFpAzQ">
          <body>This class contains information about the patient's use of a manufacturers coupon to reduce the patient's out-of-pocket cost for the prescription.&#xD;
&quot;A coupon is used to reduce the patient out of pocket prescription cost – by either reducing the cost of a cash prescription or the patient financial responsibility from a Third Party payer who allows coupon usage. The coupon processor is the LAST payer.  (Note:  Some Federal and State programs do not allow the reduction of patient’s financial responsibility.)  When a customer has a coupon, the Usual And Customary Charge field is not reduced by the amount of the coupon.&quot; - NCPDP Telecommunication D.6, Coupon Segment.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_r5NocXpfEeCYy4DzyFpAzQ" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_TrYZkCPVEeOWt_Gp5Q0GJA" annotatedElement="_r5NocXpfEeCYy4DzyFpAzQ">
            <body>&quot;Code indicating the type of coupon being used.&quot; - NCPDP Telecommunication (Field 485-KE, Data Dictionary 201104).  Possible values include: Price Discount; Free Product; Other.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_vg2dgHpfEeCYy4DzyFpAzQ" name="id" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_bhUbECPVEeOWt_Gp5Q0GJA" annotatedElement="_vg2dgHpfEeCYy4DzyFpAzQ">
            <body>&quot;Unique serial number assigned to the prescription coupons.&quot; - NCPDP Telecommunication (Field 485-ME, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_r5NocHpfEeCYy4DzyFpAzQ" name="value" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_nxMRQCPVEeOWt_Gp5Q0GJA" annotatedElement="_r5NocHpfEeCYy4DzyFpAzQ">
            <body>&quot;Value of the coupon.&quot; - NCPDP Telecommunication (Field 485-NE, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Dbl4MHphEeCYy4DzyFpAzQ" name="PriorAuthorizationRequest">
        <ownedComment xmi:id="_pDoe4AMiEeKTM4I4vlc5xg" annotatedElement="_Dbl4MHphEeCYy4DzyFpAzQ">
          <body>&quot;Based on the type of insurance, some coverage plans require that an authorization number or code be obtained prior to all non-emergency admissions, and within 48 hours of an emergency admission.  Insurance billing would not be permitted without this number.  The date and source of authorization are the components of this field.&quot; - HL7 Version 2.8, IN1-14.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_k_1ZAHpjEeCYy4DzyFpAzQ" name="authorizationId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_qWM6AAMiEeKTM4I4vlc5xg" annotatedElement="_k_1ZAHpjEeCYy4DzyFpAzQ">
            <body>&quot;Based on the type of insurance, some coverage plans require that an authorization number or code be obtained prior to all non-emergency admissions, and within 48 hours of an emergency admission.  Insurance billing would not be permitted without this number.  The date and source of authorization are the components of this field.&quot; - HL7 Version 2.8, IN1-14.&#xD;
&quot;Number assigned by the processor to identify an authorized transaction.&quot; - NCPDP Telecommunication (Field 503-F3, Data Dictionary 201104).&#xD;
&quot;Based on the type of insurance, some coverage plans require that an authorization number or code be obtained prior to all non-emergency admissions, and within 48 hours of an emergency admission.  Insurance billing would not be permitted without this number.  The date and source of authorization are the components of this field.&quot; - HL7 Version 2.8, IN1-14.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_o1cqkHphEeCYy4DzyFpAzQ" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_wH3KcNUeEeGzd-o9XtejuA" annotatedElement="_o1cqkHphEeCYy4DzyFpAzQ">
            <body>&quot;Beginning date for a prior authorization request.&quot; - NCPDP Telecommunication (Field 498-PB, Data Dictionary 201104).&#xD;
&quot;Ending date for a prior authorization request.&quot; - NCPDP Telecommunication (Field 498-PC, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ci4lYHpkEeCYy4DzyFpAzQ" name="previousAuthorizationId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_GO5ZwCF5EeOiKdy59Xpbgg" annotatedElement="_ci4lYHpkEeCYy4DzyFpAzQ">
            <body>&quot;Unique number identifying the prior authorization assigned by the processor.  Provided to the pharmacy by the processor to be used by the pharmacy for billing, and if applicable, reversal purposes.&quot; - NCPDP Telecommunication (Field 498-PY, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_C-Kf4HpiEeCYy4DzyFpAzQ" name="requestBasis" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_5BiVsCF6EeOiKdy59Xpbgg" annotatedElement="_C-Kf4HpiEeCYy4DzyFpAzQ">
            <body>&quot;Code describing the reason for prior authorization request.&quot; - NCPDP Telecommunication (Field 498-PD, Data Dictionary 201104).  Possible values include: Medical Exception; Plan Requirement; Increase Plan Limitation.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LMg20HphEeCYy4DzyFpAzQ" name="requestType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_RCfCsCF6EeOiKdy59Xpbgg" annotatedElement="_LMg20HphEeCYy4DzyFpAzQ">
            <body>&quot;Code identifying type of prior authorization request.  Used by processor to distinguish reason for prior authorization request.&quot; - NCPDP Telecommunication (Field 498-PA, Data Dictionary 201104).  Possible values include: Initial; Reauthorization; Deferred.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_b8jaoHpjEeCYy4DzyFpAzQ" name="supportingDocumentation" visibility="public">
          <ownedComment xmi:id="_mjwoQCF5EeOiKdy59Xpbgg" annotatedElement="_b8jaoHpjEeCYy4DzyFpAzQ">
            <body>&quot;Could be used, if applicable, to supply information not already included in NCPDP data fields that may be required to process a prior authorization transaction.&quot; - NCPDP Telecommunication (Field 498-PP, Data Dictionary 201104).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_q8WQMXpiEeCYy4DzyFpAzQ" name="authorizedRepresentative" visibility="public" type="_bYKKMP2KEd-vp-CAyKeWfQ" association="_q8WQMHpiEeCYy4DzyFpAzQ">
          <ownedComment xmi:id="_4O5iYCF7EeOiKdy59Xpbgg" annotatedElement="_q8WQMXpiEeCYy4DzyFpAzQ">
            <body>Authorized Representative first name, last name, street address, city, state, and zipcode. - NCPDP Telecommunication (Fields 498-PE, 498-PF, 498-PG, 498-PH, 498-PJ, and 498-PK).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_q8ZTgHpiEeCYy4DzyFpAzQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_q8ZTgXpiEeCYy4DzyFpAzQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_q8WQMHpiEeCYy4DzyFpAzQ" memberEnd="_q8WQMXpiEeCYy4DzyFpAzQ _q8ZTgnpiEeCYy4DzyFpAzQ">
        <ownedEnd xmi:id="_q8ZTgnpiEeCYy4DzyFpAzQ" name="" visibility="public" type="_Dbl4MHphEeCYy4DzyFpAzQ" association="_q8WQMHpiEeCYy4DzyFpAzQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_q8cW0HpiEeCYy4DzyFpAzQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_q8cW0XpiEeCYy4DzyFpAzQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_347b4IVZEeCFWps2bBaH1A" name="Payee">
        <ownedComment xmi:id="_1CmWUCRsEeOGsKsAZqPe7g" annotatedElement="_347b4IVZEeCFWps2bBaH1A">
          <body>This class identifies the entity to receive payment for the claim.  The entity might be the billing physician, an agent, or a third party.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_-bZqYIVZEeCFWps2bBaH1A" name="address" visibility="public" type="_420A62FD03B641886F6203C7">
          <ownedComment xmi:id="_ku7TgCRsEeOGsKsAZqPe7g" annotatedElement="_-bZqYIVZEeCFWps2bBaH1A">
            <body>Mailing address of the entity to receive payment for claim (street address, city, state, and zipcode). - NCPDP Telecommunication (Fields 121-TV, 122-TW, 123-TX, and 124-TY).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VBsFUIVbEeCFWps2bBaH1A" name="billingType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_tXMOACRlEeOGsKsAZqPe7g" annotatedElement="_VBsFUIVbEeCFWps2bBaH1A">
            <body>&quot;A code that identifies the entity submitting the billing transaction.&quot; - NCPDP Telecommunication (Field 117-TR, Data Dictionary 201104).  Possible values include: Provider Submitted-Pay to Provider; Provider Submitted-Pay to Another Party; Agent Submitted-Pay to Agent; Agent Submitted-Pay to Another Party.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-bWnEIVZEeCFWps2bBaH1A" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_B53LYCRnEeOGsKsAZqPe7g" annotatedElement="_-bWnEIVZEeCFWps2bBaH1A">
            <body>&quot;Identifying number of the entity to receive payment for claim.&quot; - NCPDP Telecommunication (Field 119-TT, Data Dictionary 201104).&#xD;
Note that the NCPDP Telecommunication structure uses a separate &quot;qualifier&quot; field (118-TS) to identify what kind of id is being used here (i.e., who issued the id).  Possible values include: National Provider Identifier (NPI); Blue Cross; Blue Shield; Medicare; Medicaid; UPIN (Unique Physician/Practitioner Identification Number); NCPDP Provider Identification Number (deprecated); State License; CHAMPUS (Civilian Health and Medical Program of the Uniformed Services); Health Industry Number (HIN); Federal Tax ID; Drug Enforcement Administration (DEA) Number; State Issued; Plan Specific; HCID (HC IDea); Combat Methamphetamine Epidemic Act (CMEA) Certificate ID; Other.  The FHIM does not model this concept separately, as it is built-in to the the Id data type structure.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-bZqYYVZEeCFWps2bBaH1A" name="name" visibility="public">
          <ownedComment xmi:id="_Hxgh8CRsEeOGsKsAZqPe7g" annotatedElement="_-bZqYYVZEeCFWps2bBaH1A">
            <body>&quot;Name of the entity to receive payment for claim.&quot; - NCPDP Telecommunication (Field 120-TU, Data Dictionary 201104).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_eOiPYIVbEeCFWps2bBaH1A" memberEnd="_eOiPYYVbEeCFWps2bBaH1A _eOlSsoVbEeCFWps2bBaH1A">
        <ownedEnd xmi:id="_eOlSsoVbEeCFWps2bBaH1A" name="" visibility="public" type="_x68SEFVXEeCN_KTl5VCkdg" association="_eOiPYIVbEeCFWps2bBaH1A">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eOoWAIVbEeCFWps2bBaH1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eOoWAYVbEeCFWps2bBaH1A" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_zuqhwJBYEeCMBO4kb261_A" memberEnd="_zutlEJBYEeCMBO4kb261_A _zutlE5BYEeCMBO4kb261_A">
        <ownedEnd xmi:id="_zutlE5BYEeCMBO4kb261_A" name="" visibility="public" type="_wxWPICuxEd-mUrYY2zR9Jw" association="_zuqhwJBYEeCMBO4kb261_A">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zutlFJBYEeCMBO4kb261_A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zutlFZBYEeCMBO4kb261_A" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_3fRBYJBfEeCMBO4kb261_A" memberEnd="_3fUEsJBfEeCMBO4kb261_A _3fXIAJBfEeCMBO4kb261_A">
        <ownedEnd xmi:id="_3fXIAJBfEeCMBO4kb261_A" name="" visibility="public" type="_Kk8-kBs0Ed--ZY2-pbJ-Pw" association="_3fRBYJBfEeCMBO4kb261_A">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3fXIAZBfEeCMBO4kb261_A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3fXIApBfEeCMBO4kb261_A" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_N9_qQJXcEeCD7vwmJe8BlA" name="CertificateOfMedicalNecessity">
        <ownedComment xmi:id="_6KxCgCX3EeOkPsd2JhLMLw" annotatedElement="_N9_qQJXcEeCD7vwmJe8BlA">
          <body>A Certificate of Medical Necessity is a document required by Centers for Medicare and Medicaid Services to substantiate the medical necessity of an item (e.g., a durable medical equipment) or service furnished to a Medicare beneficiary.  Medical necessity is a legal doctrine, related to activities which may be justified as reasonable, necessary, and/or appropriate, based on evidence-based clinical standards of care.  By statute, Medicare may only pay for items and services that are &quot;reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member&quot;, unless there is another statutory authorization for payment. - adapted from wikipedia.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_t4G2cJXcEeCD7vwmJe8BlA" name="dateBegin" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_V6NscCX1EeOkPsd2JhLMLw" annotatedElement="_t4G2cJXcEeCD7vwmJe8BlA">
            <body>&quot;The beginning date of need.&quot; - NCPDP Telecommunication (Field 374-2V, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xeS6AJXcEeCD7vwmJe8BlA" name="dateRevisedOrRecertified" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_daj4cCX1EeOkPsd2JhLMLw" annotatedElement="_xeS6AJXcEeCD7vwmJe8BlA">
            <body>&quot;The effective date of the revision or re-certification provided by the certifying physician.&quot; - NCPDP Telecommunication (Field 375-2W, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_a6cdIJXdEeCD7vwmJe8BlA" name="dateSigned" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_teWvYCX5EeOkPsd2JhLMLw" annotatedElement="_a6cdIJXdEeCD7vwmJe8BlA">
            <body>&quot;The date the form was completed and signed by the ordering physician.&quot; - NCPDP Telecommunication (Field 372-2T, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jNqF8JXcEeCD7vwmJe8BlA" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_WxegECX_EeOkPsd2JhLMLw" annotatedElement="_jNqF8JXcEeCD7vwmJe8BlA">
            <body>&quot;Unique identifier for the data being submitted.&quot; - NCPDP Telecommunication (Field 369-2Q, Data Dictionary 201104).  Possible values include: Hospital Beds; Support Surfaces; Motorized Wheel Chair; Manual Wheelchair; Continuous Positive Airway Pressure (CPAP); Lymphedema Pumps; Osteogenesis Stimulator; Transcutaneous Electrical Nerve Stimulator TENS); Seat Lift Mechanisms; Power Operated Vehicles (POV); Immunosuppressive Drugs; Infusion Pump; Parenteral Nutrition; Enteral Nutrition; Oxygen.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nXELUJXcEeCD7vwmJe8BlA" name="lengthOfNeed" visibility="public" type="_420A62FD03B64239FAA800D9">
          <ownedComment xmi:id="_30DfQCX2EeOkPsd2JhLMLw" annotatedElement="_nXELUJXcEeCD7vwmJe8BlA">
            <body>&quot;Length of time the physician expects the patient to require use of the ordered item.&quot; - NCPDP Telecommunication (Field 370-2R, Data Dictionary 201104).  Note that the NCPDP Telecommunication structure uses a separate &quot;qualifier&quot; field (371-2S) to provide the units of measure for the time quantity represented in 370-2R.  Possible values include: Hours; Days; Weeks; Months; Years; Lifetime; Not Specified.  Note that each of these units, except for &quot;Lifetime&quot; are handled in the TimeQuantity datatype.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_iyjo4JXdEeCD7vwmJe8BlA" name="narrative" visibility="public">
          <ownedComment xmi:id="_QpCpkCX8EeOkPsd2JhLMLw" annotatedElement="_iyjo4JXdEeCD7vwmJe8BlA">
            <body>&quot;Free text message&quot; - NCPDP Telecommunication (Field 376-2X, Data Dictionary 201104).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iyjo4pXdEeCD7vwmJe8BlA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iyjo4ZXdEeCD7vwmJe8BlA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cS_vQCX8EeOkPsd2JhLMLw" name="questionCount" visibility="public" isDerived="true">
          <ownedComment xmi:id="_OnLDACX9EeOkPsd2JhLMLw" annotatedElement="_cS_vQCX8EeOkPsd2JhLMLw">
            <body>&quot;Count of Question Number/Letter occurrences.&quot; - NCPDP Telecommunication (Field 377-2Z, Data Dictionary 201104).  Note that this is modeled as a derived property as it may potentially be calculated based on the number of Assessment Instrument Response instances.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TX2D0JXcEeCD7vwmJe8BlA" name="requestStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_-o2CQCX1EeOkPsd2JhLMLw" annotatedElement="_TX2D0JXcEeCD7vwmJe8BlA">
            <body>&quot;Code identifying type of request.&quot; - NCPDP Telecommunication (Field 373-2U, Data Dictionary 201104).  Possible values include: Initial; Revision; Recertification; Not Specified.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DYLbACX9EeOkPsd2JhLMLw" name="assessmentResponse" visibility="public" type="_DqIjMHCOEeKknILXOCcS7w" association="_DYIXsCX9EeOkPsd2JhLMLw">
          <ownedComment xmi:id="_tCZZ4CX-EeOkPsd2JhLMLw" annotatedElement="_DYLbACX9EeOkPsd2JhLMLw">
            <body>Pointer to a set of questions and answers.  The FHIM reuses a structure built for this purpose from the Assessment domain.  This association to the assessment response/question corresponds to the following fields in the NCPDP Telecommunication standard: 378-4B, Question Number/Letter; 379-4D, Question Percent Response; 379-4D, Question Date Response; 381-4H, Question Dollar Amount Response; 382-4J, Question Numeric Response; 383-4K, Question Alphanumeric Response.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DYMCECX9EeOkPsd2JhLMLw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DYMpICX9EeOkPsd2JhLMLw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_yxy-cJtcEeClAtaO_zSM7g" name="CoordinationOfBenefits">
        <ownedComment xmi:id="_tIDuQCYEEeOkPsd2JhLMLw" annotatedElement="_yxy-cJtcEeClAtaO_zSM7g">
          <body>This class represents the results of prior Billing Events, including previous payments, which are used in part to determine the liability of the Payer and of the Patient for the current Billing Event.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_NIK1QJtdEeClAtaO_zSM7g" name="dateAdjudicated" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_xMR00CYIEeOkPsd2JhLMLw" annotatedElement="_NIK1QJtdEeClAtaO_zSM7g">
            <body>&quot;Payment or denial date of the claim submitted to the other payer. Used for coordination of benefits.&quot; - NCPDP Telecommunication (Field 443-E8, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TMH7wJtdEeClAtaO_zSM7g" name="internalControlId" visibility="public">
          <ownedComment xmi:id="_7cBmUCYIEeOkPsd2JhLMLw" annotatedElement="_TMH7wJtdEeClAtaO_zSM7g">
            <body>&quot;Number assigned by the processor to identify an adjudicated claim when supplied in payer-to-payer coordination of benefits only.&quot; - NCPDP Telecommunication (Field 993-A7, Data Dictionary 201104).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DfGCMJtdEeClAtaO_zSM7g" name="otherPayerId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_WYH10CYIEeOkPsd2JhLMLw" annotatedElement="_DfGCMJtdEeClAtaO_zSM7g">
            <body>&quot;ID assigned to the payer.&quot; - NCPDP Telecommunication (Field 340-7C, Data Dictionary 201104).  Note that the NCPDP Telecommunication structure uses a separate &quot;qualifier&quot; field (339-6C) to identify what kind of id is being used here (i.e., who issued the id).  Possible values include: National Provider Identifier (NPI); Medicare; Medicaid; Health Industry Number (HIN); Bank Information Number (BIN); National Association of Insurance Commissioners (NAIC); Medicare Carrier Number; Other.  The FHIM does not model this concept separately, as it is built-in to the the Id data type structure.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZljwQCYKEeOkPsd2JhLMLw" name="previousPaymentCount" visibility="public" isDerived="true">
          <ownedComment xmi:id="_0ULvACYKEeOkPsd2JhLMLw" annotatedElement="_ZljwQCYKEeOkPsd2JhLMLw">
            <body>&quot;Count of the payer amount paid occurrences.&quot; - NCPDP Telecommunication (Field 341-HB, Data Dictionary 201104).  Note that this property is marked as derived, since this number can be calculated from the number of Previous Payment class instances.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YOudgZteEeClAtaO_zSM7g" name="benefitStage" visibility="public" type="_Sb7_gJteEeClAtaO_zSM7g" association="_YOudgJteEeClAtaO_zSM7g">
          <ownedComment xmi:id="_aGCxECF-EeOiKdy59Xpbgg" annotatedElement="_YOudgZteEeClAtaO_zSM7g">
            <body>Pointer to a record of the number and dollar amount of payments made in each Medicare Part D stage.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YO0kIJteEeClAtaO_zSM7g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YO0kIZteEeClAtaO_zSM7g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_J5igoZteEeClAtaO_zSM7g" name="billingSequence" visibility="public" type="_e8sMUG9WEeC7Xu_kGrVjuQ" association="_J5igoJteEeClAtaO_zSM7g">
          <ownedComment xmi:id="_wGs-8CFJEeO3ioY7BiCZOQ" annotatedElement="_J5igoZteEeClAtaO_zSM7g">
            <body>Pointer to the Billing Event(s) for which Health Plans have previously made payments for the Billable Service.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_J5igopteEeClAtaO_zSM7g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_J5igo5teEeClAtaO_zSM7g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_AnOnwZteEeClAtaO_zSM7g" name="previousPatientResponsibility" visibility="public" type="_3xZPgJtdEeClAtaO_zSM7g" association="_AnOnwJteEeClAtaO_zSM7g">
          <ownedComment xmi:id="_L6fKkCYOEeOkPsd2JhLMLw" annotatedElement="_AnOnwZteEeClAtaO_zSM7g">
            <body>Pointer to a set of amounts previously determined by other payers to be the responsibility of the Patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AnUuYJteEeClAtaO_zSM7g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AnUuYZteEeClAtaO_zSM7g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dt87wZtdEeClAtaO_zSM7g" name="previousPayment" visibility="public" type="_Y_nkYJtdEeClAtaO_zSM7g" association="_dt87wJtdEeClAtaO_zSM7g">
          <ownedComment xmi:id="_Sjzn8CYOEeOkPsd2JhLMLw" annotatedElement="_dt87wZtdEeClAtaO_zSM7g">
            <body>Pointer to a set of amounts and categories of any payment(s) known by the pharmacy from other sources.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dt87wptdEeClAtaO_zSM7g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dt87w5tdEeClAtaO_zSM7g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wBe9gZtdEeClAtaO_zSM7g" name="previousRejection" visibility="public" type="_t0TUQJtdEeClAtaO_zSM7g" association="_wBe9gJtdEeClAtaO_zSM7g">
          <ownedComment xmi:id="_dOpaACYOEeOkPsd2JhLMLw" annotatedElement="_wBe9gZtdEeClAtaO_zSM7g">
            <body>Pointer to a set of rejections previously made by other payers.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wBe9gptdEeClAtaO_zSM7g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wBe9g5tdEeClAtaO_zSM7g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hqQmgCYKEeOkPsd2JhLMLw" name="previousRejectionCount" visibility="public" isDerived="true">
          <ownedComment xmi:id="_EtxzoCYLEeOkPsd2JhLMLw" annotatedElement="_hqQmgCYKEeOkPsd2JhLMLw">
            <body>&quot;Count of Other Payer Reject Code occurrences.&quot; - NCPDP Telecommunication (Field 471-5E, Data Dictionary 201104).  Note that this property is marked as derived, since this number can be calculated from the number of Previous Rejection class instances.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hryQgCYKEeOkPsd2JhLMLw" name="previousPatientResponsibilityCount" visibility="public" isDerived="true">
          <ownedComment xmi:id="_AcBOECYMEeOkPsd2JhLMLw" annotatedElement="_hryQgCYKEeOkPsd2JhLMLw">
            <body>&quot;Count of Other Payer-Patient Responsibility Amount and Other Payer-Patient Responsibility Amount Qualifier occurrences.&quot; - NCPDP Telecommunication (Field 353-NR, Data Dictionary 201104).  Note that this property is marked as derived, since this number can be calculated from the number of Previous Patient Responsibility class instances.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_AU01wCF-EeOiKdy59Xpbgg" name="benefitStageCount" visibility="public" isDerived="true">
          <ownedComment xmi:id="_AU01wSF-EeOiKdy59Xpbgg" annotatedElement="_AU01wCF-EeOiKdy59Xpbgg">
            <body>&quot;Count of Benefit Stage Amount occurrences.&quot; - NCPDP Telecommunication (Field 392-MU, Data Dictionary 201104).  Note that this property is marked as derived, since this number can be calculated from the number of Benefit Stage class instances.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_7SRKsJtcEeClAtaO_zSM7g" memberEnd="_7SXRUJtcEeClAtaO_zSM7g _7SXRU5tcEeClAtaO_zSM7g">
        <ownedEnd xmi:id="_7SXRU5tcEeClAtaO_zSM7g" name="" visibility="public" type="_x68SEFVXEeCN_KTl5VCkdg" association="_7SRKsJtcEeClAtaO_zSM7g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7SXRVJtcEeClAtaO_zSM7g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7SXRVZtcEeClAtaO_zSM7g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Y_nkYJtdEeClAtaO_zSM7g" name="PreviousPayment">
        <ownedComment xmi:id="_RgHTICYKEeOkPsd2JhLMLw" annotatedElement="_Y_nkYJtdEeClAtaO_zSM7g">
          <body>This class contains the amounts and category of any payment(s) known by the pharmacy from other sources.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_eeNUAJtdEeClAtaO_zSM7g" name="amount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_GHEzwCYJEeOkPsd2JhLMLw" annotatedElement="_eeNUAJtdEeClAtaO_zSM7g">
            <body>&quot;Amount of any payment known by the pharmacy from other sources.&quot; - NCPDP Telecommunication (Field 431-DV, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hY7_wJtdEeClAtaO_zSM7g" name="paymentType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_HEOjECYKEeOkPsd2JhLMLw" annotatedElement="_hY7_wJtdEeClAtaO_zSM7g">
            <body>&quot;Code qualifying the Other Payer Amount Paid&quot; - NCPDP Telecommunication (Field 342-HC, Data Dictionary 201104).  Possible values include: Delivery Cost; Shipping Cost; Postage Cost; Administrative Cost; Incentive; Cognitive Service; Drug Benefit; Compound Preparation Cost Submitted; Sales Tax.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_dt87wJtdEeClAtaO_zSM7g" memberEnd="_dt87wZtdEeClAtaO_zSM7g _dt87xJtdEeClAtaO_zSM7g">
        <ownedEnd xmi:id="_dt87xJtdEeClAtaO_zSM7g" name="" visibility="public" type="_yxy-cJtcEeClAtaO_zSM7g" association="_dt87wJtdEeClAtaO_zSM7g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_duDCYJtdEeClAtaO_zSM7g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_duDCYZtdEeClAtaO_zSM7g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_t0TUQJtdEeClAtaO_zSM7g" name="PreviousRejection">
        <ownedComment xmi:id="_bS4Q4CYOEeOkPsd2JhLMLw" annotatedElement="_t0TUQJtdEeClAtaO_zSM7g">
          <body>This class represents any rejections previously made by other payers.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_xQwNAJtdEeClAtaO_zSM7g" name="rejectCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_suIuMCYLEeOkPsd2JhLMLw" annotatedElement="_xQwNAJtdEeClAtaO_zSM7g">
            <body>&quot;The error encountered by the previous Other Payer in Reject Code (511-FB).&quot; - NCPDP Telecommunication (Field 472-6E, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_wBe9gJtdEeClAtaO_zSM7g" memberEnd="_wBe9gZtdEeClAtaO_zSM7g _wBe9hJtdEeClAtaO_zSM7g">
        <ownedEnd xmi:id="_wBe9hJtdEeClAtaO_zSM7g" name="" visibility="public" type="_yxy-cJtcEeClAtaO_zSM7g" association="_wBe9gJtdEeClAtaO_zSM7g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wBe9hZtdEeClAtaO_zSM7g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wBe9hptdEeClAtaO_zSM7g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_3xZPgJtdEeClAtaO_zSM7g" name="PreviousPatientResponsibility">
        <ownedComment xmi:id="_I9P9YCYOEeOkPsd2JhLMLw" annotatedElement="_3xZPgJtdEeClAtaO_zSM7g">
          <body>This class represents the amounts previously determined by other payers to be the responsibility of the Patient.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_3xZPgZtdEeClAtaO_zSM7g" name="amount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_KNAnACYMEeOkPsd2JhLMLw" annotatedElement="_3xZPgZtdEeClAtaO_zSM7g">
            <body>&quot;The patient’s cost share from a previous payer.&quot; - NCPDP Telecommunication (Field 352-NQ, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3xZPgptdEeClAtaO_zSM7g" name="patientResponsibilityType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_3invACYMEeOkPsd2JhLMLw" annotatedElement="_3xZPgptdEeClAtaO_zSM7g">
            <body>&quot;Code qualifying the Other Payer-Patient Responsibility Amount.&quot; - NCPDP Telecommunication (Field 351-NP, Data Dictionary 201104).  Possible values include: Amount Applied to Periodic Deductible; Amount Attributed to Product Selection/Brand Drug; Amount Attributed to Sales Tax; Amount Exceeding Periodic Benefit Maximum; Amount of Copay; Patient Pay Amount; Amount of Coinsurance; Amount Attributed to Product Selection/Non-Preferred Formulary Selection; Amount Attributed to Health Plan Assistance Amount; Amount Attributed to Provider Network Selection; Amount Attributed to Product Selection/Brand Non-Preferred Formulary Selection; Amount Attributed to Coverage Gap; Amount Attributed to Processor Fee; Not Specified.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_AnOnwJteEeClAtaO_zSM7g" memberEnd="_AnOnwZteEeClAtaO_zSM7g _AnUuYpteEeClAtaO_zSM7g">
        <ownedEnd xmi:id="_AnUuYpteEeClAtaO_zSM7g" name="" visibility="public" type="_yxy-cJtcEeClAtaO_zSM7g" association="_AnOnwJteEeClAtaO_zSM7g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AnUuY5teEeClAtaO_zSM7g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AnUuZJteEeClAtaO_zSM7g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_J5igoJteEeClAtaO_zSM7g" memberEnd="_J5igoZteEeClAtaO_zSM7g _J5onQJteEeClAtaO_zSM7g">
        <ownedEnd xmi:id="_J5onQJteEeClAtaO_zSM7g" name="" visibility="public" type="_yxy-cJtcEeClAtaO_zSM7g" association="_J5igoJteEeClAtaO_zSM7g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_J5onQZteEeClAtaO_zSM7g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_J5onQpteEeClAtaO_zSM7g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Sb7_gJteEeClAtaO_zSM7g" name="BenefitStage">
        <ownedComment xmi:id="_V08vUCF-EeOiKdy59Xpbgg" annotatedElement="_Sb7_gJteEeClAtaO_zSM7g">
          <body>Medicare Part D provides prescription benefits in several &quot;stages&quot;, including an Initial Coverage Benefit Stage, the Coverage Gap or Out-of-Pocket Benefit Stage, and the Catastrophic Coverage Benefit Stage. This class identifies the number and dollar amount of payments made in each stage.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_Sb7_gZteEeClAtaO_zSM7g" name="amount" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_8e4e8CF9EeOiKdy59Xpbgg" annotatedElement="_Sb7_gZteEeClAtaO_zSM7g">
            <body>&quot;The amount of claim allocated to the Medicare stage identified by the Benefit Stage Qualifier&quot; - NCPDP Telecommunication (Field 393-MW, Data Dictionary 201104).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Sb7_gpteEeClAtaO_zSM7g" name="benefitStageType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_v5BxsCF9EeOiKdy59Xpbgg" annotatedElement="_Sb7_gpteEeClAtaO_zSM7g">
            <body>&quot;Code qualifying the Benefit Stage Amount&quot; - NCPDP Telecommunication (Field 393-MV, Data Dictionary 201104).  Possible values include: Deductible; Initial Benefit; Coverage Gap (donut hole); Catastrophic Coverage; Not paid under Part D, paid under Part C benefit (for MA-PD plan); Not paid under Part D, paid as or under a supplemental benefit only; Part D drug not paid by Part D plan benefit, paid by the beneficiary under plan-sponsored negotiated pricing; Non-Part D drug not paid by Part D plan benefit, paid by the beneficiary under plan-sponsored negotiated pricing.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_YOudgJteEeClAtaO_zSM7g" memberEnd="_YOudgZteEeClAtaO_zSM7g _YO0kIpteEeClAtaO_zSM7g">
        <ownedEnd xmi:id="_YO0kIpteEeClAtaO_zSM7g" name="" visibility="public" type="_yxy-cJtcEeClAtaO_zSM7g" association="_YOudgJteEeClAtaO_zSM7g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YO0kI5teEeClAtaO_zSM7g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YO0kJJteEeClAtaO_zSM7g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_tYozcPaYEeCbn6MPgQ_rxg" name="ResponsibleParty">
        <ownedComment xmi:id="_L4Cc8CoTEeOycdNGQCOAtw" annotatedElement="_tYozcPaYEeCbn6MPgQ_rxg">
          <body>This class identifies the (Role of the) Person who is responsible for the payment of services / materials provided.  This class corresponds to information needed for Script Census messages, particularly for Coordination of Benefits purposes.  The information in this class could potentially be derived from the Subscriber class, and therefore may be removed in the future.  For now, we are including this class in the model in case we need to handle situations other than when the Patient is a Subscriber or a dependent of a Subscriber (i.e., a cash-paying patient).</body>
        </ownedComment>
        <ownedAttribute xmi:id="_0TOnAPaYEeCbn6MPgQ_rxg" name="address" visibility="public" type="_420A62FD03B641886F6203C7">
          <ownedComment xmi:id="_dSQRECoTEeOycdNGQCOAtw" annotatedElement="_0TOnAPaYEeCbn6MPgQ_rxg">
            <body>Mailing address of the Person who is responsible for the payment of services / materials provided.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_24_IUPaYEeCbn6MPgQ_rxg" name="name" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ">
          <ownedComment xmi:id="_fjCn8CoTEeOycdNGQCOAtw" annotatedElement="_24_IUPaYEeCbn6MPgQ_rxg">
            <body>Name of the Person who is responsible for the payment of services / materials provided.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kGfyUPabEeCbn6MPgQ_rxg" name="telephone" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_hzK3gCoTEeOycdNGQCOAtw" annotatedElement="_kGfyUPabEeCbn6MPgQ_rxg">
            <body>Telephone number of the Person who is responsible for the payment of services / materials provided.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_6Exu4PaYEeCbn6MPgQ_rxg" memberEnd="_6EzkEPaYEeCbn6MPgQ_rxg _6E2AUPaYEeCbn6MPgQ_rxg">
        <ownedEnd xmi:id="_6E2AUPaYEeCbn6MPgQ_rxg" name="" visibility="public" type="_-SSlgEsgEeCgDquuCdSxAg" association="_6Exu4PaYEeCbn6MPgQ_rxg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_m10zQPj0EeCL4956HPvowQ" memberEnd="_m12ocPj0EeCL4956HPvowQ _m15EsPj0EeCL4956HPvowQ">
        <ownedEnd xmi:id="_m15EsPj0EeCL4956HPvowQ" name="" visibility="public" type="_Kk8-kBs0Ed--ZY2-pbJ-Pw" association="_m10zQPj0EeCL4956HPvowQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_1R1J0Pj0EeCL4956HPvowQ" memberEnd="_1R2_APj0EeCL4956HPvowQ _1R6CUPj0EeCL4956HPvowQ">
        <ownedEnd xmi:id="_1R6CUPj0EeCL4956HPvowQ" name="" visibility="public" type="_Kk8-kBs0Ed--ZY2-pbJ-Pw" association="_1R1J0Pj0EeCL4956HPvowQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_u31voPj5EeCL4956HPvowQ" memberEnd="_u34L4Pj5EeCL4956HPvowQ _u37PMPj5EeCL4956HPvowQ">
        <ownedEnd xmi:id="_u37PMPj5EeCL4956HPvowQ" name="" visibility="public" type="_Kk8-kBs0Ed--ZY2-pbJ-Pw" association="_u31voPj5EeCL4956HPvowQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_deGREAMgEeKTM4I4vlc5xg" name="EmployerSponsor">
        <ownedComment xmi:id="__nEswCcAEeOyp-Ce3y08Wg" annotatedElement="_deGREAMgEeKTM4I4vlc5xg">
          <body>This class represents an Employer which has assumed financial responsibility for an insured group.  </body>
        </ownedComment>
        <generalization xmi:id="_gWgBkAMgEeKTM4I4vlc5xg" general="_xu5PgB2aEd-4VI-lpu-JjQ"/>
        <ownedAttribute xmi:id="_mMvcMAMgEeKTM4I4vlc5xg" name="employerGroupId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_miDvcAMhEeKTM4I4vlc5xg" annotatedElement="_mMvcMAMgEeKTM4I4vlc5xg">
            <body>&quot;Holds the group employer ID for the insured’s insurance.&quot; - HL7 Version 2.8, IN1-10.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xjob8AMgEeKTM4I4vlc5xg" name="employerGroupName" visibility="public">
          <ownedComment xmi:id="_uhENYAMhEeKTM4I4vlc5xg" annotatedElement="_xjob8AMgEeKTM4I4vlc5xg">
            <body>&quot;Contains the name of the employer that provides the employee’s insurance.&quot; - HL7 Version 2.8, IN1-11.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_JsRs0CUtEeO_iaEYDPvTaA" memberEnd="_JsVXMCUtEeO_iaEYDPvTaA _JsXzcCUtEeO_iaEYDPvTaA">
        <ownedEnd xmi:id="_JsXzcCUtEeO_iaEYDPvTaA" name="" visibility="public" type="_VlqyEHpYEeCYy4DzyFpAzQ" association="_JsRs0CUtEeO_iaEYDPvTaA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_DYIXsCX9EeOkPsd2JhLMLw" memberEnd="_DYLbACX9EeOkPsd2JhLMLw _DYNQMCX9EeOkPsd2JhLMLw">
        <ownedEnd xmi:id="_DYNQMCX9EeOkPsd2JhLMLw" name="" visibility="public" type="_N9_qQJXcEeCD7vwmJe8BlA" association="_DYIXsCX9EeOkPsd2JhLMLw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_P4u14CYbEeOkPsd2JhLMLw" memberEnd="_P4vc8CYbEeOkPsd2JhLMLw _P4wrECYbEeOkPsd2JhLMLw">
        <ownedEnd xmi:id="_P4wrECYbEeOkPsd2JhLMLw" name="" visibility="public" type="_Wtz0cFlfEeCyw5g2lQh-Ug" association="_P4u14CYbEeOkPsd2JhLMLw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_VECZgCf3EeC-JKXSDMHR6A" name="priorAuthorization_orderablePharmacyItem" memberEnd="_VEDnoCf3EeC-JKXSDMHR6A _VEFc0Cf3EeC-JKXSDMHR6A">
        <ownedEnd xmi:id="_VEFc0Cf3EeC-JKXSDMHR6A" name="" visibility="public" type="_07EAwBd1EeC9Abp3tFVARg" association="_VECZgCf3EeC-JKXSDMHR6A">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VEFc0Sf3EeC-JKXSDMHR6A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VEGD4Cf3EeC-JKXSDMHR6A" value="1"/>
        </ownedEnd>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B643613746019D" name="HomeBasedPrimaryCare">
      <eAnnotations xmi:id="_Mx2DIOLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_Mx_0IOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6439854E4017F" name="HomeBasedPrimaryCareEpisode">
        <eAnnotations xmi:id="_MqGcZOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Mp8rbeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6439854E4017F">
          <body>Patient's Epsiode of care for Home Based Primary Care  Program.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_fkjPwE2OEd-N7JZGCuVoQQ" name="admitRejectStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
        <ownedAttribute xmi:id="_420A62FD03B64399C1AA0215" name="evaluationDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_MqPmVeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64399C1AA0215">
            <body>Represents date the patient was considered/reviwed/evaluated/admitted for the HBPC Program.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6439855220124" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_MqGcYuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6439855220124">
            <body>&quot;A unique identifier for the Act.&quot; (HL7 3.0)  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CE671B0066" name="evaluatingLocation" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B643CE67190371">
          <ownedComment xmi:id="_MxQNS-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CE671B0066">
            <body>Service Delivery Location.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MxQNTeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MxQNTuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64399B46E010F" name="evaluationAtAdmissionToHbpc" visibility="public" type="_420A62FD03B64398563E0281" isUnique="false" association="_420A62FD03B64399B46C01CA">
          <ownedComment xmi:id="_MvwYf-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64399B46E010F">
            <body>Evaluation at the time of admission to the HBPC Program.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Mv6JceLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Mv6JcuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64398569D0183" name="evaluationAtDischargeFromHbpc" visibility="public" type="_420A62FD03B643985671023E" isUnique="false" association="_420A62FD03B64398569C0240">
          <ownedComment xmi:id="_MvwYeOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64398569D0183">
            <body>Evaluation at the time of discharge from the HBPC Program.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MvwYeuLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MvwYe-LiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jiodoU2IEd-N7JZGCuVoQQ" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_jiodoE2IEd-N7JZGCuVoQQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jiodok2IEd-N7JZGCuVoQQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jiodo02IEd-N7JZGCuVoQQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6439D9F2F004A" name="rejectionWithdrawal" visibility="public" type="_420A62FD03B6439D9E8603A5" isUnique="false" association="_420A62FD03B6439D9F2D012E">
          <ownedComment xmi:id="_Mv6JfeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6439D9F2F004A">
            <body>Rejection/Withdrawal from HBPC Program.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Mv6Jf-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Mv6JgOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64398563E0281" name="HbpcAdmission">
        <eAnnotations xmi:id="_MqPmWuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MqGcZ-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64398563E0281">
          <body>This class includes data elements related to patient's eligibility and other administrative information that is evaluated at the time of admission to the Home Based Primary Care (HBPC) Program. </body>
        </ownedComment>
        <ownedAttribute xmi:id="_k60e8E2QEd-N7JZGCuVoQQ" name="admissionDate" visibility="public" type="_420A62FD03B64244824602F5"/>
        <ownedAttribute xmi:id="_420A62FD03B64399F183036B" name="eligibilityCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MqGcauLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64399F183036B">
            <body>The patient's eligibility at time of evaluation for HBPC program.  Possible Values Include:   Service Connected 50% or More; Aid &amp;amp;amp; Attendance or Housebound; Service Connected Less Than 50%; Non-Service Connected, Receiving VA Pension; Other Non-Service Connected etc..  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_i44ZME2MEd-N7JZGCuVoQQ" name="livingArrangement" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_i44ZMU2MEd-N7JZGCuVoQQ" annotatedElement="_i44ZME2MEd-N7JZGCuVoQQ">
            <body>Living arrangement of a patient for HBPC Program.  Possible Values Include: Alone; With Spouse; With Relatives; With Non-Relatives; Group Quarters, Not Health Related; Not Determined etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645AE6FE701DB" name="maritalStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MqPmWOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B645AE6FE701DB">
            <body>Marital Status of the patient at time of admission to the HBPC Program.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643BADFE60171" name="admissionAssessment" visibility="public" type="_Llv70E2KEd-N7JZGCuVoQQ" isUnique="false" association="_420A62FD03B643BADFE4036D">
          <ownedComment xmi:id="_MwD6gOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643BADFE60171">
            <body>Patient's Health Assessment at time of admission to HBPC Program.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MwNEYeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MwNEYuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643DA68BF0003" name="previousAgencyType" visibility="public" type="_420A62FD03B643DA689C01B2" isUnique="false" association="_420A62FD03B643DA68BC0370">
          <ownedComment xmi:id="_MxjIPOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643DA68BF0003">
            <body>Type of agency providing last care to patient</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MxjIPuLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MxjIP-LiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643985671023E" name="HbpcDischarge">
        <eAnnotations xmi:id="_MqihROLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MqPmXeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643985671023E">
          <body>This class includes data elements related to person eligibility and other administrative information that is evaluated at the time of discharge from the Home Based Primary Care (HBPC) Program. </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6439DB768030E" name="dateDischarged" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_MqZXUuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6439DB768030E">
            <body>The date the patient was discharged from the HBPC Program.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6439DB82802B0" name="dischargeStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MqZXWOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6439DB82802B0">
            <body>Describes the status of the patient at discharge.  Possible Values are Transferred to Other Provider; Anticipated Institutionalization; Family or Self Care/No Regular Source; Died on HBPC; Moved Away/Lost to Contact; Not Determined etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_H3utxE2REd-N7JZGCuVoQQ" name="eligibilityCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_H3utxU2REd-N7JZGCuVoQQ" annotatedElement="_H3utxE2REd-N7JZGCuVoQQ">
            <body>The patient's eligibility at time of evaluation for HBPC program.  Possible Values Include:   Service Connected 50% or More; Aid &amp;amp;amp; Attendance or Housebound; Service Connected Less Than 50%; Non-Service Connected, Receiving VA Pension; Other Non-Service Connected etc..  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_H3utwk2REd-N7JZGCuVoQQ" name="livingArrangement" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_H3utw02REd-N7JZGCuVoQQ" annotatedElement="_H3utwk2REd-N7JZGCuVoQQ">
            <body>Living arrangement of a patient for HBPC Program.  Possible Values Include: Alone; With Spouse; With Relatives; With Non-Relatives; Group Quarters, Not Health Related; Not Determined etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_H3utwE2REd-N7JZGCuVoQQ" name="maritalStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_H3utwU2REd-N7JZGCuVoQQ" annotatedElement="_H3utwE2REd-N7JZGCuVoQQ">
            <body>Marital Status of the patient at time of admission to the HBPC Program.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643DA692800D7" name="destinationAgencyType" visibility="public" type="_420A62FD03B643DA689C01B2" isUnique="false" association="_420A62FD03B643DA692200E2">
          <ownedComment xmi:id="_MxjIQ-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643DA692800D7">
            <body>Represents the patient's type of destination agency. </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MxsSIeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MxsSIuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64399FCB80009" name="dischargeAssessment" visibility="public" type="_Llv70E2KEd-N7JZGCuVoQQ" isUnique="false" association="_420A62FD03B64399FCB60223">
          <ownedComment xmi:id="_Mv6JduLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64399FCB80009">
            <body>Patient's Health Assessment at time of discharge from HBPC Program.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Mv6JeOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Mv6JeeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6439D9E8603A5" name="RejectionOrWithdrawlEvent">
        <eAnnotations xmi:id="_MsfCCuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MsfCAuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6439D9E8603A5">
          <body>This class has nonAdmission (rejection/withdrawal) reason and disposition if the patient was rejected/not admitted to  the Home Based Primary Care (HBPC) Program. </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64399FBE90232" name="nonAdmissionDisposition" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MsfCCOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64399FBE90232">
            <body>This represents the patient's reject/withdraw disposition.  Possible Values are Referred Back to Referral Source, Disposition Made by HBPC etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64399FADF0186" name="nonAdmissionReason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MsfCBeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64399FADF0186">
            <body>Reason patient was rejected/wothdrawn from the HBPC Program.  Possible Values are Referral Withdrawn Due to Death, Not Located in Service Area, Program Slot Not Available, Patient or Caregiver Refused HBHC, Suitable Caregiver Not Available, Home Environment Unsuitable, Referral Withdrawn (excludes death), Patient's Condition Necessitates Institutional Care, Patient Can Be Effectively Treated as Outpatient, Other etc.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643DA689C01B2" name="CareAgency">
        <eAnnotations xmi:id="_MvwYdOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MvnOjuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643DA689C01B2">
          <body>This class includes information related to the type of agency providing last care to patient or type of patient destination agency for HPBC program.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643DA68DF029E" name="agencyCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MvwYcuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643DA68DF029E">
            <body>Categorizes the agency providing care to the patient.  Possible values include VA Provided Care, Non-VA Care, and VA Fee Basis/Contract.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KuZ8wE2NEd-N7JZGCuVoQQ" name="careCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_KuZ8wU2NEd-N7JZGCuVoQQ" annotatedElement="_KuZ8wE2NEd-N7JZGCuVoQQ">
            <body>Type of care provided to the patient  Possible values are General Hospital; Specialty Hospital; Nursing Home; Residential Care Facility; Hospice; Community-Based Service; Self/Family, No Regular Source; Not Determined etc.    </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64398569C0240" name="homeBasedPrimaryCareEpisode_evaluationAtDischargeFromHbpc" memberEnd="_420A62FD03B64398569D0183 _420A62FD03B64398569D0185">
        <eAnnotations xmi:id="_zsDXQE2TEd-N7JZGCuVoQQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_420A62FD03B64398569D0185" name="" visibility="public" type="_420A62FD03B6439854E4017F" isUnique="false" association="_420A62FD03B64398569C0240"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64399B46C01CA" name="homeBasedPrimaryCareEpisode_evaluationAtAdmissionToHbpc" memberEnd="_420A62FD03B64399B46E010F _420A62FD03B64399B46E0111">
        <eAnnotations xmi:id="_zISi4E2TEd-N7JZGCuVoQQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_420A62FD03B64399B46E0111" name="" visibility="public" type="_420A62FD03B6439854E4017F" isUnique="false" association="_420A62FD03B64399B46C01CA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64399FCB60223" name="hbpcDischarge_dischargeAssessment" memberEnd="_420A62FD03B64399FCB80009 _420A62FD03B64399FCB80013">
        <eAnnotations xmi:id="_x-FZkE2TEd-N7JZGCuVoQQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_420A62FD03B64399FCB80013" name="" visibility="public" type="_420A62FD03B643985671023E" isUnique="false" association="_420A62FD03B64399FCB60223"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6439D9F2D012E" name="homeBasedPrimaryCareEpisode_rejectionWithdrawal" memberEnd="_420A62FD03B6439D9F2F004A _420A62FD03B6439D9F2F0054">
        <eAnnotations xmi:id="_3P4qYE2TEd-N7JZGCuVoQQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_420A62FD03B6439D9F2F0054" name="" visibility="public" type="_420A62FD03B6439854E4017F" isUnique="false" association="_420A62FD03B6439D9F2D012E"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643BADFE4036D" name="hbpcAdmission_admissionAssessment" memberEnd="_420A62FD03B643BADFE60171 _420A62FD03B643BADFE6017C">
        <eAnnotations xmi:id="_wYxBkE2TEd-N7JZGCuVoQQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643CE67190371" name="homeBasedPrimaryCareEpisode_evaluatingLocation" memberEnd="_420A62FD03B643CE671B0066 _420A62FD03B643CE671B00D4">
        <eAnnotations xmi:id="_yil00E2TEd-N7JZGCuVoQQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_420A62FD03B643CE671B00D4" name="" visibility="public" type="_420A62FD03B6439854E4017F" isUnique="false" association="_420A62FD03B643CE67190371"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643DA68BC0370" name="hbpcAdmission_previousAgencyType" memberEnd="_420A62FD03B643DA68BF0003 _420A62FD03B643DA68BF0005">
        <eAnnotations xmi:id="_1mr38E2TEd-N7JZGCuVoQQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_420A62FD03B643DA68BF0005" name="" visibility="public" type="_420A62FD03B64398563E0281" isUnique="false" association="_420A62FD03B643DA68BC0370"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643DA692200E2" name="hbpcDischarge_destinationAgencyType" memberEnd="_420A62FD03B643DA692800D7 _420A62FD03B643DA692800E1">
        <eAnnotations xmi:id="_xX8moE2TEd-N7JZGCuVoQQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_420A62FD03B643DA692800E1" name="" visibility="public" type="_420A62FD03B643985671023E" isUnique="false" association="_420A62FD03B643DA692200E2"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_jiodoE2IEd-N7JZGCuVoQQ" name="homeBasedPrimaryCareEpisode_patient" memberEnd="_jiodoU2IEd-N7JZGCuVoQQ _jiodpE2IEd-N7JZGCuVoQQ">
        <eAnnotations xmi:id="_0RdKYE2TEd-N7JZGCuVoQQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_jiodpE2IEd-N7JZGCuVoQQ" name="" visibility="public" type="_420A62FD03B6439854E4017F" association="_jiodoE2IEd-N7JZGCuVoQQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Llv70E2KEd-N7JZGCuVoQQ" name="HbpcAssessment">
        <ownedAttribute xmi:id="_PKem0E2KEd-N7JZGCuVoQQ" name="hearingAbility" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_4ywAwE2SEd-N7JZGCuVoQQ" annotatedElement="_PKem0E2KEd-N7JZGCuVoQQ">
            <body>Describes patient's hearing ability at time of Admission/Discharge.  Possible values are  Normal or Minimal Loss, Moderate Loss, Severe Loss, Total Loss, Not Determined etc</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_W9qPQE2KEd-N7JZGCuVoQQ" name="visionAbility" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_bWx1gE2TEd-N7JZGCuVoQQ" annotatedElement="_W9qPQE2KEd-N7JZGCuVoQQ">
            <body>Describes patient's Vision ability at time of Admission/Discharge.  Possible values are  Normal or Minimal Loss, Moderate Loss, Severe Loss, Total Loss, Not Determined etc</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_avMnME2KEd-N7JZGCuVoQQ" name="expressiveCommunicationAbility" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_fmyuoE2SEd-N7JZGCuVoQQ" annotatedElement="_avMnME2KEd-N7JZGCuVoQQ">
            <body>Describes patient's ability to communicate with others at time of Admission/Discharge.  Possible values are Speaks and is Usually Understood; Speaks But is Understood Only with Difficulty; Uses Only Sign Language, Symbol Board or Writing; Uses Only Gestures, Grunts, or Primitive Symbols; Does Not Convey Needs;  Not Determined etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dw6rwE2KEd-N7JZGCuVoQQ" name="receptiveCommunicationAbility" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_i4S7oE2SEd-N7JZGCuVoQQ" annotatedElement="_dw6rwE2KEd-N7JZGCuVoQQ">
            <body>Describes patient's ability to understand others at time of Admission/Discharge.  Possible values are Usually Understands Oral Communication; Has Limited Comprehension of Oral Communication; Understands by Depending on Lip Reading, Written Material, or Sign Language; Understands Primitive Gestures, Facial Expres., Pictograms, and/or Env. Cues; Does Not Understand; Not Determined etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gs9mIE2KEd-N7JZGCuVoQQ" name="primaryDiagnosis" visibility="public" type="_420A62FD03B6424070DB0209" association="_gs0cME2KEd-N7JZGCuVoQQ">
          <ownedComment xmi:id="_oevKQE2TEd-N7JZGCuVoQQ" annotatedElement="_gs9mIE2KEd-N7JZGCuVoQQ">
            <body>The primary diagnosis of the patient at admission or discharge</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gs9mIU2KEd-N7JZGCuVoQQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gs9mIk2KEd-N7JZGCuVoQQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_r6vGIE2KEd-N7JZGCuVoQQ" name="bathingAbility" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_kvkbwE2REd-N7JZGCuVoQQ" annotatedElement="_r6vGIE2KEd-N7JZGCuVoQQ">
            <body>How much help patient requires bathing at time of Admission/Discharge.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_v48BEE2KEd-N7JZGCuVoQQ" name="dressingAbility" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_bLYTQE2SEd-N7JZGCuVoQQ" annotatedElement="_v48BEE2KEd-N7JZGCuVoQQ">
            <body>How much help patient requires dressing at time of Admission/Discharge.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zYml4E2KEd-N7JZGCuVoQQ" name="toiletUsageAbility" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_XehxkE2TEd-N7JZGCuVoQQ" annotatedElement="_zYml4E2KEd-N7JZGCuVoQQ">
            <body>How much help patient requires using toilet at time of Admission/Discharge.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0GDhwE2KEd-N7JZGCuVoQQ" name="transferringAbility" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ZcJU0E2TEd-N7JZGCuVoQQ" annotatedElement="_0GDhwE2KEd-N7JZGCuVoQQ">
            <body>How much help patient requires transferring at time of Admission.Discharge</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0H_bcE2KEd-N7JZGCuVoQQ" name="eatingAbility" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_dQlsQE2SEd-N7JZGCuVoQQ" annotatedElement="_0H_bcE2KEd-N7JZGCuVoQQ">
            <body>How much help patient requires eating at time of Admission/Discharge.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0KEfEE2KEd-N7JZGCuVoQQ" name="walkingAbility" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ime9cE2TEd-N7JZGCuVoQQ" annotatedElement="_0KEfEE2KEd-N7JZGCuVoQQ">
            <body>How much help patient requires walking at time of Admission/Discharge.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8Z3LAE2KEd-N7JZGCuVoQQ" name="bowelContinence" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_rtsrgE2REd-N7JZGCuVoQQ" annotatedElement="_8Z3LAE2KEd-N7JZGCuVoQQ">
            <body>Describes patient's bowel continence at time of Admission/Discharge.  Possible Values are Continent or Ostomy/Catheter Self Care; Incontinent Occasionally; Incontinent or Ostomy/Catheter Not Self Care; Not Determined etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-eLMIE2KEd-N7JZGCuVoQQ" name="bladderContinence" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_qajooE2REd-N7JZGCuVoQQ" annotatedElement="_-eLMIE2KEd-N7JZGCuVoQQ">
            <body>Describes patient's bladder continence at time of Admission/Discharge.  Possible Values are Continent or Ostomy/Catheter Self Care; Incontinent Occasionally; Incontinent or Ostomy/Catheter Not Self Care; Not Determined etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CIapQE2LEd-N7JZGCuVoQQ" name="mobility" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_7ZWPkE2SEd-N7JZGCuVoQQ" annotatedElement="_CIapQE2LEd-N7JZGCuVoQQ">
            <body>Describes patient's mobility at time of Admission/Discharge.  Possible Values are Goes Outdoors Without Help; Goes Outdoors With Help; Confined Indoors, Not Bed Disabled; Bed Disabled; Not Determined etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CKNZAE2LEd-N7JZGCuVoQQ" name="adaptiveTasksAbility" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_hK2X0E2REd-N7JZGCuVoQQ" annotatedElement="_CKNZAE2LEd-N7JZGCuVoQQ">
            <body>Describes the patient's ability to perform adaptive tasks at time of Admission/Discharge.  Possible values are No Help, Requires Help,  Not Determined etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CL2XwE2LEd-N7JZGCuVoQQ" name="behavioralProblems" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_nWA5kE2REd-N7JZGCuVoQQ" annotatedElement="_CL2XwE2LEd-N7JZGCuVoQQ">
            <body>Whether or not the patient has behavior problems at time of Admission/Discharge.  Possible values are Does Not Exhibit This Characteristic, Exhibits This Characteristic, Not Determined etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_J8ykgE2LEd-N7JZGCuVoQQ" name="disorientation" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ZQJVoE2SEd-N7JZGCuVoQQ" annotatedElement="_J8ykgE2LEd-N7JZGCuVoQQ">
            <body>Whether or not the patient is disoriented at time of Admission/Discharge.  Possible values are Does Not Exhibit This Characteristic, Exhibits This Characteristic, Not Determined etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_J-bjQE2LEd-N7JZGCuVoQQ" name="moodDisturbance" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_yN9eEE2SEd-N7JZGCuVoQQ" annotatedElement="_J-bjQE2LEd-N7JZGCuVoQQ">
            <body>Whether or not the patient has a mood disturbance at time of Admission/Discharge.  Possible values are Does Not Exhibit This Characteristic, Exhibits This Characteristic, Not Determined etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_J_xAAE2LEd-N7JZGCuVoQQ" name="careGiverLimitations" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MEUNgE2SEd-N7JZGCuVoQQ" annotatedElement="_J_xAAE2LEd-N7JZGCuVoQQ">
            <body>Describes the level of limitations for the caregiver at time of Admission/Discharge.  Possible values are Minimal or None,  Moderate, Moderately Severe, No Caregiver, Not Determined etc.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_gs0cME2KEd-N7JZGCuVoQQ" name="hbpcAssessment_primaryDiagnosis" memberEnd="_gs9mIE2KEd-N7JZGCuVoQQ _gs9mI02KEd-N7JZGCuVoQQ">
        <eAnnotations xmi:id="_2mw04E2TEd-N7JZGCuVoQQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_gs9mI02KEd-N7JZGCuVoQQ" name="" visibility="public" type="_Llv70E2KEd-N7JZGCuVoQQ" association="_gs0cME2KEd-N7JZGCuVoQQ"/>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B6420A5A37025A" name="Imaging">
      <eAnnotations xmi:id="_M26JVuLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_M3D6UuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_XoVsIAYvEeWwo6SB9Lnb3w" annotatedElement="_dP9loN3-Ed6yatlejfcw_g">
        <body>HL7 PR1 segment has: Anesthesiologist, Anesthesology minutes, Surgeon. Procedure Practitioner, Consent, etc</body>
      </ownedComment>
      <ownedComment xmi:id="_HCLTgPCBEeWoT_0zIvvImQ" annotatedElement="_420A62FD03B6420A5A37025A">
        <body>*Domain scope*&#xD;
The imaging domain addresses several overlapping topics. &#xD;
It addresses all data captured in the form of image files. This includes files traditionally managed by PACS systems, such as x-rays and mri scans, but it also includes clinical images taken by unregulated devices (a snapshot of a rash; a photocopy of an ECG), as well as scans of non-clinical images such as scans of insurance cards or other forms.&#xD;
It does not address activities performed by radiologists that do not result in image artifacts, such as radiation therapy.&#xD;
&#xD;
*Overall Structure*&#xD;
An Order or Request results in a Promise, and the Promise results in an Imaging Event. The Imaging Event may be either a Document Imaging Event (images of text or writing) or a Medical Imaging Event (images of biology, whether radiological, white light, or even graphical, e.g., an ECG). Documents have little other structure. Medical image objects reflect the DICOM model hierarchy of study, series, and image. A study is what is ordered. It may consist of series of distinct modality, though it typically contains only one. A series may contain several images, e.g., from different perspectives.&#xD;
The study will typically be &quot;read&quot; to generate a report that interprets its contents. &#xD;
In some cases, it is desirable to identify parts of a study, or of studies, for a particular purpose. A referral, for instance, may contain studies, but it may also contain a set of references to specific images or views for special attention. Alternatively, such a selection may also serve ancillary purposes, such as teaching, research, or quality review. This case is supported by the Image Object Selection class, a way to aggregate references to study elements for a defined purpose. In addition to the references, it contains a coded concept indicating the purpose of the collection: the value set is taken from DICOM by way of FHIR.</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64586EE2E00B9" name="MedicalImagingEvent">
        <eAnnotations xmi:id="_QCAzYuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_QBa9iuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586EE2E00B9">
          <body>This class contains attributes associated with Radiology or Nuclear Medicine imaging examinations. Historically, both diagnostic imaging and the scanning and retrieval of paper documents have been included in the &quot;imaging&quot; domain as they both share certain characteristics in terms of the equipment used to store and retrieve the images.  Yet a distinction is often made with respect to the amount and type of metadata associated with the images. For example, &quot;Diagnostic Images&quot; are those stored and retrieved in Picture Archive and Communications Systems (PACS) which require certain codified information regarding the modality of the image, body site, etc., and are organized into Studies, Series, Images, and subsets (regions) of images. In contrast, scanned documents do not require any of these metadata.  As patient-generated images become more commonplace, we foresee a need to store these images (for example, a patient uses a smart phone to take a picture of a wound and emails it to a clinician) as well. We would foresee such images stored in the &quot;Medical Imaging Event&quot; hierarchy, even if a relatively-empty Study and Series construct would be required to contain such images.  However, scanned documents simply need a pointer to the resulting image(s), and we therefore find it useful to continue with a logical separation of the two kinds of images.&#xD;
&#xD;
Note that this class represents information about the act of performing the medical imaging event, with the majority of the results stored in the Study, Series, Image hierarchy.  From a DICOM point of view, the Study and the Imaging Event are roughly synonymous, with the activities surrounding the production of the Study being implied in the resulting data.  We make the distinction primarily in order to be consistent with how orders and accessions (aka promises) are treated elsewhere in the FHIM.  Therefore this class could easily be merged with the Study class in resulting implementations.</body>
        </ownedComment>
        <generalization xmi:id="_ExJvcF4uEeWQiN9lTU6tCQ" general="_420A62FD03B64550AAFD02CE"/>
        <ownedAttribute xmi:id="_420A62FD03B64586EEDA00F3" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_QBkHcuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586EEDA00F3">
            <body>Indicates the status of this exam.  This should be a code from File 72.</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_KTVMIPCKEeWoT_0zIvvImQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ImageEventStatus)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586EEDA0107" name="wasContrastMediaUsed" visibility="public" isDerived="true">
          <ownedComment xmi:id="_QBt4deLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586EEDA0107">
            <body>Indicate if an intravascular contrast was used during this Rad/Nuc Med exam.  Possible values are Yes, No; etc.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645915F8E02A7" name="report" visibility="public" type="_420A62FD03B64586FBA701A8" isUnique="false" association="_420A62FD03B645915F8D036E">
          <ownedComment xmi:id="_QGo0suLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B645915F8E02A7">
            <body>Represents the radiology/nuclear medicine report as known by the originating VistA system.  Equivalent to a pointer to File 74.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QGo0tOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QGo0teLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6459165BE0377" name="contrastMediaAdministration" visibility="public" type="_420A62FD03B641A349EF0070" isUnique="false" association="_420A62FD03B6459165BE0006">
          <ownedComment xmi:id="_xSOZ0Mq8Ed2LsfgHXbEskQ" annotatedElement="_420A62FD03B6459165BE0377">
            <body>Identifies Constrat Media associated with the Examination</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QGo0ueLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QGo0uuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645953A17032F" name="principalClinic" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B645953A1103DB">
          <ownedComment xmi:id="_QHhlhuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B645953A17032F">
            <body>Th name of the principal clinic that referred the patient to Radiology/Nuclear Medicine for the exam.  Equivalent to File 44.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QHrWgeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QHrWguLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dT7ZIYCgEd-cvdR-JEsOjQ" name="diagnosis" visibility="public" type="_e4dl4AgVEd6eWYJXJewDdQ" association="_dT7ZIICgEd-cvdR-JEsOjQ">
          <ownedComment xmi:id="_Dw7csPIXEeWI5dLNhw9XrQ" annotatedElement="_dT7ZIYCgEd-cvdR-JEsOjQ">
            <body>Pointer to an ordered list of findings or diagnoses which have been established as a result of the imaging study.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dT7ZIoCgEd-cvdR-JEsOjQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dT7ZI4CgEd-cvdR-JEsOjQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645C093A6032E" name="radioPharmaceuticalAdministration" visibility="public" type="_420A62FD03B6459176EB0167" isUnique="false" association="_420A62FD03B645C093A30366">
          <ownedComment xmi:id="_QI3pWOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B645C093A6032E">
            <body>A radiopharmaceutical associated with this examination should be entered here. Equivalent to a pointer to File 71.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QI3pWuLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QI3pW-LiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QVZbQYCiEd-cvdR-JEsOjQ" name="procedure" visibility="public" type="_dP9loN3-Ed6yatlejfcw_g" association="_QVZbQICiEd-cvdR-JEsOjQ">
          <ownedComment xmi:id="_JMqIwPIbEeWI5dLNhw9XrQ" annotatedElement="_QVZbQYCiEd-cvdR-JEsOjQ">
            <body>Pointer to an ordered list of actions that were performed during the performance of the imaging study. These procedures are often tracked for billing or workload purposes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QVZbQoCiEd-cvdR-JEsOjQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QVZbQ4CiEd-cvdR-JEsOjQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_unUeQGjBEeG3pKm-C5y0hA" name="encounter" visibility="public" type="_420A62FD03B64213F5B40316" association="_unQz4GjBEeG3pKm-C5y0hA">
          <ownedComment xmi:id="_0huAIGjBEeG3pKm-C5y0hA" annotatedElement="_unUeQGjBEeG3pKm-C5y0hA">
            <body>The encounter during which the Radiologic Examination took place.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_unVsYGjBEeG3pKm-C5y0hA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_unWTcGjBEeG3pKm-C5y0hA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HrxtgV4uEeWQiN9lTU6tCQ" name="study" visibility="public" type="_eEZDMPAuEeS1qetF27ECmQ" association="_HrxtgF4uEeWQiN9lTU6tCQ">
          <ownedComment xmi:id="_l5guwPIbEeWI5dLNhw9XrQ" annotatedElement="_HrxtgV4uEeWQiN9lTU6tCQ">
            <body>Pointer to content produced in a DICOM imaging study.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Hrxtgl4uEeWQiN9lTU6tCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Hrxtg14uEeWQiN9lTU6tCQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6458687500084" name="ImagingPromise">
        <eAnnotations xmi:id="_QBRMh-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_Jc0xAPCBEeWoT_0zIvvImQ" key="EntryPoint"/>
        </eAnnotations>
        <ownedComment xmi:id="_QBHbh-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6458687500084">
          <body>The Imaging Order from the perspective of the performing organization. This information is commonly called the Accession. Note that nearly all of the properties needed for the Imaging Promise are inherited from the generic Healthcare Promise class which is its parent, so this class adds only those few properties unique to imaging promises such as the anticipated dose and a pointer to the actual performance of the imaging study.</body>
        </ownedComment>
        <generalization xmi:id="_OcdLUHmyEeW-j_oLISFbOQ" general="_3r94oOO5EeCbbuWBGGTBrA"/>
        <ownedAttribute xmi:id="_sj8xEGO-EeWL1ov4GOhBTA" name="anticipatedDose" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_mLsD8PFXEeWEJ4Z3YTwiDQ" annotatedElement="_sj8xEGO-EeWL1ov4GOhBTA">
            <body>The amount of radiation to which the Patient is expected to be exposed upon completion of the imaging study. Note if the object of the study is a specimen taken from the Patient, this property has no meaning and should not be used.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nir2oGO-EeWL1ov4GOhBTA" name="cumulativeRadiationExposure" visibility="public" type="_7ui78F4sEeWQiN9lTU6tCQ" association="_niqogGO-EeWL1ov4GOhBTA">
          <ownedComment xmi:id="_16sI4PFWEeWEJ4Z3YTwiDQ" annotatedElement="_nir2oGO-EeWL1ov4GOhBTA">
            <body>Pointer to the amount of radiation to which the Patient has been known to have been exposed previously. This information can help clinicians determine if the benefit from the diagnostic information provided by an individual examination (or additional examinations) outweigh the risk that may be associated with a proposed imaging exam. This information may also influence the Radiologist to choose an alternative methodology if the patient has already been exposed to excessive radiation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nisdsGO-EeWL1ov4GOhBTA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nitEwGO-EeWL1ov4GOhBTA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_C3ut0PsUEeSc9M34gwVpgg" name="imagingEvent" visibility="public" type="_420A62FD03B64550AAFD02CE" association="_C3uGwPsUEeSc9M34gwVpgg">
          <ownedComment xmi:id="_CRIWkPFWEeWEJ4Z3YTwiDQ" annotatedElement="_C3ut0PsUEeSc9M34gwVpgg">
            <body>Pointer to the Act during which the Imaging Event is performed, which includes information about who, when, and where the image event took place along with the results of the action (i.e., the image(s) and associated metadata including the clinical assessment / interpretation of the image(s)).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_C3v78PsUEeSc9M34gwVpgg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_C3wjAPsUEeSc9M34gwVpgg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64586F4B502F6" name="ImagingRequest">
        <eAnnotations xmi:id="_QCTuWuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_KYo5APCBEeWoT_0zIvvImQ" key="EntryPoint"/>
        </eAnnotations>
        <ownedComment xmi:id="_QCAzZeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586F4B502F6">
          <body>The Imaging Order from the perspective of the ordering organization. Note that nearly all of the properties needed for the Imaging Request are inherited from the generic Healthcare Request class which is its parent, so this class adds only those few properties unique to imaging requests.</body>
        </ownedComment>
        <generalization xmi:id="_4RnO8EcQEeKfi9U1UyJHLg" general="_420A62FD03B6422F6679007E"/>
        <ownedAttribute xmi:id="_dTTxQICkEd-cvdR-JEsOjQ" name="clinicalHistory" visibility="public">
          <ownedComment xmi:id="_nSkPsICkEd-cvdR-JEsOjQ" annotatedElement="_dTTxQICkEd-cvdR-JEsOjQ">
            <body>Clinical history of the patient that might be relevant to this case as well as instructions to the interpreting physician</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kG1a0GO-EeWL1ov4GOhBTA" name="cumulativeRadiationExposure" visibility="public" type="_7ui78F4sEeWQiN9lTU6tCQ" association="_kG0MsGO-EeWL1ov4GOhBTA">
          <ownedComment xmi:id="_zk8ZgPFWEeWEJ4Z3YTwiDQ" annotatedElement="_kG1a0GO-EeWL1ov4GOhBTA">
            <body>Pointer to the amount of radiation to which the Patient has been known to have been exposed previously. This information can help clinicians determine if the benefit from the diagnostic information provided by an individual examination (or additional examinations) outweigh the risk that may be associated with a proposed imaging exam. This information may also influence the Radiologist to choose an alternative methodology if the patient has already been exposed to excessive radiation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kG2B4GO-EeWL1ov4GOhBTA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kG2B4WO-EeWL1ov4GOhBTA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9J3_0FitEeWPFcZL8Pri7w" name="pregnancyMenstrualStatus" visibility="public" type="_c8AmgNymEeGh5_jMwegn_g" association="_9J1jkFitEeWPFcZL8Pri7w">
          <ownedComment xmi:id="_s11PYPIVEeWI5dLNhw9XrQ" annotatedElement="_9J3_0FitEeWPFcZL8Pri7w">
            <body>Pointer to an Observation of whether the Patient is known to be expecting and/or when the Patient last experienced a menstrual cycle.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9J5N8FitEeWPFcZL8Pri7w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9J51AFitEeWPFcZL8Pri7w" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586F4EF02DD" name="preOpAppointmentTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_QCTuUuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586F4EF02DD">
            <body>The date/time this patient is scheduled for pre-operative image</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586EEDA0106" name="researchSource" visibility="public">
          <ownedComment xmi:id="_QBt4cuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586EEDA0106">
            <body>If the study is being / was conducted as part of a research study, this property will contain the name of the research source that referred the patient to for the exam.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6459176EB0167" name="RadioPharmaceuticalAdministration">
        <eAnnotations xmi:id="_QDpyK-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_QDNGP-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6459176EB0167">
          <body>Represents the radiopharmaceutical administration.  Equivalent to File 70.2.</body>
        </ownedComment>
        <generalization xmi:id="_wrWpoFitEeWPFcZL8Pri7w" general="_420A62FD03B641A349EF0070"/>
        <ownedAttribute xmi:id="_420A62FD03B6459177080391" name="activityDrawn" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_QDW3NeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6459177080391">
            <body>This is the radiopharmaceutical activity drawn to be administered to the patient. The unit of measure is mCi.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6459177080392" name="dateDrawn" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_QDW3OOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6459177080392">
            <body>The date and time the radiopharmaceutical was drawn.    </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6459B22C3015B" name="radiopharmaceutical" visibility="public" type="_420A62FD03B6426545CB0072" isUnique="false" association="_420A62FD03B6459B22C20290">
          <ownedComment xmi:id="_QIa9ZOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6459B22C3015B">
            <body>A radiopharmaceutical associated with this examination should be entered here. Equivalent to a pointer to File 71.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QIa9ZuLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QIa9Z-LiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64586FBA701A8" name="ImageInterpretationReport">
        <eAnnotations xmi:id="_QCwaR-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_QCdfWuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586FBA701A8">
          <body>Represents the radiology/nuclear medicine report as known by the originating system.</body>
        </ownedComment>
        <generalization xmi:id="_0x1EMMU0EeW7a6OfPDMv9g" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_420A62FD03B64586FBE90276" name="additionalClinicalHistory" visibility="public">
          <ownedComment xmi:id="_QCwaReLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586FBE90276">
            <body>Contain a patient's clinical history as well as instructions to the interpreting physician.  For example, the  instructions might be for the physician to interpret the exam images to rule out the possibility of the patient having a certain disease. The 'additional clinical history' is written by the interpreting physician and is entered into the system by the transcriptionist.  Voice Recognition systems allow the interpreting physician to directly enter this information into the 'additional clinical history' field.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586FBE90262" name="dateEntered" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_QCnQVeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586FBE90262">
            <body>The date and time that the report was entered into the system by the transcriptionist. </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586FBE90263" name="dateReported" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_QCnQWOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586FBE90263">
            <body>The date that the interpreting physician dictated this report. The transcriptionist enters this date from the dictation tape. If the physician is using a voice recognition system for dictation, this date is entered at the time the report is transmitted to DHCP.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586FBE90258" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_QCdfXeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586FBE90258">
            <body>Uniquely identifies the Report.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586FBE9026D" name="impressionText" visibility="public">
          <ownedComment xmi:id="_QCwaQuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586FBE9026D">
            <body>'Impression text' of the rad/nuc med exam associated with this report. The 'impression text' gives a quick summary of the 'report text'. </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586FBE9026C" name="reportText" visibility="public">
          <ownedComment xmi:id="_QCnQW-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586FBE9026C">
            <body>Contains the report text for the  imaging exam. The report text is written by the interpreting physician and may be entered into the system by a transcriptionist.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586FBE90259" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_QCnQUuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586FBE90259">
            <body>Iindicate the  status of this report. Possible values are Verified; Released/Not Verified; Problem Draft; Draft.</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_aPOdkPCJEeWoT_0zIvvImQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ImageReportStatus)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645B67D9600A1" name="image" visibility="public" type="_oErcYPAuEeS1qetF27ECmQ" isUnique="false" association="_420A62FD03B645B67D9403BF">
          <ownedComment xmi:id="_QIkudOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B645B67D9600A1">
            <body>Image assocated with this Report</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QIt4UeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QIt4UuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645C08F130077" name="relatedCase" visibility="public" type="_420A62FD03B64586EE2E00B9" isUnique="false" association="_420A62FD03B645C08F11031E">
          <ownedComment xmi:id="_QIt4XeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B645C08F130077">
            <body>Related case to this report</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QIt4X-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QIt4YOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64550AAFD02CE" name="ImagingEvent" isAbstract="true">
        <eAnnotations xmi:id="_MzMG-uLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MyvbAeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64550AAFD02CE">
          <body>This class contains those attributes and associations common to both Radiology / Nuclear Medicine imaging examinations and the scanning of paper documents into an image storage and retrieval system. Historically, both diagnostic imaging and the scanning and retrieval of paper documents have been included in the &quot;imaging&quot; domain as they both share certain characteristics in terms of the equipment used to store and retrieve the images.  Yet a distinction is often made with respect to the amount and type of metadata associated with the images. For example, &quot;Diagnostic Images&quot; are those stored and retrieved in Picture Archive and Communications Systems (PACS) which require certain codified information regarding the modality of the image, body site, etc., and are organized into Studies, Series, Images, and subsets (regions) of images. In contrast, scanned documents do not require any of these metadata.  As patient-generated images become more commonplace, we foresee a need to store these images (for example, a patient uses a smart phone to take a picture of a wound and emails it to a clinician) as well. We would foresee such images stored in the &quot;Medical Imaging Event&quot; hierarchy, even if a relatively-empty Study and Series construct would be required to contain such images.  However, scanned documents simply need a pointer to the resulting image(s), and we therefore find it useful to continue with a logical separation of the two kinds of images.</body>
        </ownedComment>
        <ownedAttribute xmi:id="__R3I8IB5Ed-cvdR-JEsOjQ" name="dateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_g_VF4MU7EeW7a6OfPDMv9g" annotatedElement="__R3I8IB5Ed-cvdR-JEsOjQ">
            <body>The date (and optionally time) that the Imaging Event occurred.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64550AAFD02D6" name="description" visibility="public">
          <ownedComment xmi:id="_MzCV8uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64550AAFD02D6">
            <body>This property provides further narrative of the imaging event or of the images that were produced as part of the imaging event.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64550AAFD02CF" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_MyvbBOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64550AAFD02CF">
            <body>This property is used to uniquely identify the Imaging Event and therefore the set of images resulting from the Imaging Event.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_RwP6YIB7Ed-cvdR-JEsOjQ" name="imageCategory" visibility="public">
          <ownedComment xmi:id="_RwP6YYB7Ed-cvdR-JEsOjQ" annotatedElement="_RwP6YIB7Ed-cvdR-JEsOjQ">
            <body>A categorization of the image, which can be used for searching and sorting. We can imagine many possible mechanisms or axes by which images can be categorized, but none which can be easily standardized for universal use, so this property is modeled as string rather than a code.  It is anticipated that this one string field may be implemented by one or more coded and/or non-coded fields in any given implementation depending on the categorization needs of the system.&#xD;
&#xD;
It is noted that the VA's VistA system has several categorization mechanisms that might inform how this field may be used here, for example:&#xD;
VistA table 2005.82 which includes: Administrative, Clinical, Admin/Clinical.&#xD;
VistA table 2005.83&#xD;
VistA table 2005.84 which categorizes the image by specialty/subspecialty&#xD;
Another possible axis is to categorize the procedure that generated the image.  Possible values include: Colonoscopy, Surgery, Surgical pathology, Radiology. &#xD;
Another possible axis is to categorize the software system or package that generated and/or accesses the image.  Possible values include (from the VA): Radiology, Laboratory, Medicine, Clinical Document, Surgery, Photo ID, etc.&#xD;
&#xD;
When the image is a scanned document, this field might be used to identify the kind of document contained in the image.  Possible values (from the VA) include: Insurance form, Eligibility form, Patient Rights and Responsibilities form, Means Test form, Allied Veteran form, Appointment of a VSO as claimant's representative, DD214 enlisted record and report of separation, Death certificate, Miscellaneous document, etc.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kavEkYBwEd-cvdR-JEsOjQ" name="author" visibility="public" type="_hXa7cAq6Ed-426xscrxYmQ" association="_kavEkIBwEd-cvdR-JEsOjQ">
          <ownedComment xmi:id="_FE_CYPITEeWI5dLNhw9XrQ" annotatedElement="_kavEkYBwEd-cvdR-JEsOjQ">
            <body>Pointer to a Practitioner in the Role of Author. This Practitioner is the person who is responsible for the Imaging Event and who &quot;owns&quot; the Imaging Event record.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kavEkoBwEd-cvdR-JEsOjQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ka4OgIBwEd-cvdR-JEsOjQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64550AAFD02FF" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" isUnique="false" association="_420A62FD03B64550AAFD02FE">
          <ownedComment xmi:id="_M1RKneLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64550AAFD02FF">
            <body>Pointer to the Person (playing the role of Patient) to whom the imaging event pertains. For Medical Imaging Events, this is the person who is the subject of the imaging event (either the person is being imaged in whole or in part, or a sample taken from the patient is being imaged). For Document Imaging Events, this is the person to whom the document applies (e.g., the person who is the subject of a medical record or advance directive).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_M1RKn-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_M1RKoOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DOCgQYCeEd-cvdR-JEsOjQ" name="imagingLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_DOCgQICeEd-cvdR-JEsOjQ">
          <ownedComment xmi:id="_Wz3CcPIUEeWI5dLNhw9XrQ" annotatedElement="_DOCgQYCeEd-cvdR-JEsOjQ">
            <body>Pointer to the organization/location at which the imaging study is to (or did) take place. Note that this property is modeled as zero-to-many in order to handle multiple kinds of organization/location associations such as the ward, bed section, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DOCgQoCeEd-cvdR-JEsOjQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DOCgQ4CeEd-cvdR-JEsOjQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6456AF07F0009" name="DocumentImagingEvent">
        <eAnnotations xmi:id="_MzfB4eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MzVQ5eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6456AF07F0009">
          <body>This class contains attributes associated with scanned documents. Historically, both diagnostic imaging and the scanning and retrieval of paper documents have been included in the &quot;imaging&quot; domain as they both share certain characteristics in terms of the equipment used to store and retrieve the images.  Yet a distinction is often made with respect to the amount and type of metadata associated with the images. For example, &quot;Diagnostic Images&quot; are those stored and retrieved in Picture Archive and Communications Systems (PACS) which require certain codified information regarding the modality of the image, body site, etc., and are organized into Studies, Series, Images, and subsets (regions) of images. In contrast, scanned documents do not require any of these metadata.  As patient-generated images become more commonplace, we foresee a need to store these images (for example, a patient uses a smart phone to take a picture of a wound and emails it to a clinician) as well. We would foresee such images stored in the &quot;Medical Imaging Event&quot; hierarchy, even if a relatively-empty Study and Series construct would be required to contain such images.  However, scanned documents simply need a pointer to the resulting image(s), and we therefore find it useful to continue with a logical separation of the two kinds of images.</body>
        </ownedComment>
        <generalization xmi:id="_420A62FD03B6456AF0D6031B" general="_420A62FD03B64550AAFD02CE"/>
        <ownedAttribute xmi:id="_420A62FD03B6456AF10D02DE" name="documentDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_MzVQ6eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6456AF10D02DE">
            <body>If the item being scanned is a dated document, this property identifies the date of the document.  For example, if on 1/15/2016 a patient's birth certificate dated 6/17/1961 were scanned, this property would contain the birth certificate date (6/17/1961), while the ImagingEvent.dateTime would contain the date that the document was scanned (1/15/2016).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sip78MU3EeW7a6OfPDMv9g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sirKEMU3EeW7a6OfPDMv9g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dF_KoPs5EeSc9M34gwVpgg" name="imageInstance" visibility="public" type="_oErcYPAuEeS1qetF27ECmQ" association="_dF98gPs5EeSc9M34gwVpgg">
          <ownedComment xmi:id="_gcDPUPFREeWEJ4Z3YTwiDQ" annotatedElement="_dF_KoPs5EeSc9M34gwVpgg">
            <body>Pointer to the scanned image (along with metadata to help identify, locate, and classify the image) of the document.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dF_xsPs5EeSc9M34gwVpgg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dF_xsfs5EeSc9M34gwVpgg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64550AAFD02EF" name="acquisitionDevice" visibility="public" type="_MsausFCxEeCsN-3dTKIrUA" isUnique="false" association="_420A62FD03B64550AAFD02EE">
          <ownedComment xmi:id="_M1RKluLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64550AAFD02EF">
            <body>Pointer to the individual Device that was used to produce the image.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_M1RKmOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_M1RKmeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64550AAFD02EE" name="documentImagingEvent_acquisitionDevice" memberEnd="_420A62FD03B64550AAFD02EF _420A62FD03B64550AAFD02F0">
        <ownedEnd xmi:id="_420A62FD03B64550AAFD02F0" name="" visibility="public" type="_420A62FD03B6456AF07F0009" isUnique="false" association="_420A62FD03B64550AAFD02EE"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64550AAFD02FE" name="imagingEvent_patient" memberEnd="_420A62FD03B64550AAFD02FF _420A62FD03B64550AAFD0300">
        <ownedEnd xmi:id="_420A62FD03B64550AAFD0300" name="" visibility="public" type="_420A62FD03B64550AAFD02CE" isUnique="false" association="_420A62FD03B64550AAFD02FE"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_kavEkIBwEd-cvdR-JEsOjQ" name="imagingEvent_author" memberEnd="_kavEkYBwEd-cvdR-JEsOjQ _ka4OgYBwEd-cvdR-JEsOjQ">
        <ownedEnd xmi:id="_ka4OgYBwEd-cvdR-JEsOjQ" name="" visibility="public" type="_420A62FD03B64550AAFD02CE" association="_kavEkIBwEd-cvdR-JEsOjQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_6GHhAIByEd-cvdR-JEsOjQ" name="specimenImagingEvent_specimen" memberEnd="_6GHhAYByEd-cvdR-JEsOjQ _6GHhBIByEd-cvdR-JEsOjQ">
        <ownedEnd xmi:id="_6GHhBIByEd-cvdR-JEsOjQ" name="" visibility="public" type="_Yv8YIF45EeWQiN9lTU6tCQ" association="_6GHhAIByEd-cvdR-JEsOjQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_eEZDMPAuEeS1qetF27ECmQ" name="Study">
        <ownedComment xmi:id="_XrZ84PEAEeWFncL105bIbg" annotatedElement="_eEZDMPAuEeS1qetF27ECmQ">
          <body>&quot;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.&quot; - HL7 FHIR, ImagingStudy.</body>
        </ownedComment>
        <generalization xmi:id="_ma2LkPsVEeSc9M34gwVpgg" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_xYzjYPsUEeSc9M34gwVpgg" name="availability" visibility="public">
          <ownedComment xmi:id="_6r3lsF4mEeWQiN9lTU6tCQ" annotatedElement="_xYzjYPsUEeSc9M34gwVpgg">
            <body>This property indicates whether the image is immediately available, or is stored on a medium that must be located (if available) and loaded.  The need for a field like this is based on older technology and is arguably not needed anymore, but is still commonly used in older standards. FHIM is retaining this property for backwards-compatibility to FHIR, but is modeling the property as a string rather than a code in order to avoid the need to maintain a standardized value-set.&#xD;
&quot;Availability of study (online, offline or nearline).&quot; - HL7 FHIR, ImagingStudy.availability.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ag57MMqrEeW_D7b30NnZGw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ag8-gMqrEeW_D7b30NnZGw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cq_QgPsUEeSc9M34gwVpgg" name="dateTimeStarted" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_fjRnwF4mEeWQiN9lTU6tCQ" annotatedElement="_cq_QgPsUEeSc9M34gwVpgg">
            <body>&quot;Date and Time the study started&quot; - HL7 FHIR, ImagingStudy.started</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gUvwAPsVEeSc9M34gwVpgg" name="description" visibility="public">
          <ownedComment xmi:id="_2DP_UF4nEeWQiN9lTU6tCQ" annotatedElement="_gUvwAPsVEeSc9M34gwVpgg">
            <body>&quot;Institution-generated description or classification of the Study performed.&quot; - HL7 FHIR, ImagingStudy.description</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_sAPjQPsUEeSc9M34gwVpgg" name="modalityList" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true">
          <ownedComment xmi:id="_yksqQF4mEeWQiN9lTU6tCQ" annotatedElement="_sAPjQPsUEeSc9M34gwVpgg">
            <body>&quot;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)&quot; - HL7 FHIR, ImagingStudy.modalityList.&#xD;
Note that we have marked this property as derived because this information may be calculated based on the modalities of the series that makes up the study.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AO9kMPCKEeWoT_0zIvvImQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AO9kMfCKEeWoT_0zIvvImQ" value="*"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_r7q6gPKUEeWK49aD-a6xLg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(AcquisitionModality)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Ba340PsVEeSc9M34gwVpgg" name="numberOfInstances" visibility="public" isDerived="true">
          <ownedComment xmi:id="_FpJWIF4oEeWQiN9lTU6tCQ" annotatedElement="_Ba340PsVEeSc9M34gwVpgg">
            <body>&quot;Number of SOP Instances in Study.&quot; - HL7 FHIR, ImagingStudy.numberOfInstances.&#xD;
Note that we have marked this property as derived because this information may be calculated based on the instances that makes up the study.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BuxxIPCKEeWoT_0zIvvImQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BuxxIfCKEeWoT_0zIvvImQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9bIs0PsUEeSc9M34gwVpgg" name="numberOfSeries" visibility="public" isDerived="true">
          <ownedComment xmi:id="_QT1-QF4oEeWQiN9lTU6tCQ" annotatedElement="_9bIs0PsUEeSc9M34gwVpgg">
            <body>&quot;Number of Series in Study.&quot; - HL7 FHIR, ImagingStudy.numberOfSeries.&#xD;
Note that we have marked this property as derived because this information may be calculated based on the series that makes up the study.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CzA1UPCKEeWoT_0zIvvImQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CzA1UfCKEeWoT_0zIvvImQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_arawAPsVEeSc9M34gwVpgg" name="interpreter" visibility="public" type="_420A62FD03B6418A6B760063" association="_arZh4PsVEeSc9M34gwVpgg">
          <ownedComment xmi:id="_zZS4MPIcEeWI5dLNhw9XrQ" annotatedElement="_arawAPsVEeSc9M34gwVpgg">
            <body>A Provider who is specially trained to arrive at a diagnosis by exercising clinical judgement based on numerical or visual evidence.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_arb-IPsVEeSc9M34gwVpgg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_arb-IfsVEeSc9M34gwVpgg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2asI4PsUEeSc9M34gwVpgg" name="url" visibility="public">
          <ownedComment xmi:id="_Y8J34F4oEeWQiN9lTU6tCQ" annotatedElement="_2asI4PsUEeSc9M34gwVpgg">
            <body>&quot;WADO-RS resource where Study is available.&quot; - HL7 FHIR, ImagingStudy.url</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Ftk5kPsUEeSc9M34gwVpgg" name="series" visibility="public" type="_fV6VcPAuEeS1qetF27ECmQ" aggregation="composite" association="_FtkSgPsUEeSc9M34gwVpgg">
          <ownedComment xmi:id="_qCfw8F4sEeWQiN9lTU6tCQ" annotatedElement="_Ftk5kPsUEeSc9M34gwVpgg">
            <body>&quot;Each study has one or more series of images or other content.&quot; - HL7 FHIR, ImagingStudy.series</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FtmHsPsUEeSc9M34gwVpgg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FtmHsfsUEeSc9M34gwVpgg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_fV6VcPAuEeS1qetF27ECmQ" name="Series">
        <ownedComment xmi:id="_ob_tMF4sEeWQiN9lTU6tCQ" annotatedElement="_fV6VcPAuEeS1qetF27ECmQ">
          <body>&quot;Each study has one or more series of images or other content.&quot; - HL7 FHIR, ImagingStudy.series</body>
        </ownedComment>
        <ownedAttribute xmi:id="_5Tiv4PsVEeSc9M34gwVpgg" name="availability" visibility="public">
          <ownedComment xmi:id="_d-SfkF4pEeWQiN9lTU6tCQ" annotatedElement="_5Tiv4PsVEeSc9M34gwVpgg">
            <body>This property indicates whether the image series is immediately available, or is stored on a medium that must be located (if available) and loaded. The need for a field like this is based on older technology and is arguably not needed anymore, but is still commonly used in older systems. FHIM is retaining this property for backwards-compatibility to FHIR, but is modeling the property as a string rather than a code in order to avoid the need to maintain a standardized value-set.&#xD;
&#xD;
&quot;Availability of series (online, offline or nearline).&quot; - HL7 FHIR, ImagingStudy.series.availability</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_D74bgPCCEeWoT_0zIvvImQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_D74bgfCCEeWoT_0zIvvImQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_70pasPsVEeSc9M34gwVpgg" name="bodySite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_jpYaIF4pEeWQiN9lTU6tCQ" annotatedElement="_70pasPsVEeSc9M34gwVpgg">
            <body>&quot;Body part examined. See DICOM Part 16 Annex L for the mapping from DICOM to Snomed CT.&quot; - HL7 FHIR, ImagingStudy.series.bodySite</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_13iGsPKUEeWK49aD-a6xLg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ImagingBodySite)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CHQoQPsWEeSc9M34gwVpgg" name="dateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_cSpAoF4qEeWQiN9lTU6tCQ" annotatedElement="_CHQoQPsWEeSc9M34gwVpgg">
            <body>&quot;The date and time the series was started.&quot; - HL7 FHIR, ImagingStudy.series.started</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1MOVMPsVEeSc9M34gwVpgg" name="description" visibility="public">
          <ownedComment xmi:id="_h61YMF4qEeWQiN9lTU6tCQ" annotatedElement="_1MOVMPsVEeSc9M34gwVpgg">
            <body>&quot;A description of the series.&quot; - HL7 FHIR, ImagingStudy.series.description</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9isQ4PsVEeSc9M34gwVpgg" name="laterality" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_niVMMF4qEeWQiN9lTU6tCQ" annotatedElement="_9isQ4PsVEeSc9M34gwVpgg">
            <body>&quot;Laterality if body site is paired anatomic structure and laterality is not pre-coordinated in body site code.&quot; - HL7 FHIR, ImagingStudy.series.laterality</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_RxhG4PCIEeWoT_0zIvvImQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(BodySiteLaterality)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zFJT8PsVEeSc9M34gwVpgg" name="modality" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_G1pJAF4pEeWQiN9lTU6tCQ" annotatedElement="_zFJT8PsVEeSc9M34gwVpgg">
            <body>&quot;The modality of this series sequence.&quot; - HL7 FHIR, ImagingStudy.series.modality</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_YdjhEPCIEeWoT_0zIvvImQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(AcquisitionModality)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4oRlUPsVEeSc9M34gwVpgg" name="numberOfInstances" visibility="public" isDerived="true">
          <ownedComment xmi:id="_zlO9YF4qEeWQiN9lTU6tCQ" annotatedElement="_4oRlUPsVEeSc9M34gwVpgg">
            <body>&quot;Number of SOP Instances in Series.&quot; - HL7 FHIR, ImagingStudy.series.numberOfInstances&#xD;
Note that we have marked this property as derived because this information may be calculated based on the instances that makes up the series.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_D9ymYPCKEeWoT_0zIvvImQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_D9ymYfCKEeWoT_0zIvvImQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ug660PsVEeSc9M34gwVpgg" name="seriesNumber" visibility="public">
          <ownedComment xmi:id="_BYDe8F4pEeWQiN9lTU6tCQ" annotatedElement="_ug660PsVEeSc9M34gwVpgg">
            <body>&quot;The numeric identifier of this series in the study.&quot; - HL7 FHIR, ImagingStudy.series.number</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6708UPsVEeSc9M34gwVpgg" name="url" visibility="public">
          <ownedComment xmi:id="_6T500F4qEeWQiN9lTU6tCQ" annotatedElement="_6708UPsVEeSc9M34gwVpgg">
            <body>&quot;URI/URL specifying the location of the referenced series using WADO-RS.&quot; - HL7 FHIR, ImagingStudy.series.url</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_edyIMPsyEeSc9M34gwVpgg" name="deviceInstance" visibility="public" type="_MsausFCxEeCsN-3dTKIrUA" association="_edwTAPsyEeSc9M34gwVpgg">
          <ownedComment xmi:id="_MXs2gPIdEeWI5dLNhw9XrQ" annotatedElement="_edyIMPsyEeSc9M34gwVpgg">
            <body>Pointer to the individual Device that was used to produce the image.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_edz9YPsyEeSc9M34gwVpgg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ed0kcPsyEeSc9M34gwVpgg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_GM89MPsUEeSc9M34gwVpgg" name="imageInstance" visibility="public" type="_oErcYPAuEeS1qetF27ECmQ" aggregation="composite" association="_GM8WIPsUEeSc9M34gwVpgg">
          <ownedComment xmi:id="_0I1u0F4sEeWQiN9lTU6tCQ" annotatedElement="_GM89MPsUEeSc9M34gwVpgg">
            <body>Pointer to the medical image (along with metadata to help identify, locate, and classify the image).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GM9kQPsUEeSc9M34gwVpgg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GM-LUPsUEeSc9M34gwVpgg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_oErcYPAuEeS1qetF27ECmQ" name="ImageInstance">
        <ownedComment xmi:id="_yFnS0F4sEeWQiN9lTU6tCQ" annotatedElement="_oErcYPAuEeS1qetF27ECmQ">
          <body>This class contains an electronic representation of an optical counterpart or appearance of an object along with metadata to help identify, locate, and classify the image. This class is to be used for both clinical images which may be managed using a PACS and for scanned documents and other informal images.&#xD;
&quot;A single SOP Instance within the series, e.g. an image, or presentation state.&quot; - HL7 FHIR, ImagingStudy.series.instance</body>
        </ownedComment>
        <ownedAttribute xmi:id="_fZOZAHmzEeW-j_oLISFbOQ" name="content" visibility="public" type="_420A62FD03B64586C73900D7">
          <ownedComment xmi:id="_V-A4QPFTEeWEJ4Z3YTwiDQ" annotatedElement="_fZOZAHmzEeW-j_oLISFbOQ">
            <body>An electronic representation of an optical counterpart or appearance of an object. This property contains the binary data of the image.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kNKpIHmzEeW-j_oLISFbOQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kNKpIXmzEeW-j_oLISFbOQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Go-x4PsUEeSc9M34gwVpgg" name="frame" visibility="public" type="_pe27YPAuEeS1qetF27ECmQ" aggregation="composite" association="_Go9jwPsUEeSc9M34gwVpgg">
          <ownedComment xmi:id="_sHd5YF4sEeWQiN9lTU6tCQ" annotatedElement="_Go-x4PsUEeSc9M34gwVpgg">
            <body>&quot;Identity and location information of the frames in the selected instance.&quot; - HL7 FHIR, ImagingObjectSelection.study.series.instance.frames</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GpAAAPsUEeSc9M34gwVpgg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GpAnEPsUEeSc9M34gwVpgg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KlVn0PsWEeSc9M34gwVpgg" name="instanceNumber" visibility="public">
          <ownedComment xmi:id="_cxrQkF4rEeWQiN9lTU6tCQ" annotatedElement="_KlVn0PsWEeSc9M34gwVpgg">
            <body>&quot;The number of instance in the series.&quot; - HL7 FHIR, ImagingStudy.series.instance.number</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iM6poGOvEeWL1ov4GOhBTA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iNEaoGOvEeWL1ov4GOhBTA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xw0zkIB-Ed-cvdR-JEsOjQ" name="pacsUID" visibility="public">
          <ownedComment xmi:id="_xw0zkYB-Ed-cvdR-JEsOjQ" annotatedElement="_xw0zkIB-Ed-cvdR-JEsOjQ">
            <body>When an image is created from an external PACS system, this property will contain the unique identifier for the image within that system.&#xD;
&quot;Formal identifier for this image or other content.&quot; - HL7 FHIR, ImagingStudy.series.instance.uid</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9T4WQPFREeWEJ4Z3YTwiDQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9UCHQPFREeWEJ4Z3YTwiDQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Q420UPsWEeSc9M34gwVpgg" name="sopClass" visibility="public">
          <ownedComment xmi:id="_twsWcF4rEeWQiN9lTU6tCQ" annotatedElement="_Q420UPsWEeSc9M34gwVpgg">
            <body>&quot;DICOM instance type.&quot; - HL7 FHIR, ImagingStudy.series.instance.sopClass&#xD;
Note that in FHIR, the data type for this property is an oid. We may wish to make it a code.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-LGSIPFREeWEJ4Z3YTwiDQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-LGSIfFREeWEJ4Z3YTwiDQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_RCNkoPsWEeSc9M34gwVpgg" name="title" visibility="public">
          <ownedComment xmi:id="_yVxEIF4rEeWQiN9lTU6tCQ" annotatedElement="_RCNkoPsWEeSc9M34gwVpgg">
            <body>&quot;The description of the instance.&quot; - HL7 FHIR, ImagingStudy.series.instance.title</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_f3fDUGOvEeWL1ov4GOhBTA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_f3oNQGOvEeWL1ov4GOhBTA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Q9bLQPsWEeSc9M34gwVpgg" name="type" visibility="public">
          <ownedComment xmi:id="_4FLeAF4rEeWQiN9lTU6tCQ" annotatedElement="_Q9bLQPsWEeSc9M34gwVpgg">
            <body>&quot;A human-friendly SOP Class name.&quot; - HL7 FHIR, ImagingStudy.series.instance.type</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fEECUGOvEeWL1ov4GOhBTA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fENzUGOvEeWL1ov4GOhBTA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_pe27YPAuEeS1qetF27ECmQ" name="Frame">
        <ownedComment xmi:id="_ehSXkF4sEeWQiN9lTU6tCQ" annotatedElement="_pe27YPAuEeS1qetF27ECmQ">
          <body>&quot;Identity and location information of the frames in the selected instance.&quot; - HL7 FHIR, ImagingObjectSelection.study.series.instance.frames</body>
        </ownedComment>
        <ownedAttribute xmi:id="_hJNdYPsWEeSc9M34gwVpgg" name="frameNumber" visibility="public">
          <ownedComment xmi:id="_MubZ8F4sEeWQiN9lTU6tCQ" annotatedElement="_hJNdYPsWEeSc9M34gwVpgg">
            <body>&quot;The frame numbers in the frame set.&quot; - HL7 FHIR, ImagingObjectSelection.study.series.instance.frames.frameNumbers</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lhqrYPsWEeSc9M34gwVpgg" name="url" visibility="public">
          <ownedComment xmi:id="_RnA5gF4sEeWQiN9lTU6tCQ" annotatedElement="_lhqrYPsWEeSc9M34gwVpgg">
            <body>&quot;WADO-RS URL to retrieve the DICOM frames.&quot; - HL7 FHIR, ImagingObjectSelection.study.series.instance.frames.url</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_C3uGwPsUEeSc9M34gwVpgg" name="imagingPromise_imagingEvent" memberEnd="_C3ut0PsUEeSc9M34gwVpgg _C3xKEPsUEeSc9M34gwVpgg">
        <ownedEnd xmi:id="_C3xKEPsUEeSc9M34gwVpgg" name="" visibility="public" type="_420A62FD03B6458687500084" association="_C3uGwPsUEeSc9M34gwVpgg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_FtkSgPsUEeSc9M34gwVpgg" name="study_series" memberEnd="_Ftk5kPsUEeSc9M34gwVpgg _FtnV0PsUEeSc9M34gwVpgg">
        <ownedEnd xmi:id="_FtnV0PsUEeSc9M34gwVpgg" name="" visibility="public" type="_eEZDMPAuEeS1qetF27ECmQ" association="_FtkSgPsUEeSc9M34gwVpgg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_GM8WIPsUEeSc9M34gwVpgg" name="series_imageInstance" memberEnd="_GM89MPsUEeSc9M34gwVpgg _GM-yYPsUEeSc9M34gwVpgg">
        <ownedEnd xmi:id="_GM-yYPsUEeSc9M34gwVpgg" name="" visibility="public" type="_fV6VcPAuEeS1qetF27ECmQ" association="_GM8WIPsUEeSc9M34gwVpgg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Go9jwPsUEeSc9M34gwVpgg" name="imageInstance_frame" memberEnd="_Go-x4PsUEeSc9M34gwVpgg _GpBOIPsUEeSc9M34gwVpgg">
        <ownedEnd xmi:id="_GpBOIPsUEeSc9M34gwVpgg" name="" visibility="public" type="_oErcYPAuEeS1qetF27ECmQ" association="_Go9jwPsUEeSc9M34gwVpgg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_arZh4PsVEeSc9M34gwVpgg" name="study_interpreter" memberEnd="_arawAPsVEeSc9M34gwVpgg _ardMQPsVEeSc9M34gwVpgg">
        <ownedEnd xmi:id="_ardMQPsVEeSc9M34gwVpgg" name="" visibility="public" type="_eEZDMPAuEeS1qetF27ECmQ" association="_arZh4PsVEeSc9M34gwVpgg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_19LbkPsWEeSc9M34gwVpgg" name="ImageObjectSelection">
        <eAnnotations xmi:id="_30p54PBTEeW0ha-_6Q5R7w" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_30p54fBTEeW0ha-_6Q5R7w" key="EntryPoint"/>
        </eAnnotations>
        <ownedComment xmi:id="_5gowEH9AEeW8SPVtPHwMkQ" annotatedElement="_19LbkPsWEeSc9M34gwVpgg">
          <body>&quot;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 have been selected for a purpose, such as quality assurance, conference, or consult. Reflecting that range of purposes, typical ImagingObjectSelection 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); 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.&quot; - HL7 FHIR, ImagingObjectSelection</body>
        </ownedComment>
        <generalization xmi:id="_Q0tKwPsvEeSc9M34gwVpgg" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_czXVIPsvEeSc9M34gwVpgg" name="description" visibility="public">
          <ownedComment xmi:id="_zkWX0H9AEeW8SPVtPHwMkQ" annotatedElement="_czXVIPsvEeSc9M34gwVpgg">
            <body>&quot;Text description of the DICOM SOP instances selected in the ImagingObjectSelection. This should be aligned with the content of the title element, and can provide further explanation of the SOP instances in the selection.&quot; - HL7 FHIR, ImagingObjectSelection.description</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6ia9MH9AEeW8SPVtPHwMkQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6ia9MX9AEeW8SPVtPHwMkQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZcJhsPsvEeSc9M34gwVpgg" name="kosTitle" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_vJxp8H9AEeW8SPVtPHwMkQ" annotatedElement="_ZcJhsPsvEeSc9M34gwVpgg">
            <body>&quot;The reason for, or significance of, the selection of objects referenced in the resource.&quot; - HL7 FHIR, ImagingObjectSelection.title</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_OJI4sPCNEeWoT_0zIvvImQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(KOSTitle)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SMuGkPsvEeSc9M34gwVpgg" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_SMs4cPsvEeSc9M34gwVpgg">
          <ownedComment xmi:id="_IzRVQPFTEeWEJ4Z3YTwiDQ" annotatedElement="_SMuGkPsvEeSc9M34gwVpgg">
            <body>Pointer to the Person(s) (playing the role of Patient) whose images are included in the set of selected objects.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SMvUsPsvEeSc9M34gwVpgg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SMv7wPsvEeSc9M34gwVpgg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SeDH0V4vEeWQiN9lTU6tCQ" name="study" visibility="public" type="_eEZDMPAuEeS1qetF27ECmQ" aggregation="composite" association="_SeDH0F4vEeWQiN9lTU6tCQ">
          <ownedComment xmi:id="_udsTMPFTEeWEJ4Z3YTwiDQ" annotatedElement="_SeDH0V4vEeWQiN9lTU6tCQ">
            <body>&quot;Study identity and locating information of the DICOM SOP instances in the selection.&quot; - HL7 FHIR, ImagingObjectSelection.study.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SeDH0l4vEeWQiN9lTU6tCQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SeDH014vEeWQiN9lTU6tCQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_SMs4cPsvEeSc9M34gwVpgg" name="imageObjectSelection_patient" memberEnd="_SMuGkPsvEeSc9M34gwVpgg _SMwi0PsvEeSc9M34gwVpgg">
        <ownedEnd xmi:id="_SMwi0PsvEeSc9M34gwVpgg" name="" visibility="public" type="_19LbkPsWEeSc9M34gwVpgg" association="_SMs4cPsvEeSc9M34gwVpgg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_edwTAPsyEeSc9M34gwVpgg" name="series_deviceInstance" memberEnd="_edyIMPsyEeSc9M34gwVpgg _ed1ykPsyEeSc9M34gwVpgg">
        <ownedEnd xmi:id="_ed1ykPsyEeSc9M34gwVpgg" name="" visibility="public" type="_fV6VcPAuEeS1qetF27ECmQ" association="_edwTAPsyEeSc9M34gwVpgg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_dF98gPs5EeSc9M34gwVpgg" name="documentImagingEvent_imageInstance" memberEnd="_dF_KoPs5EeSc9M34gwVpgg _dGA_0Ps5EeSc9M34gwVpgg">
        <ownedEnd xmi:id="_dGA_0Ps5EeSc9M34gwVpgg" name="" visibility="public" type="_420A62FD03B6456AF07F0009" association="_dF98gPs5EeSc9M34gwVpgg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B645C08F11031E" name="imageInterpretationReport_relatedCase" memberEnd="_420A62FD03B645C08F130077 _420A62FD03B645C08F13008B">
        <ownedEnd xmi:id="_420A62FD03B645C08F13008B" name="" visibility="public" type="_420A62FD03B64586FBA701A8" isUnique="false" association="_420A62FD03B645C08F11031E"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B645B67D9403BF" name="imageInterpretationReport_image" memberEnd="_420A62FD03B645B67D9600A1 _420A62FD03B645B67D960123">
        <ownedEnd xmi:id="_420A62FD03B645B67D960123" name="" visibility="public" type="_420A62FD03B64586FBA701A8" isUnique="false" association="_420A62FD03B645B67D9403BF"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6459B22C20290" name="radioPharmaceuticalAdministration_radiopharmaceutical" memberEnd="_420A62FD03B6459B22C3015B _420A62FD03B6459B22C3016F">
        <ownedEnd xmi:id="_420A62FD03B6459B22C3016F" name="" visibility="public" type="_420A62FD03B6459176EB0167" isUnique="false" association="_420A62FD03B6459B22C20290"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_DOCgQICeEd-cvdR-JEsOjQ" name="imagingEvent_imagingLocation" memberEnd="_DOCgQYCeEd-cvdR-JEsOjQ _DOCgRICeEd-cvdR-JEsOjQ">
        <ownedEnd xmi:id="_DOCgRICeEd-cvdR-JEsOjQ" name="" visibility="public" type="_420A62FD03B64550AAFD02CE" association="_DOCgQICeEd-cvdR-JEsOjQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B645915F8D036E" name="medicalImagingEvent_report" memberEnd="_420A62FD03B645915F8E02A7 _420A62FD03B645915F8E02BB">
        <ownedEnd xmi:id="_420A62FD03B645915F8E02BB" name="" visibility="public" type="_420A62FD03B64586EE2E00B9" isUnique="false" association="_420A62FD03B645915F8D036E"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_dT7ZIICgEd-cvdR-JEsOjQ" name="medicalImagingEvent_diagnosis" memberEnd="_dT7ZIYCgEd-cvdR-JEsOjQ _dT7ZJICgEd-cvdR-JEsOjQ">
        <ownedEnd xmi:id="_dT7ZJICgEd-cvdR-JEsOjQ" name="" visibility="public" type="_420A62FD03B64586EE2E00B9" association="_dT7ZIICgEd-cvdR-JEsOjQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B645953A1103DB" name="medicalImagingEvent_principalClinic" memberEnd="_420A62FD03B645953A17032F _420A62FD03B645953A17036B">
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        <ownedComment xmi:id="__X5NgPEyEeWSzOqEIoYYig" annotatedElement="_7ui78F4sEeWQiN9lTU6tCQ">
          <body>An Observation of the amount of radiation to which the Patient has been or is expected to be exposed. Such data can help clinicians determine if the benefit from the diagnostic information provided by an individual examination (or additional examinations) outweigh the risk that may be associated with a proposed imaging exam. Retrospectively, it may be necessary to know how much radiation to which the Patient was exposed. As an example, if it was later learned that the Patient was pregnant at the time of exposure, it would be helpful to know the kind and quantity of radiation to which the fetus might have been exposed.&#xD;
&#xD;
Radiation exposure is typically measured in equivalent doses, expressed using Sieverts (Sv), or roentgen equivalents in man (rem). The equivalent dose is itself derived from the amount of ionizing radiation (dose) expressed in Gray (Gy) or rad. The dose is derived from the exposure expressed in Coulomb per kilogram (C/kg) or roentgen (R).</body>
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        <ownedAttribute xmi:id="_6UZCIGO-EeWL1ov4GOhBTA" name="dose" visibility="public" type="_420A62FD03B641886F630221">
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            <body>The amount of radiation to which the Patient has been or is expected to be exposed. Radiation exposure is typically measured in equivalent doses, expressed using Sieverts (Sv) or Roentgen Equivalents in Man (rem). The equivalent dose is itself derived from the amount of ionizing radiation (dose) expressed in Gray (Gy) or rad. The dose is derived from the exposure expressed in Coulomb per kilogram (C/kg) or roentgen (R).</body>
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          <body>This sub-type of Imaging Event contains additional properties applicable when the subject of the study is a sample taken from the Patient rather than the Patient him/herself. For example, a mass of tissue may be extracted from the patient and sent to the radiology department for an assessment of whether that mass may be cancerous. This class contains information concerning any stain technique used, and the magnification used to produce the image. In addition, properties of the specimen itself are referenced.&#xD;
Note that as a sub-type of Imaging Event, Specimen Imaging Event includes all of the properties of Imaging Event, including the Study, Series, and Image classes.</body>
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        <generalization xmi:id="_QuuAQH9BEeW8SPVtPHwMkQ" general="_420A62FD03B64586EE2E00B9"/>
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            <body>Pointer to a physical entity that is part representative of a larger whole that is the target of an observation or analysis for the purpose of drawing conclusions about whole. In other words, a portion taken from the patient for the purpose of study.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6GHhAoByEd-cvdR-JEsOjQ"/>
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            <body>The microscopic objective is the magnification used when taking the image and/or examining the sample. This datum is recorded along with the image for use by future reviewers.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
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        <ownedAttribute xmi:id="_S3TXIIB9Ed-cvdR-JEsOjQ" name="stainDescription" visibility="public">
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            <body>Description of the Histological Stain used in the preparation of the specimen.</body>
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      <packagedElement xmi:type="uml:Dependency" xmi:id="_Sf86MPCIEeWoT_0zIvvImQ" client="_fV6VcPAuEeS1qetF27ECmQ">
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    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B64294DF9F0087" name="Immunization">
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      <ownedComment xmi:id="_MxwqoFSOEeOiZrLzx6PDyg" annotatedElement="_420A62FD03B64294DF9F0087">
        <body>The FHIM Immunization domain is concerned with the documentation surrounding ordering, administration, and reporting to public authorities of vaccations.  There are three potential &quot;entry points&quot;, the primary one being the Immunization History List.  The Immunization History List can be composed of entries from multiple organizations and may include entries describing actual immunizations as well as immunizations that did not occur for some reason.&#xD;
&#xD;
There currently exists a subpackage in this domain that deals with forecasting of immunizations, which is out of scope for this iteration of the FHIM, but was modeled in the HL7 Domain Analysis Model, which was one of the sources for this domain.  The Immunization Forecast will likely be modeled in a future iteration.</body>
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          <body>A vaccine information document is an educational document intended to outline the risks and benefits of the vaccine.  It outlines the impact of infection by the disease causing organism. Also known as a Vaccine Information Sheet (VIS).</body>
        </ownedComment>
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            <body>The date that the Vaccine Information Sheet was published.  In effect, this date serves to identify the version of the VIS.</body>
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        <ownedAttribute xmi:id="_cgFwEBSMEeKpJeaG5gXc6Q" name="documentType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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          <ownedComment xmi:id="_8I_Z0CzdEeKLfdgQhBZO1Q" annotatedElement="_cgFwEBSMEeKpJeaG5gXc6Q">
            <body>The type of Vaccine Information Sheet.  The combination of the document type and the date of publication identifies a particular version of the document.&#xD;
Note that the &quot;document title&quot; is in the &quot;text&quot; sub-component of the code datatype.</body>
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        </ownedAttribute>
        <ownedAttribute xmi:id="_QeDyEIAiEeGE1-mzJa42fw" name="serialNumber" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
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            <body>Uniquely identifies the Vaccine Information Sheet.  This property allows for individual Vaccine Information Sheets to be enumerated, which is uncommon, but is expected to become more prevelent in the future.  This property is therefore optional.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NrMhwCzdEeKLfdgQhBZO1Q"/>
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            <body>The language in which the Vaccine Information Sheet is written.  This would most likely be a code from ISO table 639.</body>
          </ownedComment>
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          <body>&quot;Contains the identifier of the medical substance/treatment administered....  If the substance administered is a vaccine, CVX codes may be used to code this field....&quot; - HL7 Version 2.8, RXA-5</body>
        </ownedComment>
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            <body>&quot;Contains the identifier of the medical substance/treatment administered....  If the substance administered is a vaccine, CVX codes may be used to code this field....&quot; - HL7 Version 2.8, RXA-5</body>
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        </ownedAttribute>
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            <body>&quot;Identifies the condition or problem for which the drug/treatment was prescribed.&quot; - HL7 Version 2.8, RXO-20.</body>
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      <packagedElement xmi:type="uml:Class" xmi:id="_HhemkH87EeG8JPxVazzwbQ" name="VaccinationEvent">
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          <body>Information about the administration of a vaccine to a patient.  This class is a sub-class of MedicationAdministrationEvent, and therefore inherits the properties of that class, and then adds vaccination-specific information such as the dose number within a series, and immunity status.</body>
        </ownedComment>
        <generalization xmi:id="_CjBIoIAkEeGE1-mzJa42fw" general="_420A62FD03B641A349EF0070"/>
        <ownedAttribute xmi:id="_egUl8AlpEeKmMfGXbG9elQ" name="fundingSource" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <body>Indicates the source of funds used to pay for the Immunization.  In the CDC Version 2 Implementation Guide, this is implemented as a seperate observation, in OBX-5.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sVLc8AlpEeKmMfGXbG9elQ"/>
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        <ownedAttribute xmi:id="_P1vY4KETEeGnfe88WF3uxw" name="numberInSeries" visibility="public">
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            <body>&quot;If the order is for a continuous administration (such as an IV), and the rate is changed at a certain time after the start, an RAS message can be issued to record the change.  For such an RAS message, this field records the time the rate was changed to the new value recorded in the RXA-12-Administered Per (time unit) of the same message.&quot; - HL7 Version 2.8, RXA-2</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
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        <ownedAttribute xmi:id="_ugzRUNgkEeG3E4mt6RKX5Q" name="evaluation" visibility="public" type="_nCBqkKEZEeGnfe88WF3uxw" association="_ugw1ENgkEeG3E4mt6RKX5Q">
          <ownedComment xmi:id="_c6TGACzZEeKLfdgQhBZO1Q" annotatedElement="_ugzRUNgkEeG3E4mt6RKX5Q">
            <body>An evaluation of a given vaccination in which an attempt is made to match the vaccination with a target dose number.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ugzRUdgkEeG3E4mt6RKX5Q" value="1"/>
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        </ownedAttribute>
        <ownedAttribute xmi:id="_cOQpsIAiEeGE1-mzJa42fw" name="patientDocumentPresentation" visibility="public" type="_KvtvMIAiEeGE1-mzJa42fw" association="_cOM_UIAiEeGE1-mzJa42fw">
          <ownedComment xmi:id="_rKR18CzdEeKLfdgQhBZO1Q" annotatedElement="_cOQpsIAiEeGE1-mzJa42fw">
            <body>The provision of a Vaccine Information Sheet to the patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cOR30IAiEeGE1-mzJa42fw"/>
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        <ownedAttribute xmi:id="_pARWIEC2EeO2aaQpQxRerg" name="immunityStatus" visibility="public" type="_q3qd4MIfEeGx0M-CyAbegA" association="_pAQvEEC2EeO2aaQpQxRerg">
          <ownedComment xmi:id="_sABr0EC2EeO2aaQpQxRerg" annotatedElement="_pARWIEC2EeO2aaQpQxRerg">
            <body>The immunological state of the patient with respect to a given disease.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pASkQEC2EeO2aaQpQxRerg"/>
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        <ownedAttribute xmi:id="_RbWd0EC3EeO2aaQpQxRerg" name="immunizationFundingEligibility" visibility="public" type="_kscRANKiEeGtfrdPU3R3yA" association="_RbVPsEC3EeO2aaQpQxRerg">
          <ownedComment xmi:id="_WH5sgEC3EeO2aaQpQxRerg" annotatedElement="_RbWd0EC3EeO2aaQpQxRerg">
            <body>Indicates the eligibility of the Patient to receive a vaccine under a publicly funded vaccine program.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RbXE4EC3EeO2aaQpQxRerg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RbXE4UC3EeO2aaQpQxRerg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_KvtvMIAiEeGE1-mzJa42fw" name="PatientDocumentPresentation">
        <ownedComment xmi:id="_YvwbYCzdEeKLfdgQhBZO1Q" annotatedElement="_KvtvMIAiEeGE1-mzJa42fw">
          <body>This class contains information regarding the provision of a Vaccine Information Sheet to the patient.  A vaccine information document is an educational document intended to outline the risks and benefits of the vaccine.  It outlines the impact of infection by the disease causing organism.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_IElF4H82EeG8JPxVazzwbQ" name="dateOfPresentation" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_rHzAYEcNEeKCL55cY7xifw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_oDkjsCzdEeKLfdgQhBZO1Q" annotatedElement="_IElF4H82EeG8JPxVazzwbQ">
            <body>The date that the Vaccine Information Sheet was provided to the patient (or the patient's representative).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_csKtsIAiEeGE1-mzJa42fw" name="vaccineInformationStatement" visibility="public" type="_DygMsH82EeG8JPxVazzwbQ" association="_csGcQIAiEeGE1-mzJa42fw">
          <ownedComment xmi:id="_vmfikCzdEeKLfdgQhBZO1Q" annotatedElement="_csKtsIAiEeGE1-mzJa42fw">
            <body>An educational document intended to outline the risks and benefits of the vaccine.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_csL70IAiEeGE1-mzJa42fw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_csL70YAiEeGE1-mzJa42fw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_cOM_UIAiEeGE1-mzJa42fw" name="vaccinationEvent_patientDocumentPresentation" memberEnd="_cOQpsIAiEeGE1-mzJa42fw _cOViMIAiEeGE1-mzJa42fw">
        <ownedEnd xmi:id="_cOViMIAiEeGE1-mzJa42fw" name="" visibility="public" type="_HhemkH87EeG8JPxVazzwbQ" association="_cOM_UIAiEeGE1-mzJa42fw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_csGcQIAiEeGE1-mzJa42fw" name="patientDocumentPresentation_vaccineInformationStatement" memberEnd="_csKtsIAiEeGE1-mzJa42fw _csPmMIAiEeGE1-mzJa42fw">
        <ownedEnd xmi:id="_csPmMIAiEeGE1-mzJa42fw" name="" visibility="public" type="_KvtvMIAiEeGE1-mzJa42fw" association="_csGcQIAiEeGE1-mzJa42fw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_SVqwQIsgEeGv9r5ZNThaOw" name="vaccine_indication" memberEnd="_SVtzkIsgEeGv9r5ZNThaOw _SVwP0IsgEeGv9r5ZNThaOw">
        <ownedEnd xmi:id="_SVwP0IsgEeGv9r5ZNThaOw" name="" visibility="public" type="_Off64H82EeG8JPxVazzwbQ" association="_SVqwQIsgEeGv9r5ZNThaOw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_uLxJ4KEYEeGnfe88WF3uxw" name="PatientSeries">
        <ownedComment xmi:id="_wO22ACzQEeKLfdgQhBZO1Q" annotatedElement="_uLxJ4KEYEeGnfe88WF3uxw">
          <body>Patient Series is an instantiation in time of the Vaccine Series that represents one path towards the goal of protection against a disease.  It consists of a number of Target Doses.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_y5T3EKEYEeGnfe88WF3uxw" name="numberOfDoses" visibility="public">
          <ownedComment xmi:id="_Ut3FgCzYEeKLfdgQhBZO1Q" annotatedElement="_y5T3EKEYEeGnfe88WF3uxw">
            <body>The total number of doses of a given vaccine that is anticipated to be administered to the patient.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_y5TQAKEYEeGnfe88WF3uxw" name="seriesName" visibility="public">
          <ownedComment xmi:id="_vowlsCzYEeKLfdgQhBZO1Q" annotatedElement="_y5TQAKEYEeGnfe88WF3uxw">
            <body>A designation for the Vaccine Series, for ease in locating a given series.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1zw2AKEYEeGnfe88WF3uxw" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Gi3J8CzZEeKLfdgQhBZO1Q" annotatedElement="_1zw2AKEYEeGnfe88WF3uxw">
            <body>Indicates the state of the Patient Series.  Values should reflect the HL7 V3 Act State Machine.  Possible values include: New, Active, Completed, etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_96JuUKEYEeGnfe88WF3uxw" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_96GD8KEYEeGnfe88WF3uxw">
          <ownedComment xmi:id="_TMnRACzfEeKLfdgQhBZO1Q" annotatedElement="_96JuUKEYEeGnfe88WF3uxw">
            <body>Identfies the person who is the subject of the Patient Series record.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_96K8cKEYEeGnfe88WF3uxw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_96LjgKEYEeGnfe88WF3uxw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CGRwgKEZEeGnfe88WF3uxw" name="vaccineSeries" visibility="public" type="_fLHAYKETEeGnfe88WF3uxw" association="_CGJNoKEZEeGnfe88WF3uxw">
          <ownedComment xmi:id="_IcJcQCzYEeKLfdgQhBZO1Q" annotatedElement="_CGRwgKEZEeGnfe88WF3uxw">
            <body>A series is one path to meet the goals for assuming protection against a target disease. </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CGS-oKEZEeGnfe88WF3uxw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CGS-oaEZEeGnfe88WF3uxw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QGOdMKEZEeGnfe88WF3uxw" name="targetDose" visibility="public" type="_F4bMcKEZEeGnfe88WF3uxw" aggregation="composite" association="_QGMoAKEZEeGnfe88WF3uxw">
          <ownedComment xmi:id="_QYIl8CzZEeKLfdgQhBZO1Q" annotatedElement="_QGOdMKEZEeGnfe88WF3uxw">
            <body>Each target dose is one step in a patient series.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QGPEQKEZEeGnfe88WF3uxw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QGPEQaEZEeGnfe88WF3uxw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_96GD8KEYEeGnfe88WF3uxw" name="patientSeries_patient" memberEnd="_96JuUKEYEeGnfe88WF3uxw _96Om0KEYEeGnfe88WF3uxw">
        <ownedEnd xmi:id="_96Om0KEYEeGnfe88WF3uxw" name="" visibility="public" type="_uLxJ4KEYEeGnfe88WF3uxw" association="_96GD8KEYEeGnfe88WF3uxw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_F4bMcKEZEeGnfe88WF3uxw" name="TargetDoseNumber">
        <ownedComment xmi:id="_5z-k0AGcEeK-JchLsriwUw" annotatedElement="_F4bMcKEZEeGnfe88WF3uxw">
          <body>Each target dose is one step in a patient series.  The target dose links the vaccine dose administered to the series dose that it meets the goals of. A vaccine dose may not meet the goals of a given series dose and therefore be not valid.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_NJdKEKEZEeGnfe88WF3uxw" name="doseNumber" visibility="public">
          <ownedComment xmi:id="_X1p90AGfEeK-JchLsriwUw" annotatedElement="_NJdKEKEZEeGnfe88WF3uxw">
            <body>Indicates the position in which the dose represented by this class is in the sequence of doses that make up a series of doses prescribed by a vaccination protocol.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KMYU8KEZEeGnfe88WF3uxw" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_1S5e8AGfEeK-JchLsriwUw" annotatedElement="_KMYU8KEZEeGnfe88WF3uxw">
            <body>Indicates the state of the assignment of the patient dose to the vaccine series.  Note that this assignment will likely be accomplished by a Rules Engine evaluating various rules against the actual vaccine administration data to determine whether the vaccination satisfies the requirements of the vaccination series.  Possible values include: Satisfied.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xWrSQNgkEeG3E4mt6RKX5Q" name="nextDoseForecast" visibility="public" type="_TmW8EKEZEeGnfe88WF3uxw" association="_xWnA0NgkEeG3E4mt6RKX5Q">
          <ownedComment xmi:id="_XEHVwCzZEeKLfdgQhBZO1Q" annotatedElement="_xWrSQNgkEeG3E4mt6RKX5Q">
            <body>The recommended next dose of a particular vaccine for a given patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xWsgYNgkEeG3E4mt6RKX5Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xWsgYdgkEeG3E4mt6RKX5Q" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_QGMoAKEZEeGnfe88WF3uxw" name="patientSeries_targetDose" memberEnd="_QGOdMKEZEeGnfe88WF3uxw _QGQSYKEZEeGnfe88WF3uxw">
        <ownedEnd xmi:id="_QGQSYKEZEeGnfe88WF3uxw" name="" visibility="public" type="_uLxJ4KEYEeGnfe88WF3uxw" association="_QGMoAKEZEeGnfe88WF3uxw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QGQ5cKEZEeGnfe88WF3uxw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QGQ5caEZEeGnfe88WF3uxw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_nCBqkKEZEeGnfe88WF3uxw" name="Evaluation">
        <ownedComment xmi:id="_r94MINglEeG3E4mt6RKX5Q" annotatedElement="_nCBqkKEZEeGnfe88WF3uxw">
          <body>This class represents an evaluation of a given vaccination in which an attempt is made to match the vaccination with a target dose number.  If the vaccination event passes the rules for a target dose in a series, the evaluation outcome will &quot;valid&quot; and will point to the appropriate target dose number.  Other wise, there will not be a link to the target dose number.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_sy5dAKEZEeGnfe88WF3uxw" name="evaluationOutcome" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_0KY6kNglEeG3E4mt6RKX5Q" annotatedElement="_sy5dAKEZEeGnfe88WF3uxw">
            <body>Indicates the outcome of the evaluation of this vaccine dose administered.  Possible values include: Valid, Invalid, NeverEvaluated.  Note that NeverEvaluated would be appropriate for vaccines that do not occur in series, or for which there are no rules for the series.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1CiX8KEZEeGnfe88WF3uxw" name="evaluationReason" visibility="public">
          <ownedComment xmi:id="_jKr7UP_9EeGbvqRkTkah6w" annotatedElement="_1CiX8KEZEeGnfe88WF3uxw">
            <body>Indicates any circumstances which impacted the validation of this vaccine dose administered.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-2ofwLGiEeGkU9GcFSzOCA" name="targetDose" visibility="public" type="_F4bMcKEZEeGnfe88WF3uxw" association="_-2k1YLGiEeGkU9GcFSzOCA">
          <ownedComment xmi:id="_RAke8CzZEeKLfdgQhBZO1Q" annotatedElement="_-2ofwLGiEeGkU9GcFSzOCA">
            <body>Each target dose is one step in a patient series.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-2pt4LGiEeGkU9GcFSzOCA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-2qU8LGiEeGkU9GcFSzOCA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_fuXvYKEcEeGnfe88WF3uxw" name="ImmunizationHistoryList">
        <eAnnotations xmi:id="_yb0gMLVYEeGagp-AW0X6HQ" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_yb0gMbVYEeGagp-AW0X6HQ" key="EntryPoint"/>
        </eAnnotations>
        <ownedComment xmi:id="_N_nnsCzfEeKLfdgQhBZO1Q" annotatedElement="_fuXvYKEcEeGnfe88WF3uxw">
          <body>An Immunization History is the record of a person's immunizations and the attendant information.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_G5ys4KwcEeG4dfTp_XT2yg" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_G5ubcKwcEeG4dfTp_XT2yg">
          <ownedComment xmi:id="_RddAgCzfEeKLfdgQhBZO1Q" annotatedElement="_G5ys4KwcEeG4dfTp_XT2yg">
            <body>Identfies the person who is the subject of the Immunization History record.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_G50iEKwcEeG4dfTp_XT2yg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_G50iEawcEeG4dfTp_XT2yg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jiHAUBImEeK0rPN86AJEog" name="immunizationHistoryEntry" visibility="public" type="_YZzGcKOiEeKXo6wNsb0JpQ" aggregation="composite" association="_jiCH0BImEeK0rPN86AJEog">
          <ownedComment xmi:id="_9JdVICzZEeKLfdgQhBZO1Q" annotatedElement="_jiHAUBImEeK0rPN86AJEog">
            <body>Information about the administration of a vaccine to a patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jiI1gBImEeK0rPN86AJEog"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jiI1gRImEeK0rPN86AJEog" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_G5ubcKwcEeG4dfTp_XT2yg" name="immunizationHistory_patient" memberEnd="_G5ys4KwcEeG4dfTp_XT2yg _G54McKwcEeG4dfTp_XT2yg">
        <ownedEnd xmi:id="_G54McKwcEeG4dfTp_XT2yg" name="" visibility="public" type="_fuXvYKEcEeGnfe88WF3uxw" association="_G5ubcKwcEeG4dfTp_XT2yg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_3V9HYKwiEeG4dfTp_XT2yg" name="Exemption">
        <ownedComment xmi:id="_cexjcCzgEeKLfdgQhBZO1Q" annotatedElement="_3V9HYKwiEeG4dfTp_XT2yg">
          <body>This class is a record of an assertion by the patient, the patient guardian, or someone else in authority that the medication should not be administered.  Examples include a parent refusing an immunization for their child based on religious beliefs.</body>
        </ownedComment>
        <ownedAttribute xmi:id="__tDkUL_uEeG9Y6ZcZJMJaA" name="dateAsserted" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_NtmosEcMEeKYw8d4t3T9cw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_gLr6ECzgEeKLfdgQhBZO1Q" annotatedElement="__tDkUL_uEeG9Y6ZcZJMJaA">
            <body>The date that the assertion was made.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eXvZkMFbEeGfF8TDoecqAg" name="effectiveTime" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_mNedYCzgEeKLfdgQhBZO1Q" annotatedElement="_eXvZkMFbEeGfF8TDoecqAg">
            <body>The date range during which the exemption is valid.  Note that the start date may differ from the date asserted, although they typically will be the same.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BMwhkMFlEeGfF8TDoecqAg" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_pSlNICzgEeKLfdgQhBZO1Q" annotatedElement="_BMwhkMFlEeGfF8TDoecqAg">
            <body>Uniquely identifies the Exemption.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_E46DMMFlEeGfF8TDoecqAg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_E46qQMFlEeGfF8TDoecqAg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZE9VMLGgEeGkU9GcFSzOCA" name="reason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_XNK6cEcMEeKYw8d4t3T9cw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_vcr-8CzgEeKLfdgQhBZO1Q" annotatedElement="_ZE9VMLGgEeGkU9GcFSzOCA">
            <body>Indicates the basis for the Exemption.&#xD;
&quot;Contains the reason the patient refused the medical substance/treatment.  Any entry in the field indicates that the patient did not take the substance.&quot; - HL7 Version 2.8, RXA-18</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WwnhEMFkEeGfF8TDoecqAg" name="remarks" visibility="public">
          <ownedComment xmi:id="_6uIeACzgEeKLfdgQhBZO1Q" annotatedElement="_WwnhEMFkEeGfF8TDoecqAg">
            <body>Any comments concerning the Exemption.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xm4_8MFkEeGfF8TDoecqAg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xm6OEMFkEeGfF8TDoecqAg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_61NJoMFkEeGfF8TDoecqAg" name="issuedBy" visibility="public" type="_420A62FD03B6418A6B760063" association="_61BjcMFkEeGfF8TDoecqAg">
          <ownedComment xmi:id="_zqcOQCzfEeKLfdgQhBZO1Q" annotatedElement="_61NJoMFkEeGfF8TDoecqAg">
            <body>Indicates the practitioner who issued the exemption.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_61OXwMFkEeGfF8TDoecqAg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_61O-0MFkEeGfF8TDoecqAg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_AyJDEKwlEeG4dfTp_XT2yg" name="PublicHealthClient">
        <ownedComment xmi:id="_kKvesCziEeKLfdgQhBZO1Q" annotatedElement="_AyJDEKwlEeG4dfTp_XT2yg">
          <body>A Public Health Client is a Patient from the viewpoint of a Jurisdiction.  For example, John Doe lives in Arizona, and has been seen by two practices, whereby he is patient number 123 at practice A and patient number 456 at practice B.  The state of Arizona will assign a single id to John, say, XYZ.  This id (the recordId property of this class) is correlated to the ids from the two practices.  In other words, each patient will have a separate id and record at each medical practice, but will have one id at the jurisdictional level.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_UkytMNgiEeG3E4mt6RKX5Q" name="beginDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_H9HV4CzjEeKLfdgQhBZO1Q" annotatedElement="_UkytMNgiEeG3E4mt6RKX5Q">
            <body>The earliest known date upon which the Patient had a service performed or a condition that was reportable to the Public Health Jurisdiction.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_UkzUQNgiEeG3E4mt6RKX5Q" name="endDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_JezLECzjEeKLfdgQhBZO1Q" annotatedElement="_UkzUQNgiEeG3E4mt6RKX5Q">
            <body>The latest known date upon which the Patient had a service performed or a condition that was reportable to the Public Health Jurisdiction.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-bOS8LGeEeGkU9GcFSzOCA" name="recordId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_UoNvgCzjEeKLfdgQhBZO1Q" annotatedElement="_-bOS8LGeEeGkU9GcFSzOCA">
            <body>Uniquely identifies the patient from a jurisdictional point of view.  This id is used to aggregate data reported from multiple sources within the jurisdiction; each source may have it's own id for the patient.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_80NR0LGeEeGkU9GcFSzOCA" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ce6mIL_vEeG9Y6ZcZJMJaA" annotatedElement="_80NR0LGeEeGkU9GcFSzOCA">
            <body>Indicates the active/inactive status of the patient in the IIS. This is a jurisdictional status. See MIROW “Management of Moved or Gone Elsewhere (MOGE) and Other Patient Status Designations in IIS guidelines.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TALNEL_qEeG9Y6ZcZJMJaA" name="publicHealthJurisdiction" visibility="public" type="_zory4LGdEeGkU9GcFSzOCA" association="_TAFGcL_qEeG9Y6ZcZJMJaA">
          <ownedComment xmi:id="_zgGNMCzkEeKLfdgQhBZO1Q" annotatedElement="_TALNEL_qEeG9Y6ZcZJMJaA">
            <body>An organization that is responsible for Public Health either at the local, state, or national level.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TAR6wL_qEeG9Y6ZcZJMJaA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TASh0L_qEeG9Y6ZcZJMJaA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Sb6f8NKiEeGtfrdPU3R3yA" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_Sbwu8NKiEeGtfrdPU3R3yA">
          <ownedComment xmi:id="_iGFC0CzjEeKLfdgQhBZO1Q" annotatedElement="_Sb6f8NKiEeGtfrdPU3R3yA">
            <body>Identifies the Patient (from the Provider's point of view) that correlates to the Public Health Client record.  For example, John Doe lives in Arizona, and has been seen by two practices, whereby he is patient number 123 at practice A and patient number 456 at practice B.  The state of Arizona will assign a single id to John, say, XYZ.  The Public Health Client class will contain a recordId = XYZ.  This property points to Practice A, patientId=123, and Practice B, patientId=456.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Sb7uENKiEeGtfrdPU3R3yA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Sb7uEdKiEeGtfrdPU3R3yA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_-2k1YLGiEeGkU9GcFSzOCA" name="evaluation_targetDose" memberEnd="_-2ofwLGiEeGkU9GcFSzOCA _-2tYQLGiEeGkU9GcFSzOCA">
        <ownedEnd xmi:id="_-2tYQLGiEeGkU9GcFSzOCA" name="" visibility="public" type="_nCBqkKEZEeGnfe88WF3uxw" association="_-2k1YLGiEeGkU9GcFSzOCA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Package" xmi:id="_x5tEYLGkEeGkU9GcFSzOCA" name="ImmunizationForecast">
        <eAnnotations xmi:id="_x5uSgLGkEeGkU9GcFSzOCA" source="uml2.diagrams"/>
        <packagedElement xmi:type="uml:Class" xmi:id="_fLHAYKETEeGnfe88WF3uxw" name="VaccineSeries">
          <ownedComment xmi:id="_Dra8YCzREeKLfdgQhBZO1Q" annotatedElement="_fLHAYKETEeGnfe88WF3uxw">
            <body>A series is one path to meet the goals for assuming protection against a target disease. </body>
          </ownedComment>
          <ownedAttribute xmi:id="_sUxlUKETEeGnfe88WF3uxw" name="numberOfDoses" visibility="public">
            <ownedComment xmi:id="_Y6aQYCzWEeKLfdgQhBZO1Q" annotatedElement="_sUxlUKETEeGnfe88WF3uxw">
              <body>The total number of doses defined by the series.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_l9cP0KETEeGnfe88WF3uxw" name="seriesName" visibility="public">
            <ownedComment xmi:id="_j6sG8CzWEeKLfdgQhBZO1Q" annotatedElement="_l9cP0KETEeGnfe88WF3uxw">
              <body>A designation for the Vaccine Series, for ease in locating a given series.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_jqTIgKETEeGnfe88WF3uxw" name="vaccineSeriesDose" visibility="public" type="_hXNEgKETEeGnfe88WF3uxw" aggregation="composite" association="_jqPeIKETEeGnfe88WF3uxw">
            <ownedComment xmi:id="_kkJ5sCzhEeKLfdgQhBZO1Q" annotatedElement="_jqTIgKETEeGnfe88WF3uxw">
              <body>A Series Dose is a specification of how to determine if a particular dose administered meets the goals for that dose in the series.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jqUWoKETEeGnfe88WF3uxw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jqUWoaETEeGnfe88WF3uxw" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_cGd4wKEVEeGnfe88WF3uxw" name="seriesRule" visibility="public" type="_0m_6MKETEeGnfe88WF3uxw" association="_cGcDkKEVEeGnfe88WF3uxw">
            <ownedComment xmi:id="_cOxrgCzTEeKLfdgQhBZO1Q" annotatedElement="_cGd4wKEVEeGnfe88WF3uxw">
              <body>This is the collection of rules which are specific to this series. Series rules are not common.  Most are associated with series doses.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cGef0KEVEeGnfe88WF3uxw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cGfG4KEVEeGnfe88WF3uxw" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_CGNfEKEZEeGnfe88WF3uxw" name="patientSeries" visibility="public" type="_uLxJ4KEYEeGnfe88WF3uxw" association="_CGJNoKEZEeGnfe88WF3uxw">
            <ownedComment xmi:id="_NevMYCzYEeKLfdgQhBZO1Q" annotatedElement="_CGNfEKEZEeGnfe88WF3uxw">
              <body>Patient Series is an instantiation in time of the Vaccine Series that represents one path towards the goal of protection against a disease.  It consists of a number of Target Doses.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CGOGIKEZEeGnfe88WF3uxw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CGOtMKEZEeGnfe88WF3uxw" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_hXNEgKETEeGnfe88WF3uxw" name="VaccineSeriesDoseNumber">
          <ownedComment xmi:id="_t4SYgCzWEeKLfdgQhBZO1Q" annotatedElement="_hXNEgKETEeGnfe88WF3uxw">
            <body>A Series Dose is a specification of how to determine if a particular dose administered meets the goals for that dose in the series.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_ma0dcKEVEeGnfe88WF3uxw" name="doseNumber" visibility="public">
            <ownedComment xmi:id="_13fOQCzXEeKLfdgQhBZO1Q" annotatedElement="_ma0dcKEVEeGnfe88WF3uxw">
              <body>Indicates the individual dose within a series of doses to which the Dose Rule applies.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_cnFSgKEVEeGnfe88WF3uxw" name="doseRule" visibility="public" type="_0m_6MKETEeGnfe88WF3uxw" association="_cnDdUKEVEeGnfe88WF3uxw">
            <ownedComment xmi:id="_h6db8CzTEeKLfdgQhBZO1Q" annotatedElement="_cnFSgKEVEeGnfe88WF3uxw">
              <body>This is the collection of all rules which apply to this dose.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cnF5kKEVEeGnfe88WF3uxw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cnF5kaEVEeGnfe88WF3uxw" value="*"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_3DrtIKEVEeGnfe88WF3uxw" name="ImmunizationSchedule">
          <ownedComment xmi:id="_4XoT8CzQEeKLfdgQhBZO1Q" annotatedElement="_3DrtIKEVEeGnfe88WF3uxw">
            <body>The Immunization Schedule is a set of published rules for evaluating vaccines administered and for forecasting next doses due.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_46xxoKEVEeGnfe88WF3uxw" name="publishedSchedule" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_J7FHICzSEeKLfdgQhBZO1Q" annotatedElement="_46xxoKEVEeGnfe88WF3uxw">
              <body>Uniquely identifies the Immunization Schedule.&#xD;
A designation of the Immunization Schedule, which may include a version number or release date to distinguish it from other instances.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_GkjaAKEWEeGnfe88WF3uxw" name="name" visibility="public">
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_BQdqMKEWEeGnfe88WF3uxw" name="releaseDate" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_Hw210CzTEeKLfdgQhBZO1Q" annotatedElement="_BQdqMKEWEeGnfe88WF3uxw">
              <body>The date upon which the Immunization Schedule was published.  Used to distinguish between different versions of the schedule for the same vaccine.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_Jp1I4KEWEeGnfe88WF3uxw" name="scheduleRule" visibility="public" type="_0m_6MKETEeGnfe88WF3uxw" association="_JpysoKEWEeGnfe88WF3uxw">
            <ownedComment xmi:id="_atSDkCzTEeKLfdgQhBZO1Q" annotatedElement="_Jp1I4KEWEeGnfe88WF3uxw">
              <body>This is a collection of the rules that apply to the entire schedule. These are uncommon.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Jp1v8KEWEeGnfe88WF3uxw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Jp1v8aEWEeGnfe88WF3uxw" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_O0czoKEWEeGnfe88WF3uxw" name="vaccineSeries" visibility="public" type="_fLHAYKETEeGnfe88WF3uxw" aggregation="composite" association="_O0YiMKEWEeGnfe88WF3uxw">
            <ownedComment xmi:id="_S8gukCzWEeKLfdgQhBZO1Q" annotatedElement="_O0czoKEWEeGnfe88WF3uxw">
              <body>A series is one path to meet the goals for assuming protection against a target disease. </body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_O0eBwKEWEeGnfe88WF3uxw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_O0eBwaEWEeGnfe88WF3uxw" value="*"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_TmW8EKEZEeGnfe88WF3uxw" name="NextDoseForecast">
          <ownedComment xmi:id="_FIwjoNKpEeGtfrdPU3R3yA" annotatedElement="_TmW8EKEZEeGnfe88WF3uxw">
            <body>The recommended next dose of a particular vaccine for a given patient.  It does not deal with usage projections over a population.  This forecast is based on application of the rules of the series dose.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_Z2oAQKEZEeGnfe88WF3uxw" name="earliestDate" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_Qlro0CzQEeKLfdgQhBZO1Q" annotatedElement="_Z2oAQKEZEeGnfe88WF3uxw">
              <body>The date that is the earliest recommended date.  This is not always the earliest date that a dose administered will be acceptable.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_eqWN8KEZEeGnfe88WF3uxw" name="latestDate" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_TuOuICzQEeKLfdgQhBZO1Q" annotatedElement="_eqWN8KEZEeGnfe88WF3uxw">
              <body>The latest date patient should receive the vaccine</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_fcfckKEZEeGnfe88WF3uxw" name="overdueDate" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_V2nW8CzQEeKLfdgQhBZO1Q" annotatedElement="_fcfckKEZEeGnfe88WF3uxw">
              <body>The date when patient is considered behind schedule.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_jF2v8KEZEeGnfe88WF3uxw" name="recommendedDate" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_cUq_gCzQEeKLfdgQhBZO1Q" annotatedElement="_jF2v8KEZEeGnfe88WF3uxw">
              <body>The ideal date upon which the patient should receive the next dose of the vaccine.</body>
            </ownedComment>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_0m_6MKETEeGnfe88WF3uxw" name="Rule">
          <ownedComment xmi:id="_JwSFACzVEeKLfdgQhBZO1Q" annotatedElement="_0m_6MKETEeGnfe88WF3uxw">
            <body>A statement of a condition that must be met.  The evaluation of facts against a rule results in a value of true or false.  Rules can be evaluated by humans or by computers; this class is intended to contain rules that are human-readable as well as those that can be evaluated by a rules engine.  An example of a Rule would be that the second dose of a vaccine must be administered between six and eight weeks after the first dose.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_8VEZIKETEeGnfe88WF3uxw" name="comments" visibility="public">
            <ownedComment xmi:id="_9irqQCzVEeKLfdgQhBZO1Q" annotatedElement="_8VEZIKETEeGnfe88WF3uxw">
              <body>Contains any remarks about the rule.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_3HrHMKETEeGnfe88WF3uxw" name="rule" visibility="public">
            <ownedComment xmi:id="_FADawCzWEeKLfdgQhBZO1Q" annotatedElement="_3HrHMKETEeGnfe88WF3uxw">
              <body>Contains the rule, in either a human-readable or computer-readable format.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_XYyosKEVEeGnfe88WF3uxw" name="ruleName" visibility="public">
            <ownedComment xmi:id="_H4YSwCzWEeKLfdgQhBZO1Q" annotatedElement="_XYyosKEVEeGnfe88WF3uxw">
              <body>A designation for the rule, for ease in locating a given rule.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_O0YiMKEWEeGnfe88WF3uxw" name="immunizationSchedule_vaccineSeries" memberEnd="_O0czoKEWEeGnfe88WF3uxw _O0hFEKEWEeGnfe88WF3uxw">
          <ownedEnd xmi:id="_O0hFEKEWEeGnfe88WF3uxw" name="" visibility="public" type="_3DrtIKEVEeGnfe88WF3uxw" association="_O0YiMKEWEeGnfe88WF3uxw">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_O0iTMKEWEeGnfe88WF3uxw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_O0i6QKEWEeGnfe88WF3uxw" value="1"/>
          </ownedEnd>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_JpysoKEWEeGnfe88WF3uxw" name="immunizationSchedule_scheduleRule" memberEnd="_Jp1I4KEWEeGnfe88WF3uxw _Jp2-EKEWEeGnfe88WF3uxw">
          <ownedEnd xmi:id="_Jp2-EKEWEeGnfe88WF3uxw" name="" visibility="public" type="_3DrtIKEVEeGnfe88WF3uxw" association="_JpysoKEWEeGnfe88WF3uxw"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_cnDdUKEVEeGnfe88WF3uxw" name="vaccineSeriesDoseNumber_doseRule" memberEnd="_cnFSgKEVEeGnfe88WF3uxw _cnHHsKEVEeGnfe88WF3uxw">
          <ownedEnd xmi:id="_cnHHsKEVEeGnfe88WF3uxw" name="" visibility="public" type="_hXNEgKETEeGnfe88WF3uxw" association="_cnDdUKEVEeGnfe88WF3uxw"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_cGcDkKEVEeGnfe88WF3uxw" name="vaccineSeries_seriesRule" memberEnd="_cGd4wKEVEeGnfe88WF3uxw _cGg8EKEVEeGnfe88WF3uxw">
          <ownedEnd xmi:id="_cGg8EKEVEeGnfe88WF3uxw" name="" visibility="public" type="_fLHAYKETEeGnfe88WF3uxw" association="_cGcDkKEVEeGnfe88WF3uxw"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_jqPeIKETEeGnfe88WF3uxw" name="vaccineSeries_vaccineSeriesDose" memberEnd="_jqTIgKETEeGnfe88WF3uxw _jqXZ8KETEeGnfe88WF3uxw">
          <ownedEnd xmi:id="_jqXZ8KETEeGnfe88WF3uxw" name="" visibility="public" type="_fLHAYKETEeGnfe88WF3uxw" association="_jqPeIKETEeGnfe88WF3uxw">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jqYoEKETEeGnfe88WF3uxw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jqYoEaETEeGnfe88WF3uxw" value="1"/>
          </ownedEnd>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_CGJNoKEZEeGnfe88WF3uxw" name="vaccineSeries_patientSeries" memberEnd="_CGNfEKEZEeGnfe88WF3uxw _CGRwgKEZEeGnfe88WF3uxw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_TAFGcL_qEeG9Y6ZcZJMJaA" name="publicHealthClient_publicHealthJurisdiction" memberEnd="_TALNEL_qEeG9Y6ZcZJMJaA _TATv8L_qEeG9Y6ZcZJMJaA">
        <ownedEnd xmi:id="_TATv8L_qEeG9Y6ZcZJMJaA" name="" visibility="public" type="_AyJDEKwlEeG4dfTp_XT2yg" association="_TAFGcL_qEeG9Y6ZcZJMJaA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_vF-n4L_vEeG9Y6ZcZJMJaA" name="ImmunizationRegistrySubmission">
        <eAnnotations xmi:id="_RkXn4MBiEeGAoul-aOV7oA" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_RkYO8MBiEeGAoul-aOV7oA" key="EntryPoint"/>
        </eAnnotations>
        <ownedComment xmi:id="_vl1FICzmEeKLfdgQhBZO1Q" annotatedElement="_vF-n4L_vEeG9Y6ZcZJMJaA">
          <body>The transmittal of Immunization information to a Immunization Information System (IIS), which are maintained by Public Health Jurisdictions.  Note that healthcare providers typically submit all known information regarding the Patient's immunization history to the IIS, not just those vaccinations that they performed themselves.  This is in order to ensure that as much information as possible is available to the IIS.  The IIS has the burden to de-duplicate records received from multiple providers.</body>
        </ownedComment>
        <generalization xmi:id="_FPfWYBImEeK0rPN86AJEog" general="_O851ELC5EeGGPqUAHxbNLQ"/>
        <ownedAttribute xmi:id="_z7jPsL_vEeG9Y6ZcZJMJaA" name="immunizationHistory" visibility="public" type="_fuXvYKEcEeGnfe88WF3uxw" association="_z7ZesL_vEeG9Y6ZcZJMJaA">
          <ownedComment xmi:id="_PXwfUCzfEeKLfdgQhBZO1Q" annotatedElement="_z7jPsL_vEeG9Y6ZcZJMJaA">
            <body>A record of a person's immunizations.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_z7j2wL_vEeG9Y6ZcZJMJaA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_z7j2wb_vEeG9Y6ZcZJMJaA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1BRhoL_vEeG9Y6ZcZJMJaA" name="publicHealthClient" visibility="public" type="_AyJDEKwlEeG4dfTp_XT2yg" association="_1BHwoL_vEeG9Y6ZcZJMJaA">
          <ownedComment xmi:id="_nsZAgCziEeKLfdgQhBZO1Q" annotatedElement="_1BRhoL_vEeG9Y6ZcZJMJaA">
            <body>A Public Health Client is a Patient from the viewpoint of a Jurisdiction.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1BSIsL_vEeG9Y6ZcZJMJaA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1BSIsb_vEeG9Y6ZcZJMJaA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-tWgENKgEeGtfrdPU3R3yA" name="publicHealthJurisdiction" visibility="public" type="_zory4LGdEeGkU9GcFSzOCA" association="_-tMIANKgEeGtfrdPU3R3yA">
          <ownedComment xmi:id="_y6Y4ECzkEeKLfdgQhBZO1Q" annotatedElement="_-tWgENKgEeGtfrdPU3R3yA">
            <body>An organization that is responsible for Public Health either at the local, state, or national level.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-tXHINKgEeGtfrdPU3R3yA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-tXuMNKgEeGtfrdPU3R3yA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_z7ZesL_vEeG9Y6ZcZJMJaA" name="immunizationRegistrySubmission_immunizationHistory" memberEnd="_z7jPsL_vEeG9Y6ZcZJMJaA _z7tAsL_vEeG9Y6ZcZJMJaA">
        <ownedEnd xmi:id="_z7tAsL_vEeG9Y6ZcZJMJaA" name="" visibility="public" type="_vF-n4L_vEeG9Y6ZcZJMJaA" association="_z7ZesL_vEeG9Y6ZcZJMJaA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_1BHwoL_vEeG9Y6ZcZJMJaA" name="immunizationRegistrySubmission_publicHealthClient" memberEnd="_1BRhoL_vEeG9Y6ZcZJMJaA _1BbSoL_vEeG9Y6ZcZJMJaA">
        <ownedEnd xmi:id="_1BbSoL_vEeG9Y6ZcZJMJaA" name="" visibility="public" type="_vF-n4L_vEeG9Y6ZcZJMJaA" association="_1BHwoL_vEeG9Y6ZcZJMJaA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4NdCYL_yEeG9Y6ZcZJMJaA" name="EvidenceOfImmunity">
        <ownedComment xmi:id="__WThUAllEeKmMfGXbG9elQ" annotatedElement="_4NdCYL_yEeG9Y6ZcZJMJaA">
          <body>Evidence of immunity indicates that a person has plausible evidence that they have already developed immunity to a particular disease.  The definition of plausible evidence is a local decision, but best practice would suggest that serological evidence of immunity is the strongest indicator of immunity.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_JEJSsL_zEeG9Y6ZcZJMJaA" name="relevantDate" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_TUUZkEcMEeKYw8d4t3T9cw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_RCpnQAlmEeKmMfGXbG9elQ" annotatedElement="_JEJSsL_zEeG9Y6ZcZJMJaA">
            <body>The date upon which the immunity is believed to have occurred.  For example, the patient may have contracted measles when she was 5 years old, and therefore does not need a measles vaccination.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pI8xMNKlEeGtfrdPU3R3yA" name="evidenceCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_BzZ14AlmEeKmMfGXbG9elQ" annotatedElement="_pI8xMNKlEeGtfrdPU3R3yA">
            <body>Kind of evidence used to determine the immunity status of the patient.  Possible values include: Serological test; History of disease; Completed Vaccination Series.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="__Ior0L_yEeG9Y6ZcZJMJaA" name="immunityStatus_vaccinePreventibleDisease" memberEnd="__Iyc0L_yEeG9Y6ZcZJMJaA __I804L_yEeG9Y6ZcZJMJaA">
        <ownedEnd xmi:id="__I804L_yEeG9Y6ZcZJMJaA" name="" visibility="public" type="_q3qd4MIfEeGx0M-CyAbegA" association="__Ior0L_yEeG9Y6ZcZJMJaA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_61BjcMFkEeGfF8TDoecqAg" name="exemption_issuedBy" memberEnd="_61NJoMFkEeGfF8TDoecqAg _61RbEMFkEeGfF8TDoecqAg">
        <ownedEnd xmi:id="_61RbEMFkEeGfF8TDoecqAg" name="" visibility="public" type="_3V9HYKwiEeG4dfTp_XT2yg" association="_61BjcMFkEeGfF8TDoecqAg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_q3qd4MIfEeGx0M-CyAbegA" name="ImmunityStatus">
        <ownedComment xmi:id="_EzoxkCzlEeKLfdgQhBZO1Q" annotatedElement="_q3qd4MIfEeGx0M-CyAbegA">
          <body>This class contains information regarding the immunological state of the patient with respect to a given disease.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_8NlfwNKlEeGtfrdPU3R3yA" name="statusCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NQmU0NKmEeGtfrdPU3R3yA" annotatedElement="_8NlfwNKlEeGtfrdPU3R3yA">
            <body>Categorizes the immunological state of the Patient with respect to a given disease.  Possible values include: Susceptible; Equivocal; Immune; Currently Infected.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jTIX4NKmEeGtfrdPU3R3yA" name="dateOfDetermination" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_YkLj4CzlEeKLfdgQhBZO1Q" annotatedElement="_jTIX4NKmEeGtfrdPU3R3yA">
            <body>The date upon which a healthcare provider determined the immunological state of the Patient with respect to a given disease.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="__Iyc0L_yEeG9Y6ZcZJMJaA" name="vaccinePreventibleDisease" visibility="public" type="_r6v0YIsdEeGv9r5ZNThaOw" association="__Ior0L_yEeG9Y6ZcZJMJaA">
          <ownedComment xmi:id="_MGL9ANEuEeG6d5ozG3gSdw" annotatedElement="__Iyc0L_yEeG9Y6ZcZJMJaA">
            <body>&quot;Identifies the condition or problem for which the drug/treatment was prescribed.&quot; - HL7 Version 2.8, RXO-20.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__IzD4L_yEeG9Y6ZcZJMJaA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__IzD4b_yEeG9Y6ZcZJMJaA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_IqJuINKmEeGtfrdPU3R3yA" name="evidenceOfImmunity" visibility="public" type="_4NdCYL_yEeG9Y6ZcZJMJaA" association="_Ip9g4NKmEeGtfrdPU3R3yA">
          <ownedComment xmi:id="_VcZ-0CzeEeKLfdgQhBZO1Q" annotatedElement="_IqJuINKmEeGtfrdPU3R3yA">
            <body>Evidence that the patient has already developed immunity to a particular disease.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IqKVMNKmEeGtfrdPU3R3yA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IqKVMdKmEeGtfrdPU3R3yA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_-tMIANKgEeGtfrdPU3R3yA" name="immunizationRegistrySubmission_publicHealthJurisdiction" memberEnd="_-tWgENKgEeGtfrdPU3R3yA _-titUNKgEeGtfrdPU3R3yA">
        <ownedEnd xmi:id="_-titUNKgEeGtfrdPU3R3yA" name="" visibility="public" type="_vF-n4L_vEeG9Y6ZcZJMJaA" association="_-tMIANKgEeGtfrdPU3R3yA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Sbwu8NKiEeGtfrdPU3R3yA" name="publicHealthClient_patient" memberEnd="_Sb6f8NKiEeGtfrdPU3R3yA _ScFfENKiEeGtfrdPU3R3yA">
        <ownedEnd xmi:id="_ScFfENKiEeGtfrdPU3R3yA" name="" visibility="public" type="_AyJDEKwlEeG4dfTp_XT2yg" association="_Sbwu8NKiEeGtfrdPU3R3yA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_kscRANKiEeGtfrdPU3R3yA" name="ImmunizationFundingEligibility">
        <ownedComment xmi:id="__FLkgCzlEeKLfdgQhBZO1Q" annotatedElement="_kscRANKiEeGtfrdPU3R3yA">
          <body>Indicates the eligibility of the Patient to receive a vaccine under a publicly funded vaccine program. See MIROW &quot;IIS collaboration with VFC Program and Grantee Immunization Programs&quot; guidelines.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_P4mwcL_wEeG9Y6ZcZJMJaA" name="financialClass" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_XYvhEL_wEeG9Y6ZcZJMJaA" annotatedElement="_P4mwcL_wEeG9Y6ZcZJMJaA">
            <body>Categorizes the eligibility of the patient to receive a vaccine under a publicly funded vaccine program.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TfR8ML_wEeG9Y6ZcZJMJaA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TfSjQL_wEeG9Y6ZcZJMJaA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xY86oL_wEeG9Y6ZcZJMJaA" name="financialClassAssessmentDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_TU9QgCzmEeKLfdgQhBZO1Q" annotatedElement="_xY86oL_wEeG9Y6ZcZJMJaA">
            <body>The date upon which the Patient's financialClass was determined.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1eMRsL_wEeG9Y6ZcZJMJaA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1eM4wL_wEeG9Y6ZcZJMJaA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Ip9g4NKmEeGtfrdPU3R3yA" name="immunityStatus_evidenceOfImmunity" memberEnd="_IqJuINKmEeGtfrdPU3R3yA _IqVUUNKmEeGtfrdPU3R3yA">
        <ownedEnd xmi:id="_IqVUUNKmEeGtfrdPU3R3yA" name="" visibility="public" type="_q3qd4MIfEeGx0M-CyAbegA" association="_Ip9g4NKmEeGtfrdPU3R3yA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ugw1ENgkEeG3E4mt6RKX5Q" name="vaccinationEvent_evaluation" memberEnd="_ugzRUNgkEeG3E4mt6RKX5Q _ug1GgNgkEeG3E4mt6RKX5Q">
        <ownedEnd xmi:id="_ug1GgNgkEeG3E4mt6RKX5Q" name="" visibility="public" type="_HhemkH87EeG8JPxVazzwbQ" association="_ugw1ENgkEeG3E4mt6RKX5Q"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_xWnA0NgkEeG3E4mt6RKX5Q" name="targetDoseNumber_nextDoseForecast" memberEnd="_xWrSQNgkEeG3E4mt6RKX5Q _xWwKwNgkEeG3E4mt6RKX5Q">
        <ownedEnd xmi:id="_xWwKwNgkEeG3E4mt6RKX5Q" name="" visibility="public" type="_F4bMcKEZEeGnfe88WF3uxw" association="_xWnA0NgkEeG3E4mt6RKX5Q"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_qMSL4AlrEeKmMfGXbG9elQ" name="ContraIndication">
        <ownedComment xmi:id="_FDJgoAlsEeKmMfGXbG9elQ" annotatedElement="_qMSL4AlrEeKmMfGXbG9elQ">
          <body>&quot;A factor that renders the administration of a drug or the carrying out of a medical procedure inadvisable.&quot; -  Stedman's Medical Dictionary.&#xD;
&#xD;
Note that because almost all Contra-Indications are Health Concerns, for example, &quot;Allergy to Eggs&quot;, &quot;Allergy to Aluminum&quot;, &quot;Current fever with moderate-to-severe illness&quot;, the Contra-Indication is modeled as relationship to Health Concern, and the Contra-Indication code may be derived from the Health Concern code.  This having been said, there are some members of the Contra-Indication Value Set that are too general to point to a single Health Concern, even though they might still be derivable from the Health Concern list.  Examples include &quot;Chronic disease (disorder)&quot;, and &quot;Immunodeficiency due to any cause, including HIV (hematologic and solid tumors, congenital immunodeficiency, long-term immunosuppressive therapy, including steroids)&quot;.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_tZ1F8AlrEeKmMfGXbG9elQ" name="healthConcern" visibility="public" type="_420A62FD03B6421F8AD00244" association="_tZxbkAlrEeKmMfGXbG9elQ">
          <ownedComment xmi:id="_gNadEAltEeKmMfGXbG9elQ" annotatedElement="_tZ1F8AlrEeKmMfGXbG9elQ">
            <body>Indicates the Health Concern that contra-indicates the administration of a drug.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tZ2UEAlrEeKmMfGXbG9elQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tZ27IAlrEeKmMfGXbG9elQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2jKB8AlrEeKmMfGXbG9elQ" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true">
          <ownedComment xmi:id="_Js7vMAlsEeKmMfGXbG9elQ" annotatedElement="_2jKB8AlrEeKmMfGXbG9elQ">
            <body>&quot;A factor that renders the administration of a drug or the carrying out of a medical procedure inadvisable.&quot; -  Stedman's Medical Dictionary.&#xD;
&#xD;
Note that because almost all Contra-Indications are Health Concerns, for example, &quot;Allergy to Eggs&quot;, &quot;Allergy to Aluminum&quot;, &quot;Current fever with moderate-to-severe illness&quot;, the Contra-Indication is modeled as relationship to Health Concern, and the Contra-Indication code may be derived from the Health Concern code.  This having been said, there are some members of the Contra-Indication Value Set that are too general to point to a single Health Concern, even though they might still be derivable from the Health Concern list.  Examples include &quot;Chronic disease (disorder)&quot;, and &quot;Immunodeficiency due to any cause, including HIV (hematologic and solid tumors, congenital immunodeficiency, long-term immunosuppressive therapy, including steroids)&quot;.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_tZxbkAlrEeKmMfGXbG9elQ" name="contraIndication_healthConcern" memberEnd="_tZ1F8AlrEeKmMfGXbG9elQ _tZ5-cAlrEeKmMfGXbG9elQ">
        <ownedEnd xmi:id="_tZ5-cAlrEeKmMfGXbG9elQ" name="" visibility="public" type="_qMSL4AlrEeKmMfGXbG9elQ" association="_tZxbkAlrEeKmMfGXbG9elQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_jiCH0BImEeK0rPN86AJEog" name="immunizationHistoryList_immunizationHistoryEntry" memberEnd="_jiHAUBImEeK0rPN86AJEog _jiMf4BImEeK0rPN86AJEog">
        <ownedEnd xmi:id="_jiMf4BImEeK0rPN86AJEog" name="" visibility="public" type="_fuXvYKEcEeGnfe88WF3uxw" association="_jiCH0BImEeK0rPN86AJEog">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jiNuABImEeK0rPN86AJEog" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jiNuARImEeK0rPN86AJEog" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_YZzGcKOiEeKXo6wNsb0JpQ" name="ImmunizationHistoryEntry">
        <ownedComment xmi:id="_N4-qEGdVEeOSXYfwme4xPQ" annotatedElement="_YZzGcKOiEeKXo6wNsb0JpQ">
          <body>An entry in a Patient's &quot;Immunization List&quot;.  This class allows for entries in the list to be associated with the Immunization clinical events in the EHR, and potentially to be de-duplicated if multiple entries are received from different sources.</body>
        </ownedComment>
        <ownedAttribute xmi:id="__bNeoKwfEeG4dfTp_XT2yg" name="informationSource" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_pne-QLGeEeGkU9GcFSzOCA" annotatedElement="__bNeoKwfEeG4dfTp_XT2yg">
            <body>Identifies the source of the information about the vaccination.  Possible values include: Source unspecified; From other provider; From parent’s written record; From parent’s recall; From other registry; From birth certificate; From school record; From public agency.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_j_c68KOiEeKXo6wNsb0JpQ" name="vaccinationEvent" visibility="public" type="_HhemkH87EeG8JPxVazzwbQ" association="_j_cT4KOiEeKXo6wNsb0JpQ">
          <ownedComment xmi:id="_ZlD2sGdVEeOSXYfwme4xPQ" annotatedElement="_j_c68KOiEeKXo6wNsb0JpQ">
            <body>Pointer to information about the administration of a Vaccine to a Patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_j_eJEKOiEeKXo6wNsb0JpQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_j_eJEaOiEeKXo6wNsb0JpQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Kg7TMMxUEeKpUOrR1CIFUA" name="vaccinationNonEvent" visibility="public" type="_yBtLQMxTEeKpUOrR1CIFUA" association="_Kg5eAMxUEeKpUOrR1CIFUA">
          <ownedComment xmi:id="_1n4LwGdWEeOSXYfwme4xPQ" annotatedElement="_Kg7TMMxUEeKpUOrR1CIFUA">
            <body>Pointer to information about the deliberate act(s) of not administering a scheduled (or otherwise expected) Vaccination to a Patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Kg8hUMxUEeKpUOrR1CIFUA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Kg8hUcxUEeKpUOrR1CIFUA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_j_cT4KOiEeKXo6wNsb0JpQ" name="immunizationHistoryEntry_vaccinationEvent" memberEnd="_j_c68KOiEeKXo6wNsb0JpQ _j_ewIKOiEeKXo6wNsb0JpQ">
        <ownedEnd xmi:id="_j_ewIKOiEeKXo6wNsb0JpQ" name="" visibility="public" type="_YZzGcKOiEeKXo6wNsb0JpQ" association="_j_cT4KOiEeKXo6wNsb0JpQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_yBtLQMxTEeKpUOrR1CIFUA" name="VaccinationNonEvent">
        <ownedComment xmi:id="_AF1fwGdUEeOSXYfwme4xPQ" annotatedElement="_yBtLQMxTEeKpUOrR1CIFUA">
          <body>This class represents an assertion that an administration of a vaccine to a patient did not occur.  Such information is useful when an administration would normally be expected, and this class serves to document that it indeed did not occur (as opposed to leaving the medical record blank).  This class may contain (via associations) information regarding why the administration did not occur such as documentation of an Exemption, a Contraindication, or of an established Immunity Status.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_K4GdEMxUEeKpUOrR1CIFUA" name="exemption" visibility="public" type="_3V9HYKwiEeG4dfTp_XT2yg" association="_K4FO8MxUEeKpUOrR1CIFUA">
          <ownedComment xmi:id="_MEfiwGdXEeOSXYfwme4xPQ" annotatedElement="_K4GdEMxUEeKpUOrR1CIFUA">
            <body>Pointer to a record of an assertion by the patient, the patient guardian, or someone else in authority that the medication should not be administered.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_K4HrMMxUEeKpUOrR1CIFUA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_K4HrMcxUEeKpUOrR1CIFUA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Lj398MxUEeKpUOrR1CIFUA" name="vaccinationContraIndication" visibility="public" type="_qMSL4AlrEeKmMfGXbG9elQ" association="_Lj2v0MxUEeKpUOrR1CIFUA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Lj4lAMxUEeKpUOrR1CIFUA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Lj5MEMxUEeKpUOrR1CIFUA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MriwoMxUEeKpUOrR1CIFUA" name="immunityStatus" visibility="public" type="_q3qd4MIfEeGx0M-CyAbegA" association="_MrhigMxUEeKpUOrR1CIFUA">
          <ownedComment xmi:id="_GGbMYGdYEeOSXYfwme4xPQ" annotatedElement="_MriwoMxUEeKpUOrR1CIFUA">
            <body>Pointer to information regarding the immunological state of the patient with respect to a given disease.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MrjXsMxUEeKpUOrR1CIFUA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MrjXscxUEeKpUOrR1CIFUA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MC4gkGdUEeOSXYfwme4xPQ" name="dateRecorded" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_MC4gkWdUEeOSXYfwme4xPQ" annotatedElement="_MC4gkGdUEeOSXYfwme4xPQ">
            <body>Represents the date upon which the Vaccination Event was deliberately not performed.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Kg5eAMxUEeKpUOrR1CIFUA" name="immunizationHistoryEntry_vaccinationNonEvent" memberEnd="_Kg7TMMxUEeKpUOrR1CIFUA _Kg9vcMxUEeKpUOrR1CIFUA">
        <ownedEnd xmi:id="_Kg9vcMxUEeKpUOrR1CIFUA" name="" visibility="public" type="_YZzGcKOiEeKXo6wNsb0JpQ" association="_Kg5eAMxUEeKpUOrR1CIFUA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_K4FO8MxUEeKpUOrR1CIFUA" name="vacinationNonEvent_exemption" memberEnd="_K4GdEMxUEeKpUOrR1CIFUA _K4ISQMxUEeKpUOrR1CIFUA">
        <ownedEnd xmi:id="_K4ISQMxUEeKpUOrR1CIFUA" name="" visibility="public" type="_yBtLQMxTEeKpUOrR1CIFUA" association="_K4FO8MxUEeKpUOrR1CIFUA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Lj2v0MxUEeKpUOrR1CIFUA" name="vaccinationNonEvent_vaccinationContraIndication" memberEnd="_Lj398MxUEeKpUOrR1CIFUA _Lj5zIMxUEeKpUOrR1CIFUA">
        <ownedEnd xmi:id="_Lj5zIMxUEeKpUOrR1CIFUA" name="" visibility="public" type="_yBtLQMxTEeKpUOrR1CIFUA" association="_Lj2v0MxUEeKpUOrR1CIFUA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_MrhigMxUEeKpUOrR1CIFUA" name="vaccinationNonEvent_immunityStatus" memberEnd="_MriwoMxUEeKpUOrR1CIFUA _MrlM4MxUEeKpUOrR1CIFUA">
        <ownedEnd xmi:id="_MrlM4MxUEeKpUOrR1CIFUA" name="" visibility="public" type="_yBtLQMxTEeKpUOrR1CIFUA" association="_MrhigMxUEeKpUOrR1CIFUA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_pAQvEEC2EeO2aaQpQxRerg" name="vaccinationEvent_immunityStatus" memberEnd="_pARWIEC2EeO2aaQpQxRerg _pATLUEC2EeO2aaQpQxRerg">
        <ownedEnd xmi:id="_pATLUEC2EeO2aaQpQxRerg" name="" visibility="public" type="_HhemkH87EeG8JPxVazzwbQ" association="_pAQvEEC2EeO2aaQpQxRerg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_RbVPsEC3EeO2aaQpQxRerg" name="vaccinationEvent_immunizationFundingEligibility" memberEnd="_RbWd0EC3EeO2aaQpQxRerg _RbYTAEC3EeO2aaQpQxRerg">
        <ownedEnd xmi:id="_RbYTAEC3EeO2aaQpQxRerg" name="" visibility="public" type="_HhemkH87EeG8JPxVazzwbQ" association="_RbVPsEC3EeO2aaQpQxRerg"/>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B6420A57B401F1" name="Lab">
      <eAnnotations xmi:id="_NEeEM-LiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_NE6wIOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_K5BdYMHOEeCdLPayeDTWtA">
        <body>Need to model more details regarding chain of custody in general and the storage and handling of specimens in specifica in future modeling iterations.  May also need a shipping-container assessment, not just specimen assessment</body>
      </ownedComment>
      <ownedComment xmi:id="_98VnoDDLEeKCbIQBRtD6KA" annotatedElement="_420A62FD03B6420A57B401F1">
        <body>The FHIM Laboratory domain focuses on laboratory orders and the electronic reporting of laboratory results, especially to an Electronic Health Record.  The information classes in this domain do not include data which are used solely to operate the laboratory, or any other data which is not reported to an external entity.  It is noted that in the course of developing this domain, this package at one time contained certain elements gleaned from existing systems related to Quality Control, including Sterility Control Results and Lab Quality Assurance.  These were removed, but may need to be re-visited if we encounter use-cases that require the transmittal of such information.  Nevertheless, such use cases would likely be modeled in a separate sub-domain or package, as the focus would be quite different.  Note that the Clinical Laboratory Improvement Amendments (CLIA) of 1988 Subpart K (Quality Systems for Nonwaived Testing) defines the quality assurance requirements of CLIA-certified laboratories.&#xD;
&#xD;
The Laboratory domain currently does not address the needs of blood banking, transfusion services, autopsy, genomics, or food safety.  While some elements required by these disciplines may exist in this model for other reasons, we have not addressed their needs.  In addition, it is noted that forensics, e.g., chain of custody concerns are not fully modeled.&#xD;
&#xD;
This domain is heavily influenced by the work of the ONC S&amp;I Framework's Lab Results Interface (LRI) Initiative, which produced an HL7 Version 2.5.1 Implementation Guide for laboratory results which in turn is required for Meaningful Use.  Other influences include the existing systems in use by DOD, IHS, and VA; HL7 Version 3; BRIDG; and the Life Sciences Domain Analysis Model developed by the National Cancer Institute.&#xD;
&#xD;
See the Diagram Documentation for a walkthrough of the major concepts.</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64230F39A02CC" name="LabTestPromise">
        <eAnnotations xmi:id="_M4_0CeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_lwWp4MYREeGsb4KXw2Babg" key="EntryPoint"/>
        </eAnnotations>
        <ownedComment xmi:id="_M4s5GeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64230F39A02CC">
          <body>This class represents an intent to perform one or more Laboratory Tests in response to a Request (an Order) from an authorized entity (usually a doctor).  A Promise is an intent to perform a service that has the strength of a commitment, i.e., other parties may rely on the originator of such promise that said originator will see to it that the promised act will be fulfilled. A promise can be either solicited or unsolicited.  The entity that makes such a promise is also called a &quot;filler&quot;, while the entity that requests the service is also called a &quot;placer&quot;.  The Laboratory Test Promise can be looked at as the Laboratory Test Order from the laboratory's point of view.</body>
        </ownedComment>
        <generalization xmi:id="_KGLzIMnmEeG_ScqIlDrcqg" general="_3r94oOO5EeCbbuWBGGTBrA"/>
        <ownedAttribute xmi:id="_420A62FD03B645783AF70191" name="dateReportCompleted" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_M42DCeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_M42DB-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B645783AF70191">
            <body>&quot;Specifies the date/time when the results were reported or status changed.  This conditional field is required whenever [Report Status] is valued.  This field is used to indicate the date and time that the results are composed into a report and released, or that [Healthcare Order status] is entered or changed.&quot; - HL7 Version 2.8, OBR-22.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_euwfMuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_euwfM-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TyzRQPjTEeCmc6EQPl3F9g" name="producersReference" visibility="public">
          <ownedComment xmi:id="_EcvhYLsfEeGZTLDYkoM_Sw" annotatedElement="_TyzRQPjTEeCmc6EQPl3F9g">
            <body>&quot;Contains a unique identifier of the responsible producing service.  It should be reported explicitly when the test results are produced at outside laboratories, for example.  When this field is null, the receiving system assumes that the observations were produced by the sending organization.  This information supports CLIA regulations in the US....&quot; - HL7 Version 2.8, OBX-15.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_S0eEsX8AEd-6KMbY3gBFOQ" name="reportableResult" visibility="public" type="_NglJMH8AEd-6KMbY3gBFOQ" association="_S0eEsH8AEd-6KMbY3gBFOQ">
          <ownedComment xmi:id="_x5zFIEVLEeKmiJoj9rWMSg" annotatedElement="_S0eEsX8AEd-6KMbY3gBFOQ">
            <body>This property points to the set (zero to many) of test results or observations that were generated as a result of the laboratory tests performed.  Note that the word Reportable is used to indicate that these Results are limited to those which have reached the point where they are deemed to be reportable or releasable.  The result may or may not have been part of an actual report, as it might be on hold waiting for other results to be combined with it.  A result that has not yet been approved by the appropriate personnel does not meet the criteria of being reportable, and therefore will not be available through this stucture.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_S0eEsn8AEd-6KMbY3gBFOQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_S0eEs38AEd-6KMbY3gBFOQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rJ7CUPjLEeCmc6EQPl3F9g" name="billingProcedureList" visibility="public" type="_dP9loN3-Ed6yatlejfcw_g" association="_rJ3_APjLEeCmc6EQPl3F9g">
          <ownedComment xmi:id="_rxRPcAmQEeGe4v7RnpTDUQ" annotatedElement="_rJ7CUPjLEeCmc6EQPl3F9g">
            <body>&quot;Contains a unique identifier assigned to the procedure, if any, associated with the charge.&quot; - HL7 Version 2.8, OBR-44.&#xD;
&quot;Contains the procedure code modifier to the procedure code reported in OBR-44-procedure code, when applicable....  Multiple modifiers may be reported....&quot; - HL7 Version 2.8, OBR-45.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rJ7CUfjLEeCmc6EQPl3F9g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rJ7CUvjLEeCmc6EQPl3F9g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__Ze0ILskEeGZTLDYkoM_Sw" name="labReferral" visibility="public" type="_b_84MOOaEd-8X4J7aT-aiQ" association="__ZaisLskEeGZTLDYkoM_Sw">
          <ownedComment xmi:id="_dvpE0LsmEeGZTLDYkoM_Sw" annotatedElement="__Ze0ILskEeGZTLDYkoM_Sw">
            <body>An order placed by a laboratory to another laboratory to perform a test that the originating laboratory had taken on.  This action typically occurs when the originating laboratory cannot perform the requested test in-house.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__ZgCQLskEeGZTLDYkoM_Sw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__ZgpULskEeGZTLDYkoM_Sw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WTeFIMYREeGsb4KXw2Babg" name="labTestPromised" visibility="public" type="_QYxoUMYREeGsb4KXw2Babg" association="_WTaawMYREeGsb4KXw2Babg">
          <ownedComment xmi:id="_YiYXQMYSEeGsb4KXw2Babg" annotatedElement="_WTeFIMYREeGsb4KXw2Babg">
            <body>&quot;This field contains the identifier code for the requested observation/test/battery.&quot; - HL7 Version 2.8, OBR-4</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WTf6UMYREeGsb4KXw2Babg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WTf6UcYREeGsb4KXw2Babg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Y1GXsOOYEd-8X4J7aT-aiQ" name="relatedLabPromise" visibility="public" type="_WUomEOOYEd-8X4J7aT-aiQ" association="_Y1D7cOOYEd-8X4J7aT-aiQ">
          <ownedComment xmi:id="_cM8MkEVKEeKmiJoj9rWMSg" annotatedElement="_Y1GXsOOYEd-8X4J7aT-aiQ">
            <body>Identifies other Lab Test Promise(s) to which this Lab Test Promise is somehow related.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Y1Hl0OOYEd-8X4J7aT-aiQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Y1Hl0eOYEd-8X4J7aT-aiQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_B0jz8cp5EeC9Pb3leltpqQ" name="specimenAssessment" visibility="public" type="_A57aMMHSEeCdLPayeDTWtA" association="_B0jz8Mp5EeC9Pb3leltpqQ">
          <ownedComment xmi:id="_F_f10EVREeKmiJoj9rWMSg" annotatedElement="_B0jz8cp5EeC9Pb3leltpqQ">
            <body>Contains observations regarding the Specimen.  Such observations, or assessments, of the Specimen are performed by the laboratory upon initial receipt, although periodic assessments may be performed later, especially when the Specimen is in long-term storage, or when some change in custody has occurred.  The assessment also contains information concerning the handling of the Specimen, such as storage or transportation information.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_B0tk8Mp5EeC9Pb3leltpqQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_B0tk8cp5EeC9Pb3leltpqQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_W1_tkczCEeCMF_3VBil7Gw" name="specimenCollectionEvent" visibility="public" type="_420A62FD03B64263CF150098" association="_W1_tkMzCEeCMF_3VBil7Gw">
          <ownedComment xmi:id="_MvF6UEVREeKmiJoj9rWMSg" annotatedElement="_W1_tkczCEeCMF_3VBil7Gw">
            <body>The actual gathering of portions or quantities of material for use in testing, examination, or study based upon the request (order).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_W1_tkszCEeCMF_3VBil7Gw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_W1_tk8zCEeCMF_3VBil7Gw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-uoAsX8TEd-6KMbY3gBFOQ" name="verifier" visibility="public" type="_H1ZdQAq7Ed-426xscrxYmQ" association="_-uoAsH8TEd-6KMbY3gBFOQ">
          <ownedComment xmi:id="_kzhMsLslEeGZTLDYkoM_Sw" annotatedElement="_-uoAsX8TEd-6KMbY3gBFOQ">
            <body>&quot;Contains the identifier of the individual directly responsible for the observation (i.e., the person who either performed or verified it).  In a nursing service, the observer is usually the professional who performed the observation (e.g., took the blood pressure).  In a laboratory, the observer is the technician who performed or verified the analysis....&quot; - HL7 Version 2.8, OBX-16.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-uxKoH8TEd-6KMbY3gBFOQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-uxKoX8TEd-6KMbY3gBFOQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Or45ILsjEeGZTLDYkoM_Sw" name="medicalDirector" visibility="public" type="_420A62FD03B6418A6B760063" association="_Or2c4LsjEeGZTLDYkoM_Sw">
          <ownedComment xmi:id="_i0dw8LsjEeGZTLDYkoM_Sw" annotatedElement="_Or45ILsjEeGZTLDYkoM_Sw">
            <body>&quot;Contains the medical director of the organization/service responsible for performing the service.  For labs, this field specifies the medical director of the laboratory that produced the test result described in this OBX segment.  This field is different than OBX-16 in that OBX-16 identifies the individual who performed the lab test (made the observation) whereas this field identifies the individual who is the medical director of the organization responsible for the result.  It should be reported explicitly when the test results are produced at outside laboratories, for example.  This information supports CLIA regulations in the US.&quot; - HL7 Version 2.8, OBX-25.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Or6HQLsjEeGZTLDYkoM_Sw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Or6HQbsjEeGZTLDYkoM_Sw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LgnYYC0QEeKEnd784Zlo8Q" name="accessionEvent" visibility="public" type="_QVZQ4A8SEeK0aKhL_Nyezg" association="_LghRwC0QEeKEnd784Zlo8Q">
          <ownedComment xmi:id="_5P10sEVCEeKmiJoj9rWMSg" annotatedElement="_LgnYYC0QEeKEnd784Zlo8Q">
            <body>This property points to the record of the laboratory's accepting a laboratory test and entering the test into the laboratory's workload.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LgpNkC0QEeKEnd784Zlo8Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LgpNkS0QEeKEnd784Zlo8Q" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64230FF5D004A" name="MeasurementWithReferenceRangeResult">
        <eAnnotations xmi:id="_M6V32OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_M6CV2OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64230FF5D004A">
          <body>An observation of the quantity of the analyte found within the sample.    Note that loinc and procedure codes are identifying more specifically the type of test being performed.  Because there may be multiple methodologies available to measure the same substance, these codes are more specific than the analyte and testCode referenced in the ChemistryTest class.  Note that this class has 5 subtypes to handle the different kinds of result values.  Most chemistry tests are physical quanties (e.g., mg/dL).  Some are coded, and even those that normally are physical quantities might be replaced by a coded observation of Quantity Not Sufficient.</body>
        </ownedComment>
        <generalization xmi:id="_ANJX8Mp-EeC9Pb3leltpqQ" general="_NglJMH8AEd-6KMbY3gBFOQ"/>
        <ownedAttribute xmi:id="_420A62FD03B64263CB8C0097" name="referenceRange" visibility="public" type="_420A62FD03B641886F63021A">
          <eAnnotations xmi:id="_M6MG2-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_M6MG2eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64263CB8C0097">
            <body>The range of normal values (low and high) determined for a test.  For toxicology, this range is the theraputic range.&#xD;
&#xD;
&quot;When the observation quantifies the amount of a toxic substance, then the upper limit of the range identifies the toxic limit.  If the observation quantifies a drug, the lower limits identify the lower therapeutic bounds and the upper limits represent the upper therapeutic bounds above which toxic side effects are common.&quot; - HL7 Version 2.8, OBX-7.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_euwfPuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_euwfP-LjEdutr_MT9HkPyQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64561D1490389" name="value" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
          <ownedComment xmi:id="_M7YZrOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64561D1490389">
            <body>&quot;Contains the value observed by the observation producer....  It is not a required field because some systems will report only the Interpretation Codes.... This field may repeat for multipart, single answer results.&quot; - HL7 Version 2.8, OBX-5.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_W00wILsYEeGZTLDYkoM_Sw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_W1KHULsYEeGZTLDYkoM_Sw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5iQsgGH_EeCHAoM78Lf2xA" name="referenceRangeCriterion" visibility="public" type="_3XW7MGH_EeCHAoM78Lf2xA" association="_5iNpMGH_EeCHAoM78Lf2xA">
          <ownedComment xmi:id="_wBazELsmEeGZTLDYkoM_Sw" annotatedElement="_5iQsgGH_EeCHAoM78Lf2xA">
            <body>&quot;Contains the nature of the abnormal test.  Refer to HL7 Table 0080 - Nature of abnormal testing for valid values.  As many of the codes as apply may be included, separated by repeat delimiters. For example, normal values based on age, sex, and race would be codes as &quot;A~S~R&quot;.&quot; - HL7 Version 2.8, OBX.10&#xD;
&#xD;
This is the criteron by which the reference range is valid.  Different reference ranges may be defined based on the subject's age, race, sex, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5iQsgWH_EeCHAoM78Lf2xA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5iQsgmH_EeCHAoM78Lf2xA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64230FF74014C" name="MicrobeIdentification">
        <eAnnotations xmi:id="_M6fByOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_M6fBw-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64230FF74014C">
          <body>This class documents each Microbiology identification observation (note that in this case, &quot;Microbiology&quot; includes Bacteriology, Mycobacteriology, Mycology, Parasitology, and Virology).  </body>
        </ownedComment>
        <generalization xmi:id="_kOll4Mp-EeC9Pb3leltpqQ" general="_NglJMH8AEd-6KMbY3gBFOQ"/>
        <ownedAttribute xmi:id="_U48skEYxEeKzQP378IhUpA" name="description" visibility="public">
          <ownedComment xmi:id="_eQwf0FSIEeOiZrLzx6PDyg" annotatedElement="_U48skEYxEeKzQP378IhUpA">
            <body>An optional textual description of the microbial observation, which may include other items of note.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64230FFBF0068" name="organismObserved" visibility="public" type="_420A62FD03B64230FFB100BB" isUnique="false" association="_420A62FD03B64230FFBD0250">
          <ownedComment xmi:id="_NAmQ3-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64230FFBF0068">
            <body>The organism identified as being present within a microbiology observation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NAwB0eLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NAwB0uLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645870F1B03CA" name="organismQuantity" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_M9UTVuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B645870F1B03CA">
            <body>The quantification the organism detected.  e.g.,  >100,000 CFU/ML.&#xD;
&quot;Contains the value observed by the observation producer....  It is not a required field because some systems will report only the Interpretation Codes.... This field may repeat for multipart, single answer results.&quot; - HL7 Version 2.8, OBX-5.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642691855010A" name="antibioticSensitivity" visibility="public" type="_420A62FD03B64263C8F8030F" isUnique="false" association="_420A62FD03B6426918530274">
          <ownedComment xmi:id="_NA5LxuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642691855010A">
            <body>The results of a drug challenge.   A drug challenge tests the susceptibility of a culture of the identified organism to an antibiotic.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NA5LyOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NA5LyeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_d_E_0EuxEeKeIb_h9Qm4xw" name="microscopyFinding" visibility="public" type="_ZiYyEEuxEeKeIb_h9Qm4xw" association="_d--SIEuxEeKeIb_h9Qm4xw">
          <ownedComment xmi:id="__Dm48GEMEeO0cp8yTpBD0g" annotatedElement="_d_E_0EuxEeKeIb_h9Qm4xw">
            <body>Pointer to findings, other than the identification of microorganisms, arrived at by microscopic observation of a specimen.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_d_blIEuxEeKeIb_h9Qm4xw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_d_cMMEuxEeKeIb_h9Qm4xw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64263C8F8030F" name="AntibioticSensitivityObservationEvent">
        <eAnnotations xmi:id="_M6yjw-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_M6fBy-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64263C8F8030F">
          <body>This class represents a drug challenge.   A drug challenge tests the susceptibility of a culture of the identified organism to an antibiotic.  Note that the determination whether a microbe is susceptible or resistant to the antibiotic would be reported in the interpretation class, which is inherited from the Reportable Result super type.</body>
        </ownedComment>
        <generalization xmi:id="_EFAaUMp-EeC9Pb3leltpqQ" general="_NglJMH8AEd-6KMbY3gBFOQ"/>
        <ownedAttribute xmi:id="_420A62FD03B64586C0D901BC" name="minimumInhibitoryConcentration" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <eAnnotations xmi:id="_M6yjweLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_M6oyy-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586C0D901BC">
            <body>The minimum inhibitory dilution of the serum or body fluid, which inhibits reproduction of the patient's infecting organism.  Fluid is drawn from the patient who is undergoing antibiotic therapy.  Samples of the fluid is diluted between 1:2 and 1:16 and a sample of the infecting organism is cultured in each of the diluted samples.&#xD;
&quot;Contains the value observed by the observation producer....  It is not a required field because some systems will report only the Interpretation Codes.... This field may repeat for multipart, single answer results.&quot; - HL7 Version 2.8, OBX-5.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_euwfSOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_euwfSeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_v9BJsLFVEeCiPcKjPTIyBg" name="antibiotic" visibility="public" type="_420A62FD03B645919F1600B4" association="_v83_wLFVEeCiPcKjPTIyBg">
          <ownedComment xmi:id="__J2zkDNQEeKkw_YjK6aRcw" annotatedElement="_v9BJsLFVEeCiPcKjPTIyBg">
            <body>Antibiotic: &quot;A substance, such as penicillin or streptomycin, produced by or derived from certain fungi, bacteria, and other organisms, that can destroy or inhibit the growth of other microorganisms.&quot; - The American Heritage Stedman's Medical Dictionary.  This association identifies the antibiotic substance used to test the degree of susceptibility of the microorganism to that substance.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_v9BJsbFVEeCiPcKjPTIyBg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_v9BJsrFVEeCiPcKjPTIyBg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64230FFB100BB" name="Organism">
        <eAnnotations xmi:id="_M6yjzuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_M6yjxuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64230FFB100BB">
          <body>The organism identified as being present within a specimen sample.  &quot;Organism&quot; as used here is not the full spectrum of possible living things, but rather is limited to a member of the following: Bacteria, Fungus, Mycobacterium, Parasite, or Virus.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64586C1770123" name="organismTaxon" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_M6yjyeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586C1770123">
            <body>A categorization of the organism identified, i.e., the “type” of organism.  Note that this property is intended to include not only specific species of organisms (e.g., Staphylococcus aureus, SNOMED-CT code 3092008), but also more general classifications that might be found in laboratory results, such as Gram-positive Cocci (SNOMED-CT code 59206002).  Note also that since this property is a coded element, it contains both a code and a display name.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CrZtENrOEd-fKY5dgJoxiA" name="strain" visibility="public">
          <ownedComment xmi:id="_3shnQO6uEd-crcWiXVDZrQ" annotatedElement="_CrZtENrOEd-fKY5dgJoxiA">
            <body>A more precise subdivision of the value in the organism taxon, for example, the H1N1 form of Influenza.  Because of the multitude of strains and the speed at which they are discovered, the organism taxon coding system may not provide such values.  This property is therefore modeled as a string, rather than a code, as one might otherwise expect.&#xD;
&quot;Contains the specific strain of animal.  It can also be expanded to include strain of any living organism and is not restricted to animals.&quot; - HL7 Version 2.8, PID-37.&#xD;
&quot;The body of descendants of a common ancestor, as a family or stock.  A variety, especially of microorganisms.&quot; - Dictionary.com</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_c3KwgGy2EeKS_YH7dVt7vw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_c3KwgWy2EeKS_YH7dVt7vw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642DD3EE4017D" name="PathologyResult">
        <eAnnotations xmi:id="_M7Oop-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_M67ttuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642DD3EE4017D">
          <body>This class documents the results of a Pathology observation event.  Note that the VA makes a distinction between AnatomicalPathology, Cytopathology, ElectronMicroscopy, and SurgicalPathology, all of which are handled by this one class.  Also, a large portion of Autopy observations take the form of pathology reports.&#xD;
&#xD;
Pathology results generally take the form of documents, which in turn are composed of sections containing free-form text.  The College of American Pathologists lists a number of sections that a well-formed pathology report should or may contain.  The Pathology Result class therefore is comprised of Lab Report Sections, the Section Title of which should come from some pre-defined vocabulary.  The report may also contain images and diagnoses.  It is noted that this entire structure could easily be replaced by a Clinical Document; in the future we may point to Clinical Document rather than maintain a separate Pathology Result structure.</body>
        </ownedComment>
        <generalization xmi:id="_BSsY0MqAEeC9Pb3leltpqQ" general="_NglJMH8AEd-6KMbY3gBFOQ"/>
        <ownedAttribute xmi:id="_420A62FD03B64586C70F0318" name="anatomicPathologist" visibility="public" type="_420A62FD03B6418A6B760063" isUnique="false" association="_420A62FD03B64586C70E0357">
          <ownedComment xmi:id="_p770AMFAEd2cYoIY7XWEQw" annotatedElement="_420A62FD03B64586C70F0318">
            <body>A clinician who is board certifified in the field of Anatomic Pathology.  This person may or may not also be board certified in the field of Clinical Pathology.  This person is responsible for applying clinical judgement to arrive at an interpretation of the subject of the study.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NCPPmeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NCPPmuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586C7480174" name="image" visibility="public" type="_420A62FD03B64586C73900D7" isUnique="false" association="_420A62FD03B64586C7470210">
          <ownedComment xmi:id="_gwxasMDtEd2cYoIY7XWEQw" annotatedElement="_420A62FD03B64586C7480174">
            <body>An image associated with the Pathology Report.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NCPPoOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NCPPoeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586C7E90262" name="residentAnatomicPathologist" visibility="public" type="_420A62FD03B6418A6B760063" isUnique="false" association="_420A62FD03B64586C7E80282">
          <ownedComment xmi:id="_lJqGgMDtEd2cYoIY7XWEQw" annotatedElement="_420A62FD03B64586C7E90262">
            <body>A clinician who is currently undergoing a Anatomic Pathology residency program.  This person is responsible for applying clinical judgement to arrive at an interpretation of the subject of the study, subject to the delegated authority and confirmation from the anatomic pathologist.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NCYZguLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NCYZg-LiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645870AF3013B" name="diagnosis" visibility="public" type="_420A62FD03B6424070DB0209" isUnique="false" association="_420A62FD03B645870AF20274">
          <ownedComment xmi:id="_zhEQ8MDtEd2cYoIY7XWEQw" annotatedElement="_420A62FD03B645870AF3013B">
            <body>Diagnoses associated with the Pathology Report.  Such diagnoses are typically determined by the pathologist based on the observations made and documented in the report.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NC1FeeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NC1FeuLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64587FF85011A" name="dataEnterer" visibility="public" type="_420A62FD03B6418A6B760063" isUnique="false" association="_420A62FD03B64587FF840214">
          <ownedComment xmi:id="_GNU7wMDuEd2cYoIY7XWEQw" annotatedElement="_420A62FD03B64587FF85011A">
            <body>The person in the role of data enterer.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NDksYOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NDksYeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YaE_IOhQEeCUNuD9-34Rcg" name="pathologyReportSection" visibility="public" type="_420A62FD03B64586C4B903A9" association="_YaB70OhQEeCUNuD9-34Rcg">
          <ownedComment xmi:id="_ebXK0DNVEeKkw_YjK6aRcw" annotatedElement="_YaE_IOhQEeCUNuD9-34Rcg">
            <body>A section of a Pathology Report.  Pathology results generally take the form of documents, which in turn are composed of sections containing free-form text.  The College of American Pathologists lists a number of sections that a well-formed pathology report should or may contain.  The Pathology Result class therefore is comprised of Lab Report Sections, the Section Title of which should come from some pre-defined vocabulary.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YaE_IehQEeCUNuD9-34Rcg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YaICcOhQEeCUNuD9-34Rcg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wTNpIO3PEeCFZuasLkncZQ" name="clinicalPathologist" visibility="public" type="_420A62FD03B6418A6B760063" association="_wTLM4O3PEeCFZuasLkncZQ">
          <ownedComment xmi:id="_IAzf0O3QEeCFZuasLkncZQ" annotatedElement="_wTNpIO3PEeCFZuasLkncZQ">
            <body>A clinician who is board certifified in the field of Clinical Pathology.  This person may or may not also be board certified in the field of Anatomic Pathology.  This person is responsible for applying clinical judgement to arrive at an interpretation of the subject of the study, but limited to the clinical, non-anatomic pathology testing (e.g., hematology, chemistry)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wTOQMO3PEeCFZuasLkncZQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wTO3QO3PEeCFZuasLkncZQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64586C4B903A9" name="LabReportSection">
        <eAnnotations xmi:id="_M9nOSeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_M9nOROLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586C4B903A9">
          <body>This class represents a section of a Pathology Report.  Pathology results generally take the form of documents, which in turn are composed of sections containing free-form text.  The College of American Pathologists lists a number of sections that a well-formed pathology report should or may contain.  The Pathology Result class therefore is comprised of Lab Report Sections, the Section Title of which should come from some pre-defined vocabulary.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_a4BoQOhQEeCUNuD9-34Rcg" name="sectionTitle" visibility="public" type="_gv2V8DNVEeKkw_YjK6aRcw">
          <ownedComment xmi:id="_FrpUoOhREeCUNuD9-34Rcg" annotatedElement="_a4BoQOhQEeCUNuD9-34Rcg">
            <body>Categorizes the section of the report.  Possible values include: Brief Clinical History, Frozen Section, Gross Description, MicroscopicExamination, Operative Findings, Post-operative Diagnosis, Pre-operative Diagnosis, etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586C4C5035C" name="text" visibility="public">
          <ownedComment xmi:id="_M9nOR-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586C4C5035C">
            <body>Contains the lab report results in textual format.&#xD;
&#xD;
&quot;Contains the value observed by the observation producer....  It is not a required field because some systems will report only the Interpretation Codes.... This field may repeat for multipart, single answer results.&quot; - HL7 Version 2.8, OBX-5.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6458956DC035E" name="LabTestRequest">
        <eAnnotations xmi:id="_M_QND-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_D0KAQL_CEd2cYoIY7XWEQw" annotatedElement="_420A62FD03B6458956DC035E">
          <body>This class contains attributes associated with a record of the investigative procedure requested to be performed in the laboratory.    Need to flesh out how to model both Panels and individual tests at the same time.  It is not reasonable to expect to be able to standardize panels, but may have to enumerate the tests that make up the panel ordered.</body>
        </ownedComment>
        <generalization xmi:id="_zf2wIEcQEeKfi9U1UyJHLg" general="_420A62FD03B6422F6679007E"/>
        <ownedAttribute xmi:id="_420A62FD03B64239E125013B" name="intendedDuration" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_NLU6IuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64239E125013B">
            <body>Contains the time period over which one or more LabTestRequests are to be executed.&#xD;
&quot;Contains the duration for which the service is requested.&quot; - HL7 Version 2.8, TQ1-6.&#xD;
&quot;Indicates the earliest date/time at which the services should be started.&quot; - HL7 Version 2.8, TQ1-7.&#xD;
&quot;Contain(s) the latest date/time that the service should be performed.  If it has not been performed by the specified time, it should not be performed at all.&quot; - HL7 Version 2.8, TQ1-8.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZlpnkMYREeGsb4KXw2Babg" name="labTestRequested" visibility="public" type="_QYxoUMYREeGsb4KXw2Babg" association="_Zll9MMYREeGsb4KXw2Babg">
          <ownedComment xmi:id="_h2jt0MYREeGsb4KXw2Babg" annotatedElement="_ZlpnkMYREeGsb4KXw2Babg">
            <body>&quot;This field contains the identifier code for the requested observation/test/battery.&quot; - HL7 Version 2.8, OBR-4</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Zlq1sMYREeGsb4KXw2Babg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZlrcwMYREeGsb4KXw2Babg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64558D0DD0190" name="referralType" visibility="public">
          <ownedComment xmi:id="_NLU6JeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64558D0DD0190">
            <body>If the test was accepted as a referral from another facility, only portions of the test may need to be performed.  For example, CHCS lists the following: Procedure Only, Report Only, and Outside Films.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_OF8WgX70Ed-6KMbY3gBFOQ" name="requestingLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_OF8WgH70Ed-6KMbY3gBFOQ">
          <ownedComment xmi:id="_RL-TUH70Ed-6KMbY3gBFOQ" annotatedElement="_OF8WgX70Ed-6KMbY3gBFOQ">
            <body>An association from LabTestRequest to Institution identifying a requesting organization that is devoted to the diagnosis and care. </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OF8Wgn70Ed-6KMbY3gBFOQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OF8Wg370Ed-6KMbY3gBFOQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_L1b3oMYfEeGsb4KXw2Babg" name="resultsReleaseCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_RaajIMYfEeGsb4KXw2Babg" annotatedElement="_L1b3oMYfEeGsb4KXw2Babg">
            <body>&quot;Contains instructions on whether to share the results with the patient, and if so how.&quot; - HL7 Version 2.8, OBX-26.&#xD;
Possible values include (from HL7 Table 909): Share To Be Determined: Category to be determined; Share Immediately: Share result with patient immediately; Share Within Normal Limits: Share result in reference/therapeutic range with patient immediately, Share result out of reference/therapeutic ranges with patient after 1 or more business day as agreed to by the systems in play; Share In 1 Day: Share result regardless of reference/therapeutic range after 1 or more business day as agreed to by the systems in play; Share in 1 Day Conditionally: Share result in reference ranges/therapeutic with patient after 1 or more business day as agreed to by the systems in play, Withhold result out of reference/therapeutic range until physician release; Share Withhold: Withhold result regardless of reference/therapeutic ranges.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PcalYMYfEeGsb4KXw2Babg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PcbMcMYfEeGsb4KXw2Babg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_igjXMAl-EeGe4v7RnpTDUQ" name="specimenActionCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_XSdRoAl_EeGe4v7RnpTDUQ" annotatedElement="_igjXMAl-EeGe4v7RnpTDUQ">
            <body>&quot;Identifies the action to be taken with respect to the specimens that accompany or precede this order.&quot; - HL7 Version 2.8, OBR-11.  Possible values include (from HL7 Table 65): Add ordered tests to the existing specimen; Generated order - reflex order; Lab to obtain specimen from patient; Specimen obtained by service other than Lab; Pending specimen - Order sent prior to delivery; Revised order; Schedule the tests specified below.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64266BCE800E0" name="SpecimenCollectionPromise">
        <eAnnotations xmi:id="_M_2p9-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_M_s49uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64266BCE800E0">
          <body>This class represents an intent to collect one or more Specimens in response to a Request (an Order) from an authorized entity (usually a doctor).  A Promise is an intent to perform a service that has the strength of a commitment, i.e., other parties may rely on the originator of such promise that said originator will see to it that the promised act will be fulfilled.  A promise can be either solicited or unsolicited.  The entity that makes such a promise is also called a &quot;filler&quot;, while the entity that requests the service is also called a &quot;placer&quot;.  The Specimen Collection Promise can be looked at as the Specimen Collection Order from the point of view of the entity collecting the Specimen.&#xD;
&#xD;
It should be noted that while a Specimen Collection Promise logically occurs in response to an order, the notion of a Specimen Collection Promise is rarely implemented as separate concept, because specimen collections typically occur automatically based on policy, procedure, or contract.  Rarely would two computers be exchanging messages requesting and acknowledging specimen collections; most likely this would occur when a patient is sent to the laboratory for specimen collection.  Nevertheless, the class exists in order to support the few cases where an explicit promise is needed.</body>
        </ownedComment>
        <generalization xmi:id="_vWSTIMoTEeGas4Yp_oUthg" general="_3r94oOO5EeCbbuWBGGTBrA"/>
        <ownedAttribute xmi:id="_q13wYEVAEeKmiJoj9rWMSg" name="accessionEvent" visibility="public" type="_QVZQ4A8SEeK0aKhL_Nyezg" association="_q117MEVAEeKmiJoj9rWMSg">
          <ownedComment xmi:id="_AxdMAEVDEeKmiJoj9rWMSg" annotatedElement="_q13wYEVAEeKmiJoj9rWMSg">
            <body>This property points to the record of the laboratory's accepting a laboratory test and entering the test into the laboratory's workload.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_q14XcEVAEeKmiJoj9rWMSg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_q14XcUVAEeKmiJoj9rWMSg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64263CF150098" name="SpecimenCollectionEvent">
        <eAnnotations xmi:id="_M__z6-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_M_2p-uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64263CF150098">
          <body>The actual gathering of portions or quantities of material for use in testing, examination, or study based upon the request (order).</body>
        </ownedComment>
        <ownedAttribute xmi:id="_I8XO0MzDEeCMF_3VBil7Gw" name="collectionAmount" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="__Wm7UAlkEeGe4v7RnpTDUQ" annotatedElement="_I8XO0MzDEeCMF_3VBil7Gw">
            <body>&quot;Specifies the volume or mass of the collected specimen.&quot; - HL7 Version 2.8, SPM-12.&#xD;
&quot;The volume of a specimen.&quot; - HL7 Version 2.8, OBR-9.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KYTcwn8YEd-6KMbY3gBFOQ" name="collectionMethod" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_KYTcw38YEd-6KMbY3gBFOQ" annotatedElement="_KYTcwn8YEd-6KMbY3gBFOQ">
            <body>&quot;Describes the procedure or process by which the specimen was collected.&quot; - HL7 Version 2.8, SPM-7.  Note that HL7 identifies a Code Table (Table 488) for this property, which currently contains 42 suggested values.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sXo6kJ_tEeOScYv3wgSwlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sXo6kZ_tEeOScYv3wgSwlA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KYTcwH8YEd-6KMbY3gBFOQ" name="collectionSite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_KYTcwX8YEd-6KMbY3gBFOQ" annotatedElement="_KYTcwH8YEd-6KMbY3gBFOQ">
            <body>&quot;This field differs from [Specimen Source Site] in those cases where the source site must be approached via a particular site (e.g., anatomic location).  For example, in the case where a liver biopsy is obtained via a percutaneous needle, the collection site would be the point of entry of the needle.  For venous blood collected from the left radial vein, the collection site could be Antecubital Fossa.&quot; - HL7 Version 2.8, SPM-10.  Note that HL7 identifies a Code Table (Table 543) for this property, but does not provide any suggested values.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586B93403B1" name="comment" visibility="public">
          <eAnnotations xmi:id="_M__z6eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_M__z5-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586B93403B1">
            <body>&quot;This field is for reporting additional comments related to the sample.&quot; - HL7 Version 2.8, OBR-39.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eu5pJuLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eu5pJ-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64230FCD502CF" name="dateTime" visibility="public" type="_420A62FD03B642387187004E">
          <eAnnotations xmi:id="_omXO0EhUEeKFm6BiMe_FyA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_M_2p_eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64230FCD502CF">
            <body>&quot;The date and time when the specimen was acquired from the source.  The use of the Date Range data type allows for description of specimens collected over a period of time, for example, 24-hour urine collection.  For specimens collected at a point in time, only the first component (start date/time) will be populated.&quot; - HL7 Version 2.8, SPM-17.&#xD;
&quot;The clinically relevant date/time of the observation.  In the case of observations taken directly from a subject, it is the actual date and time the observation was obtained.  In the case of a specimen associated study, this field shall represent the date and time the specimen was collected or obtained.&quot; - HL7 Version 2.8, OBR-7.&#xD;
&quot;Contains the end date and time of a study or timed specimen collection.&quot; - HL7 Version 2.8, OBR-8.&#xD;
&quot;This field is required in two circumstances.  The first is when the observations reported beneath one report header have different dates/times.  This could occur in the case of queries, timed test sequences, or clearance studies where one measurement within a battery may have a different time than another measurement....  The observation date-time is the physiologically relevant date-time or the closest approximation to that date-time.  In the case of tests performed on specimens, the relevant date-time is the specimen’s collection date-time.  In the case of observations taken directly on the patient (e.g., X-ray images, history and physical), the observation date-time is the date-time that the observation was performed.&quot; - HL7 Version 2.8, OBX-14.&#xD;
Note that this property is a Time Interval.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DHxwkP8sEd-Koe9flR96lw" name="sourceSite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_EnhzgEhVEeKFm6BiMe_FyA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_TLXI8P8sEd-Koe9flR96lw" annotatedElement="_DHxwkP8sEd-Koe9flR96lw">
            <body>&quot;Specifies the source from which the specimen was obtained.  For example, in the case where a liver biopsy is obtained via a percutaneous needle, the source would be Liver.  Any nationally recognized coding system might be used for this field including SNOMED; alternatively HL7 Table 0163 may be used.&quot; - HL7 Version 2.8, SPM-8.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tfLxcJ_tEeOScYv3wgSwlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tfMYgJ_tEeOScYv3wgSwlA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TlsUgP8sEd-Koe9flR96lw" name="sourceSiteModifier" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_TlsUgf8sEd-Koe9flR96lw" annotatedElement="_TlsUgP8sEd-Koe9flR96lw">
            <body>&quot;Contains modifying or qualifying description(s) about the specimen source site.  The use of this attribute is to modify, qualify or further specify, the entity described by [Specimen Source Site].  This is particularly useful when the code set used in [Specimen Source Site] does not provide the precision required to fully describe the site from which the specimen originated.  For example, if the specimen source site was precisely described as Left Radial Vein but the code set employed only provided Radial Vein, this attribute could be employed to add the modifier Left.&quot; - HL7 Version 2.8, SPM-9.  Note that HL7 identifies a Code Table (Table 542) for this property, but does not provide any suggested values.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lmZ08PIJEeGWjrqT5CRABg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lmZ08fIJEeGWjrqT5CRABg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586BC410090" name="collectingLocation" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B64586BC3F0275">
          <ownedComment xmi:id="_-Wg9wL-_Ed2cYoIY7XWEQw" annotatedElement="_420A62FD03B64586BC410090">
            <body>The anatomic location from which the specimen was obtained. The collection site would be the point of entry of the needle.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NBfosuLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NBfos-LiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_btFzwX8XEd-6KMbY3gBFOQ" name="performer" visibility="public" type="_7NSfgH_lEd-Ure_vzgD_TA" association="_btFzwH8XEd-6KMbY3gBFOQ">
          <ownedComment xmi:id="_fpqXAH8XEd-6KMbY3gBFOQ" annotatedElement="_btFzwX8XEd-6KMbY3gBFOQ">
            <body>&quot;Identifies the person, department, or facility that collected the specimen.&quot; - HL7 Version 2.8, OBR-10</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_btFzwn8XEd-6KMbY3gBFOQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_btFzw38XEd-6KMbY3gBFOQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642DBE47D009E" name="specimen" visibility="public" type="_420A62FD03B642DBE3F101E7" isUnique="false" association="_420A62FD03B642DBE479028D">
          <ownedComment xmi:id="_ND4OZeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642DBE47D009E">
            <body>A collection of samples or specimens collected and potentially processed for eventual testing.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NEBYQeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NEBYQuLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tn8FgMoUEeGas4Yp_oUthg" name="specimenCollectionPromise" visibility="public" type="_420A62FD03B64266BCE800E0" association="_tn30EMoUEeGas4Yp_oUthg">
          <ownedComment xmi:id="_ISdwoEWWEeKmiJoj9rWMSg" annotatedElement="_tn8FgMoUEeGas4Yp_oUthg">
            <body>Points to the &quot;promise&quot; made in response to a Request (an Order) from an authorized entity (usually a doctor), which resulted in this Specimen Collection Event.  A Promise is an intent to perform a service that has the strength of a commitment, i.e., other parties may rely on the originator of such promise that said originator will see to it that the promised act will be fulfilled.  The Specimen Collection Promise can be looked at as the Specimen Collection Order from the point of view of the entity collecting the Specimen.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tn9ToMoUEeGas4Yp_oUthg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tn9TocoUEeGas4Yp_oUthg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64589A6CD0176" name="SpecimenCollectionRequest">
        <eAnnotations xmi:id="_NAmQ0eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NAcf1-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64589A6CD0176">
          <body>The gathering of portions or quantities of material for use in testing, examination, or study based upon a request (order).  For example, a blood or urine sample.</body>
        </ownedComment>
        <generalization xmi:id="_xzfqMH8XEd-6KMbY3gBFOQ" general="_420A62FD03B64589572B02E8"/>
        <ownedAttribute xmi:id="_420A62FD03B64589A70201DD" name="collectionMethod" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NAcf3eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64589A70201DD">
            <body>&quot;Describes the procedure or process by which the specimen was collected.&quot; - HL7 Version 2.8, SPM-7.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dcRWgOcQEeGjtvsfy1ZDDQ" name="collectionSite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_dcRWgecQEeGjtvsfy1ZDDQ" annotatedElement="_dcRWgOcQEeGjtvsfy1ZDDQ">
            <body>&quot;This field differs from SPM-8-Specimen Source Site in those cases where the source site must be approached via a particular site (e.g., anatomic location).  For example, in the case where a liver biopsy is obtained via a percutaneous needle, the collection site would be the point of entry of the needle.  For venous blood collected from the left radial vein, the collection site could be &quot;antecubital fossa&quot;.&quot; - HL7 Version 2.8, SPM.10</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dcR9kOcQEeGjtvsfy1ZDDQ" name="sourceSite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_dcR9kecQEeGjtvsfy1ZDDQ" annotatedElement="_dcR9kOcQEeGjtvsfy1ZDDQ">
            <body>&quot;Specifies the source from which the specimen was obtained.  For example, in the case where a liver biopsy is obtained via a percutaneous needle, the source would be  liver. &quot; - HL7 Version 2.8, SPM-8.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dcSkoOcQEeGjtvsfy1ZDDQ" name="sourceSiteModifier" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_dcSkoecQEeGjtvsfy1ZDDQ" annotatedElement="_dcSkoOcQEeGjtvsfy1ZDDQ">
            <body>&quot;This field contains modifying or qualifying description(s) about the specimen source site.  The use of this attribute is to modify, qualify or further specify, the entity described by [sourceSite].  This is particularly useful when the code set used in [sourceSite] does not provide the precision required to fully describe the site from which the specimen originated.  For example, if the specimen source site was precisely described as  left radial vein but the code set employed only provided  radial vein, this attribute could be employed to add the modifier  left. &quot; - HL7 Version 2.8, SPM-9.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dBMSoPIJEeGWjrqT5CRABg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dBM5sPIJEeGWjrqT5CRABg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64230FFBD0250" name="microbeIdentification_organismObserved" memberEnd="_420A62FD03B64230FFBF0068 _420A62FD03B64230FFBF006A">
        <eAnnotations xmi:id="_ZEOp0EzlEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_420A62FD03B64230FFBF006A" name="" visibility="public" type="_420A62FD03B64230FF74014C" isUnique="false" association="_420A62FD03B64230FFBD0250"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6426918530274" name="microbeIdentification_antibioticSensitivity" memberEnd="_420A62FD03B642691855010A _420A62FD03B642691855010C">
        <eAnnotations xmi:id="_ZGnPcEzlEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_420A62FD03B642691855010C" name="" visibility="public" type="_420A62FD03B64230FF74014C" isUnique="false" association="_420A62FD03B6426918530274"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64586BC3F0275" name="specimenCollectionEvent_collectingLocation" memberEnd="_420A62FD03B64586BC410090 _420A62FD03B64586BC410092">
        <eAnnotations xmi:id="_ZJJmEUzlEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NBV3xOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586BC3F0275">
          <body>Contains the Instituion name for the site where the specimen was collected.  </body>
        </ownedComment>
        <ownedEnd xmi:id="_420A62FD03B64586BC410092" name="" visibility="public" type="_420A62FD03B64263CF150098" isUnique="false" association="_420A62FD03B64586BC3F0275">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_v8JE0BnkEdyQfodwAgrWbw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_v8JE0RnkEdyQfodwAgrWbw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64586C70E0357" name="pathologyResult_anatomicPathologist" memberEnd="_420A62FD03B64586C70F0318 _420A62FD03B64586C70F0328">
        <eAnnotations xmi:id="_ZLPQwEzlEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NCPPluLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586C70E0357">
          <body>The person in the role of responsible party the Pathologist.  </body>
        </ownedComment>
        <ownedEnd xmi:id="_420A62FD03B64586C70F0328" name="" visibility="public" type="_420A62FD03B642DD3EE4017D" isUnique="false" association="_420A62FD03B64586C70E0357"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64586C7470210" name="pathologyResult_image" memberEnd="_420A62FD03B64586C7480174 _420A62FD03B64586C7480176">
        <eAnnotations xmi:id="_ZIs6IEzlEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NCPPneLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586C7470210">
          <body> Image associated with surgical pathology reports are stored in this multiple within the surgical pathology field of the lab data file.  </body>
        </ownedComment>
        <ownedEnd xmi:id="_420A62FD03B64586C7480176" name="" visibility="public" type="_420A62FD03B642DD3EE4017D" isUnique="false" association="_420A62FD03B64586C7470210"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64586C7E80282" name="pathologyResult_residentAnatomicPathologist" memberEnd="_420A62FD03B64586C7E90262 _420A62FD03B64586C7E90282">
        <eAnnotations xmi:id="_ZL1GoEzlEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NCPPpOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586C7E80282">
          <body>The person in the role of resident Pathologist.  </body>
        </ownedComment>
        <ownedEnd xmi:id="_420A62FD03B64586C7E90282" name="" visibility="public" type="_420A62FD03B642DD3EE4017D" isUnique="false" association="_420A62FD03B64586C7E80282"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B645870AF20274" name="pathologyResult_diagnosis" memberEnd="_420A62FD03B645870AF3013B _420A62FD03B645870AF3014B">
        <eAnnotations xmi:id="_ZI2rIkzlEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NC1FduLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B645870AF20274">
          <body>The process of determining by examination the nature and circumstances of a diseased condition.  </body>
        </ownedComment>
        <ownedEnd xmi:id="_420A62FD03B645870AF3014B" name="" visibility="public" type="_420A62FD03B642DD3EE4017D" isUnique="false" association="_420A62FD03B645870AF20274"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64587FF840214" name="pathologyResult_dataEnterer" memberEnd="_420A62FD03B64587FF85011A _420A62FD03B64587FF85012A">
        <eAnnotations xmi:id="_ZLrVoEzlEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NDksXeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64587FF840214">
          <body>The person in the role of data enterer.  </body>
        </ownedComment>
        <ownedEnd xmi:id="_420A62FD03B64587FF85012A" name="" visibility="public" type="_420A62FD03B642DD3EE4017D" isUnique="false" association="_420A62FD03B64587FF840214"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642DBE479028D" name="specimenCollectionEvent_specimen" memberEnd="_420A62FD03B642DBE47D009E _420A62FD03B642DBE47D00A0">
        <eAnnotations xmi:id="_ZI_1EEzlEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_OF8WgH70Ed-6KMbY3gBFOQ" name="labTestRequest_requestingLocation" memberEnd="_OF8WgX70Ed-6KMbY3gBFOQ _OF8WhH70Ed-6KMbY3gBFOQ">
        <ownedEnd xmi:id="_OF8WhH70Ed-6KMbY3gBFOQ" name="" visibility="public" type="_420A62FD03B6458956DC035E" association="_OF8WgH70Ed-6KMbY3gBFOQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_6eu_AH72Ed-6KMbY3gBFOQ" name="reportableResult_commentEvent" memberEnd="_6eu_AX72Ed-6KMbY3gBFOQ _6eu_BH72Ed-6KMbY3gBFOQ">
        <ownedEnd xmi:id="_6eu_BH72Ed-6KMbY3gBFOQ" name="" visibility="public" type="_NglJMH8AEd-6KMbY3gBFOQ" association="_6eu_AH72Ed-6KMbY3gBFOQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_NglJMH8AEd-6KMbY3gBFOQ" name="ReportableResult">
        <ownedComment xmi:id="_KzpqALsoEeGZTLDYkoM_Sw" annotatedElement="_NglJMH8AEd-6KMbY3gBFOQ">
          <body>This class represents a test result or observation that may be reported.  Some tests, such as an microbiology identification may have multiple results reported over time, for example a preliminary gram stain result might be initially reported, followed by the identification and relative number of organisms, followed by an antibiotic senstivity test results.  Each one of these results would manifest as a separate instance of this class, each with their own date/times, performers, etc.&#xD;
&#xD;
&quot;The OBX segment is used to transmit a single observation or observation fragment.  It represents the smallest indivisible unit of a report.&quot; - HL7 Version 2.8, OBX</body>
        </ownedComment>
        <ownedAttribute xmi:id="_4dtFwGRQEeCsvJrE4KlOMA" name="dateDeemedReportable" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_qH7K8MneEeG_ScqIlDrcqg" annotatedElement="_4dtFwGRQEeCsvJrE4KlOMA">
            <body>&quot;Specifies the date/time when the results were reported or status changed.  This conditional field is required whenever [Report Status] is valued.  This field is used to indicate the date and time that the results are composed into a report and released, or that [Healthcare Order status] is entered or changed.&quot; - HL7 Version 2.8, OBR-22.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4dtFw2RQEeCsvJrE4KlOMA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4dtFwmRQEeCsvJrE4KlOMA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WcTM0ArPEdyiYardodwdWw" name="dateTimeObserved" visibility="public" type="_420A62FD03B64244824602F5" isUnique="false">
          <ownedComment xmi:id="_rjaJcArPEdyiYardodwdWw" annotatedElement="_WcTM0ArPEdyiYardodwdWw">
            <body>&quot;This field is required in two circumstances.  The first is when the observations reported beneath one report header have different dates/times.  This could occur in the case of queries, timed test sequences, or clearance studies where one measurement within a battery may have a different time than another measurement....  The observation date-time is the physiologically relevant date-time or the closest approximation to that date-time.  In the case of tests performed on specimens, the relevant date-time is the specimen’s collection date-time.  In the case of observations taken directly on the patient (e.g., X-ray images, history and physical), the observation date-time is the date-time that the observation was performed.&quot; - HL7 Version 2.8, OBX.14</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AicxkNOPEd27LKffJpV5RQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AicxkdOPEd27LKffJpV5RQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_moV9ILshEeGZTLDYkoM_Sw" name="dateTimeOfAnalysis" visibility="public" type="_420A62FD03B64244824602F5" isUnique="false">
          <ownedComment xmi:id="_moV9IbshEeGZTLDYkoM_Sw" annotatedElement="_moV9ILshEeGZTLDYkoM_Sw">
            <body>&quot;The time stamp associated with generation of the analytical result by the instrument specified in [the deviceInstance]&quot; - HL7 Version 2.8, OBX.19</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_moV9I7shEeGZTLDYkoM_Sw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_moV9IrshEeGZTLDYkoM_Sw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586FAF3018D" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_M6fBxuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586FAF3018D">
            <body>&quot;Contains a unique identifier for this observation.&quot; - HL7 Version 2.8, OBX-21.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="__9-akLsfEeGZTLDYkoM_Sw" name="observationMethod" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_XdQvgLsgEeGZTLDYkoM_Sw" annotatedElement="__9-akLsfEeGZTLDYkoM_Sw">
            <body>&quot;The method or procedure by which an observation was obtained when the sending system wishes to distinguish among one measurement obtained by different methods and the distinction is not implicit in the test ID.  Chemistry laboratories do not usually distinguish between two different methods used to measure a given serum constituent (e.g., serum potassium) as part of the test name....&quot; - HL7 Version 2.8, OBX-17.&#xD;
&#xD;
Note that the aerobic condition of the culture is included in this concept.  Note also that this property can repeat.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Dns6ULsgEeGZTLDYkoM_Sw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DnthYLsgEeGZTLDYkoM_Sw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SBcAMFUUEeKxd7-Yw-gPSg" name="negationIndicator" visibility="public">
          <ownedComment xmi:id="_YtX2gGEPEeO0cp8yTpBD0g" annotatedElement="_SBcAMFUUEeKxd7-Yw-gPSg">
            <body>This is a placeholder to convey the concept that something looked for was not found.  It is possible that this property might be superfluous and may be removed.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_a_LFILsiEeGZTLDYkoM_Sw" name="observationSite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_yPTjwLsiEeGZTLDYkoM_Sw" annotatedElement="_a_LFILsiEeGZTLDYkoM_Sw">
            <body>&quot;Contains the body site(s) where the measurement being reported was obtained.   This field should not be used for a specimen source or specimen collection site.  This information is of particular importance if the clinical meaning of a value is modified either directly by the site (for example, is the temperature central or peripheral?) or if the site of one measurement impacts the value of another measurement (for example, is the finger SpO2 probe on the same arm as the NIBP cuff?).  In most cases these observations are performed directly upon the patient and do not involve a specimen.&quot; - HL7 Version 2.8, OBX-20.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_d_kUALsiEeGZTLDYkoM_Sw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_d_k7ELsiEeGZTLDYkoM_Sw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ptNP4PjPEeCmc6EQPl3F9g" name="probability" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_29mH4PjPEeCmc6EQPl3F9g" annotatedElement="_ptNP4PjPEeCmc6EQPl3F9g">
            <body>&quot;Contains the probability of a result being true for results with categorical values.  It mainly applies to discrete coded results.  It is a decimal number ... between 0 and 1, inclusive.&quot; - HL7 Version 2.8, OBX-9.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wEGggPjPEeCmc6EQPl3F9g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wEGggfjPEeCmc6EQPl3F9g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_sSGXQMYfEeGsb4KXw2Babg" name="reReleaseReason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_x54fIMYfEeGsb4KXw2Babg" annotatedElement="_sSGXQMYfEeGsb4KXw2Babg">
            <body>&quot;Indicates the root cause for the reissue of a previously released lab report.  This element is used in conjunction with OBX-11 Observation Result Status to define the root cause for a reissued laboratory report in the case of a corrected, amended, appended, or revised report.&quot; - HL7 Version 2.8, OBX-27.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vxMUUMYfEeGsb4KXw2Babg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vxM7YMYfEeGsb4KXw2Babg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PpezYHpLEeCYy4DzyFpAzQ" name="reportDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_rgh8oMneEeG_ScqIlDrcqg" annotatedElement="_PpezYHpLEeCYy4DzyFpAzQ">
            <body>&quot;Specifies the date/time when the results were reported or status changed.  This conditional field is required whenever [Report Status] is valued.  This field is used to indicate the date and time that the results are composed into a report and released, or that [Healthcare Order status] is entered or changed.&quot; - HL7 Version 2.8, OBR-22.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QmOvgHpLEeCYy4DzyFpAzQ" name="resultStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_fupOULsJEeGZTLDYkoM_Sw" annotatedElement="_QmOvgHpLEeCYy4DzyFpAzQ">
            <body>&quot;Contains the observation result status.... This field reflects the current completion status of the results for one Observation Identifier....&quot; - HL7 Version 2.8, OBX-11.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BaOXcPjTEeCmc6EQPl3F9g" name="userDefinedAccessCheck" visibility="public">
          <ownedComment xmi:id="_sJpfALsgEeGZTLDYkoM_Sw" annotatedElement="_BaOXcPjTEeCmc6EQPl3F9g">
            <body>&quot;This field permits the producer to record results-dependent codes for classifying the observation at the receiving system.  This field should be needed only rarely...&quot; - HL7 Version 2.8, OBX-13.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_E2K54PjTEeCmc6EQPl3F9g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_E2K54fjTEeCmc6EQPl3F9g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6eu_AX72Ed-6KMbY3gBFOQ" name="commentEvent" visibility="public" type="_420A62FD03B642C044DB02ED" association="_6eu_AH72Ed-6KMbY3gBFOQ">
          <ownedComment xmi:id="_-pKYEH72Ed-6KMbY3gBFOQ" annotatedElement="_6eu_AX72Ed-6KMbY3gBFOQ">
            <body>Contains any comments pertinent to the result of the lab test.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6eu_An72Ed-6KMbY3gBFOQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6eu_A372Ed-6KMbY3gBFOQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_R83lMcqCEeC9Pb3leltpqQ" name="deviceInstance" visibility="public" type="_MsausFCxEeCsN-3dTKIrUA" association="_R83lMMqCEeC9Pb3leltpqQ">
          <ownedComment xmi:id="_W4RIMMqCEeC9Pb3leltpqQ" annotatedElement="_R83lMcqCEeC9Pb3leltpqQ">
            <body>&quot;Identifies the Equipment Instance (e.g., Analyzer, Analyzer module, group of Analyzers, etc.) responsible for the production of the observation....&quot; - HL7 Version 2.8, OBX-18.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_R83lMsqCEeC9Pb3leltpqQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_R83lM8qCEeC9Pb3leltpqQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gcFfwO3MEeCFZuasLkncZQ" name="interpretation" visibility="public" type="_eWYXgO3MEeCFZuasLkncZQ" association="_gcCccO3MEeCFZuasLkncZQ">
          <ownedComment xmi:id="_mS-CsLskEeGZTLDYkoM_Sw" annotatedElement="_gcFfwO3MEeCFZuasLkncZQ">
            <body>&quot;One or more codes specifying a categorical assessment of the observation value, such as &quot;Normal&quot;, &quot;Abnormal&quot;, &quot;Positive&quot;, &quot;Negative&quot;, &quot;Resistant&quot;, &quot;Susceptible&quot;, etc....&quot; - HL7 Version 2.8, OBX-8.&#xD;
&#xD;
For chemistry tests, provides an automated indication of the result, based upon &quot;normal&quot; values as indicated by the reference range.  Examples include High, Low, Critically High, Critically Low, etc.&#xD;
&#xD;
For antibiotic sensitivity tests, provides an indication of the susceptibility of the identified organism to the test antibiotic.  Possible values include: Intermediate, Moderately Susceptible, Resistant, Susceptible.  In addition, Not Tested may occasionally used when an antibiotic that would commonly be tested was not for some reason.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gcGt4O3MEeCFZuasLkncZQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gcGt4e3MEeCFZuasLkncZQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SzyMIO3OEeCFZuasLkncZQ" name="laboratoryDirector" visibility="public" type="_420A62FD03B6418A6B760063" association="_Szvv4O3OEeCFZuasLkncZQ">
          <ownedComment xmi:id="_-jLiwA7UEeGO7rMs1qg5kg" annotatedElement="_SzyMIO3OEeCFZuasLkncZQ">
            <body>This is the director of the laboratory that is reporting the result to the Orderer.  This person may or may not be the director of the organization that actually performed the analysis, rather of the reporting organization.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SzyzMO3OEeCFZuasLkncZQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SzzaQO3OEeCFZuasLkncZQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kWOscX8aEd-6KMbY3gBFOQ" name="performer" visibility="public" type="_420A62FD03B6418A6B760063" association="_kWOscH8aEd-6KMbY3gBFOQ">
          <ownedComment xmi:id="_oxf94H8aEd-6KMbY3gBFOQ" annotatedElement="_kWOscX8aEd-6KMbY3gBFOQ">
            <body>&quot;This field identifies the performing technician.&quot; - HL7 Version 2.8, OBR-34&#xD;
&quot;This field contains the identifier of the individual directly responsible for the observation (i.e., the person who either performed or verified it).  In a nursing service, the observer is usually the professional who performed the observation (e.g., took the blood pressure).  In a laboratory, the observer is the technician who performed or verified the analysis....&quot; - HL7 Version 2.8, OBX.16</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kWOscn8aEd-6KMbY3gBFOQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kWOsc38aEd-6KMbY3gBFOQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_D4mP0MYSEeGsb4KXw2Babg" name="labTestPerformed" visibility="public" type="_QYxoUMYREeGsb4KXw2Babg" association="_D4ilcMYSEeGsb4KXw2Babg">
          <ownedComment xmi:id="_WPH7MMYSEeGsb4KXw2Babg" annotatedElement="_D4mP0MYSEeGsb4KXw2Babg">
            <body>&quot;Contains a unique identifier for the observation....  In most systems the identifier will point to a master observation table that will provide other attributes of the observation that may be used by the receiving system to process the observations it receives&quot;. - HL7 Version 2.8, OBX-3.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_D4nd8MYSEeGsb4KXw2Babg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_D4oFAMYSEeGsb4KXw2Babg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3BNrUPjJEeCmc6EQPl3F9g" name="transcription" visibility="public" type="_1mTzkPjJEeCmc6EQPl3F9g" association="_3BKoAPjJEeCmc6EQPl3F9g">
          <ownedComment xmi:id="_DtDxkEUvEeKmiJoj9rWMSg" annotatedElement="_3BNrUPjJEeCmc6EQPl3F9g">
            <body>Transcribe: &quot;to make a written copy, especially a typewritten copy, of (dictated material, notes taken during a lecture, or other spoken material).&quot; - Dictionary.com.  This association points to information about who transcribed the provider's dictated notes, and when that transcription occurred.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3BNrUfjJEeCmc6EQPl3F9g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3BNrUvjJEeCmc6EQPl3F9g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_j5AykMqXEeG4_uv2Hb_AVQ" name="relatedResult" visibility="public" type="_hkGwsMqXEeG4_uv2Hb_AVQ" association="_j46E4MqXEeG4_uv2Hb_AVQ">
          <ownedComment xmi:id="_XEZJMMqaEeG4_uv2Hb_AVQ" annotatedElement="_j5AykMqXEeG4_uv2Hb_AVQ">
            <body>Identifies other Reportable Result(s) to which this Reportable Result is somehow related.&#xD;
&quot;This field is defined to make it available for other types of linkages (e.g., toxicology).  This important information, together with the information in OBR-29 or OBR-57, uniquely identifies the parent result's OBX segment related to this order.&quot; - HL7 Version 2, OBX-26.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_j5CnwMqXEeG4_uv2Hb_AVQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_j5DO0MqXEeG4_uv2Hb_AVQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_S0eEsH8AEd-6KMbY3gBFOQ" name="labTestPromise_reportableResult" memberEnd="_S0eEsX8AEd-6KMbY3gBFOQ _S0eEtH8AEd-6KMbY3gBFOQ">
        <ownedEnd xmi:id="_S0eEtH8AEd-6KMbY3gBFOQ" name="" visibility="public" type="_420A62FD03B64230F39A02CC" association="_S0eEsH8AEd-6KMbY3gBFOQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BxqhcGIBEeCHAoM78Lf2xA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BxqhcWIBEeCHAoM78Lf2xA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_-uoAsH8TEd-6KMbY3gBFOQ" name="labTestPromise_verifier" memberEnd="_-uoAsX8TEd-6KMbY3gBFOQ _-uxKon8TEd-6KMbY3gBFOQ">
        <ownedEnd xmi:id="_-uxKon8TEd-6KMbY3gBFOQ" name="" visibility="public" type="_420A62FD03B64230F39A02CC" association="_-uoAsH8TEd-6KMbY3gBFOQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_btFzwH8XEd-6KMbY3gBFOQ" name="specimenCollectionEvent_performer" memberEnd="_btFzwX8XEd-6KMbY3gBFOQ _btFzxH8XEd-6KMbY3gBFOQ">
        <ownedEnd xmi:id="_btFzxH8XEd-6KMbY3gBFOQ" name="" visibility="public" type="_420A62FD03B64263CF150098" association="_btFzwH8XEd-6KMbY3gBFOQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_kWOscH8aEd-6KMbY3gBFOQ" name="reportableResult_performer" memberEnd="_kWOscX8aEd-6KMbY3gBFOQ _kWOsdH8aEd-6KMbY3gBFOQ">
        <ownedEnd xmi:id="_kWOsdH8aEd-6KMbY3gBFOQ" name="" visibility="public" type="_NglJMH8AEd-6KMbY3gBFOQ" association="_kWOscH8aEd-6KMbY3gBFOQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_WUomEOOYEd-8X4J7aT-aiQ" name="RelatedLabPromise">
        <ownedComment xmi:id="_j4BWkPemEeGDQviDyE5NDQ" annotatedElement="_WUomEOOYEd-8X4J7aT-aiQ">
          <body>This class identifies Laboratory Promises that are related to each other in some way.  The relatedPromiseCategory indicates how the referenced Promise is related to the &quot;owning&quot; Promise.&#xD;
&#xD;
Note that a &quot;Reflex Test&quot; will be handled through this RelatedLabPromise mechanism.  A Reflex Test is a test that is performed and is made necessary based on results from another test, such as results that need confirmation or tests that are indicated by standards of care, so that it is necessary to perform even though the clinician hasn't ordered it.  Examples include when a CBC indicates a high white blood cell count, a differential is automatically performed.  These tests are usually defined within the laboratory's established procedures.  In this case, the original order will point to an instance of RelatedLabPromise, wherein the relatedPromiseCategory will contain a code that means &quot;reflex test&quot;, and a pointer (i.e., the labTestPromise property) that points to the reflex test promise.  Similarly, the reflex test promise can point to another instance of RelatedLabPromise, wherein the relatedPromiseCategory will contain a code that means &quot;original promise&quot;, and a pointer (i.e., the labTestPromise property) that points to the original lab test promise.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_ZgmLwOOYEd-8X4J7aT-aiQ" name="labTestPromise" visibility="public" type="_420A62FD03B64230F39A02CC" association="_ZgjvgOOYEd-8X4J7aT-aiQ">
          <ownedComment xmi:id="_k4ckIEVKEeKmiJoj9rWMSg" annotatedElement="_ZgmLwOOYEd-8X4J7aT-aiQ">
            <body>Points to the Lab Test Promise (i.e., the &quot;target Lab Test Promise&quot;) to which the &quot;source Lab Test Promise&quot; (i.e., the Lab Test Promise that points to this class) is somehow related.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZgnZ4OOYEd-8X4J7aT-aiQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZgnZ4eOYEd-8X4J7aT-aiQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jMUzIOtMEd-UtpmJtcZCZg" name="relatedPromiseCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_71tUkAPLEeGyxsUXi9XkTg" annotatedElement="_jMUzIOtMEd-UtpmJtcZCZg">
            <body>Indicates how the &quot;target LabTestPromise&quot; is related to the &quot;source LabTestPromise&quot;.  Examples include Parent, Child, Replaces, Replaced By, Reflex Test, Original Promise, etc.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Y1D7cOOYEd-8X4J7aT-aiQ" name="labTestPromise_relatedLabPromise" memberEnd="_Y1GXsOOYEd-8X4J7aT-aiQ _Y1JbAOOYEd-8X4J7aT-aiQ">
        <ownedEnd xmi:id="_Y1JbAOOYEd-8X4J7aT-aiQ" name="" visibility="public" type="_420A62FD03B64230F39A02CC" association="_Y1D7cOOYEd-8X4J7aT-aiQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Y1KpIOOYEd-8X4J7aT-aiQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Y1KpIeOYEd-8X4J7aT-aiQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ZgjvgOOYEd-8X4J7aT-aiQ" name="relatedLabPromise_labTestPromise" memberEnd="_ZgmLwOOYEd-8X4J7aT-aiQ _ZgpPEOOYEd-8X4J7aT-aiQ">
        <ownedEnd xmi:id="_ZgpPEOOYEd-8X4J7aT-aiQ" name="" visibility="public" type="_WUomEOOYEd-8X4J7aT-aiQ" association="_ZgjvgOOYEd-8X4J7aT-aiQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Zgp2IOOYEd-8X4J7aT-aiQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZgqdMOOYEd-8X4J7aT-aiQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_b_84MOOaEd-8X4J7aT-aiQ" name="LabReferral">
        <ownedComment xmi:id="_dMsv0LsmEeGZTLDYkoM_Sw" annotatedElement="_b_84MOOaEd-8X4J7aT-aiQ">
          <body>An order placed by a laboratory to another laboratory to perform a test that the originating laboratory had taken on.  This action typically occurs when the originating laboratory cannot perform the requested test in-house.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_TAcLQAPLEeGyxsUXi9XkTg" name="cost" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_Rf5xgLsmEeGZTLDYkoM_Sw" annotatedElement="_TAcLQAPLEeGyxsUXi9XkTg">
            <body>Indicates the amount charged by the performing lab to perform the referred test.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_s5MGMOOaEd-8X4J7aT-aiQ" name="orderDate" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_s5MGMeOaEd-8X4J7aT-aiQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_s5MGMuOaEd-8X4J7aT-aiQ" annotatedElement="_s5MGMOOaEd-8X4J7aT-aiQ">
            <body>The date/time that the order was created by the ordering provider.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_s5MGNOOaEd-8X4J7aT-aiQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_s5MGM-OaEd-8X4J7aT-aiQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_s5NUUOOaEd-8X4J7aT-aiQ" name="placerOrderId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_s5NUUeOaEd-8X4J7aT-aiQ" annotatedElement="_s5NUUOOaEd-8X4J7aT-aiQ">
            <body>&quot;This field is the placer application's order number.&quot; - HL7 Version 2.8, ORC-2</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_s5NUU-OaEd-8X4J7aT-aiQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_s5NUUuOaEd-8X4J7aT-aiQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_s5NUVOOaEd-8X4J7aT-aiQ" name="priority" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_s5N7YOOaEd-8X4J7aT-aiQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_s5N7YeOaEd-8X4J7aT-aiQ" annotatedElement="_s5NUVOOaEd-8X4J7aT-aiQ">
            <body>&quot;Describes the urgency of the request. If this field is blank, the default is [Routine]&quot; - HL7 Version 2.8, TQ1-9.  Possible values include (from HL7 Table 122): Stat; ASAP; Routine; Preop; Callback; Timing critical*; As needed.  *Note that the Timing Critical has a syntax that allows more information, e.g., Timing Critical within 15 minutes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_s5N7Y-OaEd-8X4J7aT-aiQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_s5N7YuOaEd-8X4J7aT-aiQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_s5N7ZOOaEd-8X4J7aT-aiQ" name="remarks" visibility="public">
          <ownedComment xmi:id="_16n3kLslEeGZTLDYkoM_Sw" annotatedElement="_s5N7ZOOaEd-8X4J7aT-aiQ">
            <body>Any comments regarding the referral.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_s5OicOOaEd-8X4J7aT-aiQ" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_s5OiceOaEd-8X4J7aT-aiQ" annotatedElement="_s5OicOOaEd-8X4J7aT-aiQ">
            <body>&quot;Specifies the status of an order....  The purpose of this field is to report the status of an order either upon request (solicited), or when the status changes (unsolicited).  It does not initiate action.  It is assumed that the order status always reflects the status as it is known to the sending application at the time that the message is sent.  Only the filler can originate the value of this field.&quot; - HL7 Version 2.8, ORC-5&#xD;
&#xD;
A code specifying the status of the Order.  Valid status codes should reflect the HL7 state machine, e.g., Active, Held, Canceled, Aborted, New, Nullified, Obsolete.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_s5Oic-OaEd-8X4J7aT-aiQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_s5OicuOaEd-8X4J7aT-aiQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_H6OGILslEeGZTLDYkoM_Sw" name="performingLabsPromise" visibility="public" type="_420A62FD03B64230F39A02CC" association="_H6KbwLslEeGZTLDYkoM_Sw">
          <ownedComment xmi:id="_nLSf4LsmEeGZTLDYkoM_Sw" annotatedElement="_H6OGILslEeGZTLDYkoM_Sw">
            <body>Points to the performing laboratory's promise to perform the requested test(s).  This allows navigation to the results, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_H6OtMLslEeGZTLDYkoM_Sw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_H6PUQLslEeGZTLDYkoM_Sw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_iI8NkPZPEd-e1vPpWfL-Bw" name="SpecimenContainer">
        <ownedComment xmi:id="_k4YzwEWMEeKmiJoj9rWMSg" annotatedElement="_iI8NkPZPEd-e1vPpWfL-Bw">
          <body>Container: &quot;an object used for or capable of holding, esp for transport or storage, such as a carton, box, etc.&quot; - Dictionary.com.  This class describes the object in which the specimen is contained, such as the capacity, etc.  Some containers are manufactured such that they contain a pre-defined substance that may act to preserve, maintain or enhance the particular nature or component of the specimen. For example, a &quot;blue top tube&quot; typically contains an anticoagulant such as citrate. It is therefore important to know what kind of container the sample is in, as the condition of the sample may be affected.&#xD;
&#xD;
&quot;An Entity that holds other Entities.&quot; - HL7 Version 3.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_VyJbIEWREeKmiJoj9rWMSg" name="barrierDeltaQuantity" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_VyJbIUWREeKmiJoj9rWMSg" annotatedElement="_VyJbIEWREeKmiJoj9rWMSg">
            <body>&quot;Identifies the distance from the Point of Reference to the separator material (barrier) within the container in units specified below. This distance may be provided by the LAS to the instrument and/or specimen processing/handling device to facilitate the insertion of a sampling probe into the specimen without touching the separator.&quot; - HL7 Version 2.8, SAC-18.&#xD;
&quot;The distance from the point of reference to the separator material (barrier) within a container.&quot; - HL7 Version 3 (Container.barrierDeltaQuantity).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VyJbI0WREeKmiJoj9rWMSg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VyJbIkWREeKmiJoj9rWMSg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3ZdI8EWREeKmiJoj9rWMSg" name="bottomDeltaQuantity" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_3ZdI8UWREeKmiJoj9rWMSg" annotatedElement="_3ZdI8EWREeKmiJoj9rWMSg">
            <body>&quot;Identifies the distance from the Point of Reference to the separator material (barrier) within the container in units specified below. This distance may be provided by the LAS to the instrument and/or specimen processing/handling device to facilitate the insertion of a sampling probe into the specimen without touching the separator.&quot; - HL7 Version 2.8, SAC-18.&#xD;
&quot;The distance from the point of reference to the separator material (barrier) within a container.&quot; - HL7 Version 3 (Container.barrierDeltaQuantity).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3ZdI80WREeKmiJoj9rWMSg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3ZdI8kWREeKmiJoj9rWMSg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZwbggEWPEeKmiJoj9rWMSg" name="capType" visibility="public">
          <ownedComment xmi:id="_ZwbggUWPEeKmiJoj9rWMSg" annotatedElement="_ZwbggEWPEeKmiJoj9rWMSg">
            <body>&quot;Indicates the type of cap that is to be used with this container for decapping, piercing or other mechanisms.&quot; - HL7 Version 2.8, SAC-26.  Note that HL7 identifies a Code Table (Table 381) for this property, but does not provide any suggested values.&#xD;
&quot;The type of cap (closure) associated with the container that is the entity being described.&quot; - HL7 Version 3 (Container.capTypeCode).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Zwbgg0WPEeKmiJoj9rWMSg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZwbggkWPEeKmiJoj9rWMSg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ycJ9YPZPEd-e1vPpWfL-Bw" name="containerCapacity" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_k1KcQEVuEeKmiJoj9rWMSg" annotatedElement="_ycJ9YPZPEd-e1vPpWfL-Bw">
            <body>&quot;Indicates the capacity of the container in the units specified [in SAC-24].&quot; - HL7 Version 2.8, SAC-21.&#xD;
&quot;The unit identifier that is being used to describe the volume of the container....&quot; - HL7 Version 2.8, SAC-24.&#xD;
&quot;The functional capacity of the container.&quot; - HL7 Version 3 (Container.capacityQuantity).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vJ_7kEWOEeKmiJoj9rWMSg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vKAioEWOEeKmiJoj9rWMSg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SoseQEWOEeKmiJoj9rWMSg" name="containerDiameter" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_SoseQUWOEeKmiJoj9rWMSg" annotatedElement="_SoseQEWOEeKmiJoj9rWMSg">
            <body>&quot;Identifies the outside diameter of the container in units specified [in SAC-24].&quot; - HL7 Version 2.8, SAC-17.&#xD;
&quot;The unit identifier that is being used to describe the volume of the container....&quot; - HL7 Version 2.8, SAC-24.&#xD;
&quot;The outside diameter of the container.&quot; - HL7 Version 3 (Container.diameterQuantity).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SF89kEWOEeKmiJoj9rWMSg" name="containerHeight" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_SF89kUWOEeKmiJoj9rWMSg" annotatedElement="_SF89kEWOEeKmiJoj9rWMSg">
            <body>&quot;Identifies the height of the container in units specified [in SAC-24].&quot; - HL7 Version 2.8, SAC-16.&#xD;
&quot;The unit identifier that is being used to describe the volume of the container....&quot; - HL7 Version 2.8, SAC-24.&#xD;
&quot;The height of the container.&quot; - HL7 Version 3 (Container.heightQuantity).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ubMU0EWOEeKmiJoj9rWMSg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ubM74EWOEeKmiJoj9rWMSg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rgeksPZPEd-e1vPpWfL-Bw" name="containerType" visibility="public">
          <ownedComment xmi:id="_8-uGoAlTEeGe4v7RnpTDUQ" annotatedElement="_rgeksPZPEd-e1vPpWfL-Bw">
            <body>&quot;The container in or on which a specimen is transported.&quot; - HL7 Version 2.8, SPM-27.  Note that although this property is a flavor of Code in HL7 Version 2, HL7 does not link this property to a Code Table nor do they provide any suggested values.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7OE0cEVtEeKmiJoj9rWMSg" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_-ObnEEVtEeKmiJoj9rWMSg" annotatedElement="_7OE0cEVtEeKmiJoj9rWMSg">
            <body>&quot;The container's unique identifier assigned by the corresponding equipment....&quot; - HL7 Version 2.8, SAC-3.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gJZYQEWQEeKmiJoj9rWMSg" name="separatorType" visibility="public">
          <ownedComment xmi:id="_gJZYQUWQEeKmiJoj9rWMSg" annotatedElement="_gJZYQEWQEeKmiJoj9rWMSg">
            <body>&quot;Identifies the type of the separator that is being used (e.g., gel separator in the container…)&quot; - HL7 Version 2.8, SAC-25.  Note that HL7 identifies a Code Table (Table 380) for this property, but does not provide any suggested values.&#xD;
&quot;A material added to a container to facilitate and create a physical separation of specimen components of differing density.  The composition or nature of the separator material may have an effect on the analysis. Knowledge of the material aids interpretation of results.&quot; - HL7 Version 3 (Container.separatorTypeCode).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gJZYQ0WQEeKmiJoj9rWMSg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gJZYQkWQEeKmiJoj9rWMSg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9WIW8CjuEeKdfLgBSxgNnA" name="additive" visibility="public" type="_6r9PsCjuEeKdfLgBSxgNnA" association="_9WEFgCjuEeKdfLgBSxgNnA">
          <ownedComment xmi:id="_06WQsCtPEeKKgp1v3A6sOA" annotatedElement="_9WIW8CjuEeKdfLgBSxgNnA">
            <body>&quot;Identifies any additives introduced to the specimen before or at the time of collection.  These additives may be introduced in order to preserve, maintain or enhance the particular nature or component of the specimen.&quot; - HL7 Version 2.8, SPM-6.  Note that HL7 identifies a Code Table (Table 371) for this property, which currently contains 57 suggested values.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9WJlECjuEeKdfLgBSxgNnA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9WKMICjuEeKdfLgBSxgNnA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Q9AJsGCBEeCJMrtaoIWSIw" name="Parasite">
        <ownedComment xmi:id="_eIeZIDNXEeKkw_YjK6aRcw" annotatedElement="_Q9AJsGCBEeCJMrtaoIWSIw">
          <body>Parasite: &quot;An organism that grows, feeds, and is sheltered on or in a different organism while contributing nothing to the survival of its host.&quot; - The American Heritage Stedman's Medical Dictionary.  This class identifies the organism identified in a sample, and contains an indication of the life-cycle-stage(s) of the organisms observed (e.g., eggs, larvae, adults).</body>
        </ownedComment>
        <generalization xmi:id="_UdZuUGCBEeCJMrtaoIWSIw" general="_420A62FD03B64230FFB100BB"/>
        <ownedAttribute xmi:id="_VqE80GCBEeCJMrtaoIWSIw" name="stage" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_FrDykDNYEeKkw_YjK6aRcw" annotatedElement="_VqE80GCBEeCJMrtaoIWSIw">
            <body>Stage: &quot;A particular step, phase, or position in a developmental process.&quot; - The American Heritage Stedman's Medical Dictionary.  Categorizes the life-cycle-stage of the organism observed in a sample.  Possible values include: Adults, Cysts, Eggs, Filariform Larvae, Gametes, Larvae, Microfilaria, Rhabditiform Larvae, Schizonts, Trophozoites.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_3XW7MGH_EeCHAoM78Lf2xA" name="ReferenceRangeCriterion">
        <ownedComment xmi:id="_7CEKMEWYEeKmiJoj9rWMSg" annotatedElement="_3XW7MGH_EeCHAoM78Lf2xA">
          <body>Indicates the criteron by which the reference range is valid.  Different reference ranges may be defined based on the subject's age, race, sex, etc.</body>
        </ownedComment>
        <ownedAttribute xmi:id="__FOZQGIUEeCHAoM78Lf2xA" name="criterionCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_hNPkgPjQEeCmc6EQPl3F9g" annotatedElement="__FOZQGIUEeCHAoM78Lf2xA">
            <body>Indicates the criteron by which the reference range is valid.  Different reference ranges may be defined based on the subject's age, race, sex, etc.&#xD;
&#xD;
&quot;Contains the nature of the abnormal test....  As many of the codes as apply may be included&quot; - HL7 Version 2.8, OBX-10.  Possible values (from HL7 Table 80) include: An age-based population; None - generic normal range; A race-based population; A sex-based population; Species; Breed; Strain.&#xD;
&quot;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.&quot; - HL7 FHIR, Observation.referenceRange.age.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MXC4wCjsEeKdfLgBSxgNnA" name="criterionDescription" visibility="public">
          <ownedComment xmi:id="_fomB8CjsEeKdfLgBSxgNnA" annotatedElement="_MXC4wCjsEeKdfLgBSxgNnA">
            <body>Describes the criteron by which the reference range is valid.  Different reference ranges may be defined based on the subject's age, race, sex, etc.  This property is a human-readable label for the criterion, it is not necessarily computable.  Examples include 40-50 years old, Female, etc.  &#xD;
&#xD;
</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cT9r8PjREeCmc6EQPl3F9g" name="effectiveDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_p7q3wPjREeCmc6EQPl3F9g" annotatedElement="_cT9r8PjREeCmc6EQPl3F9g">
            <body>&quot;Contains the date (and, optionally, the time) on which the values in OBX-7-reference range went into effect....&quot; - HL7 Version 2.8, OBX-12.  Note that we may wish change this to a date range in the future.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_5iNpMGH_EeCHAoM78Lf2xA" name="measurementWithReferenceRangeResult_referenceRangeCriterion" memberEnd="_5iQsgGH_EeCHAoM78Lf2xA _5iQsg2H_EeCHAoM78Lf2xA">
        <ownedEnd xmi:id="_5iQsg2H_EeCHAoM78Lf2xA" name="" visibility="public" type="_420A62FD03B64230FF5D004A" association="_5iNpMGH_EeCHAoM78Lf2xA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5iQshGH_EeCHAoM78Lf2xA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5iQshWH_EeCHAoM78Lf2xA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Package" xmi:id="__rYpEGIOEeCHAoM78Lf2xA" name="Autopsy">
        <eAnnotations xmi:id="__rldYGIOEeCHAoM78Lf2xA" source="uml2.diagrams"/>
        <ownedComment xmi:id="_r5DBQMYjEeGsb4KXw2Babg">
          <body>Note that Autopsy is not in scope for the first iteration of FHIM Lab.  These classes represent existing information structures in VistA.</body>
        </ownedComment>
        <ownedComment xmi:id="_Dx7h8MYkEeGsb4KXw2Babg" annotatedElement="_420A62FD03B64587F4F2036A">
          <body>This class should link to Clinical Document, but we did not do so to avoid a package dependency</body>
        </ownedComment>
        <ownedComment xmi:id="_tXS6cDNcEeKkw_YjK6aRcw" annotatedElement="__rYpEGIOEeCHAoM78Lf2xA">
          <body>This package contains classes related to Autopsy results, which were included in the VHIM, but deemed out of scope for the FHIM Laboratory Domain.  This package serves to preserve these classes as they may prove useful in the future should Autopsy be modeled.&#xD;
&#xD;
Note that the classes in this package are not full-fledged FHIM classes, and may be fully defined.  They all begin with an underscore to distinguish them from other FHIM classes, which also enables us to remove them automatically when necessary.</body>
        </ownedComment>
        <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6420CDAE00271" name="AnatomicMeasurement">
          <eAnnotations xmi:id="_M5mQ8eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_M5cf8-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420CDAE00271">
            <body>This class contains measurements of various organs and structures to include the entire body.  The bodySite property indicates the organ or structure to be measured, e.g., Brain.  The measurementType indicates whether we're measuring the length, volume, or weight.  The measurementValue property holds the actual measurement e.g., 1500 grams.    In VA's VistA system, the following fields are specificaly called out, which would be contained in this class, along with potentially others: Body Height, Body Weight, Length Of Aortic Valve, Length Of Mitral Valve, Length Of Pulmonic Valve, Length Of Tricuspid Valve, Length Of Ventricle (Left), Length Of Ventricle (Right), Volume Of Pericardial Cavity, Volume Of Peritoneal Cavity, Volume Of Pleural Cavity (Left), Volume Of Pleural Cavity (Right), Weight Of Adrenal Gland (Left), Weight Of Adrenal Gland(Right), Weight Of Brain , Weight Of Heart , Weight Of Kidney (Left), Weight Of Kidney (Right), Weight Of Liver, Weight Of Lung (Left), Weight Of Lung (Right), Weight Of Ovary (Left), Weight Of Ovary (Right), Weight Of Pancreas, Weight Of Parathyroid (Left Lower), Weight Of Parathyroid (Left Upper), Weight Of Parathyroid (Right Lower), Weight Of Parathyroid (Right Upper), Weight Of Pituitary Gland, Weight Of Spleen, Weight Of Testis (Left), Weight Of Testis (Right), Weight Of Thyroid Gland</body>
          </ownedComment>
          <ownedAttribute xmi:id="_420A62FD03B642122444025D" name="bodySite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_M5cf9uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642122444025D">
              <body>This property indicates the organ or structure that is being measured, e.g., the Brain.  Note that this property will require an extensive effort by the terminology team to define fully.        </body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B6420E43F8015B" name="measurementType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_M5cf-eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420E43F8015B">
              <body>Identifies the kind of measurement that is contained in the measurement value such as weight, length, or volume.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B6420E441D035C" name="measurementValue" visibility="public" type="_420A62FD03B641886F630221">
            <ownedComment xmi:id="_M5cf_OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420E441D035C">
              <body>Contains the actual measurement of the organ or bodily structure measured.  Note that this is a physical quantity, so the datatype contains both the measurement value and the unit of measure (e.g., 1500 grams).</body>
            </ownedComment>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64587F4F2036A" name="AutopsyDocumentReference">
          <eAnnotations xmi:id="_M96wReLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_M9w_ROLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64587F4F2036A">
            <body>Contains all documentation produced as a result of the autopsy.   </body>
          </ownedComment>
          <ownedAttribute xmi:id="_420A62FD03B64587F53001D6" name="dateModified" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_M9w_R-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64587F53001D6">
              <body>This is the date the report was modified if it was modified after it was electronically signed/released.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B64587F54102D0" name="referenceDate" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_M9w_SuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64587F54102D0">
              <body>This is the date and time that the autopsy SF515 was stored in TIU. </body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B64587F58C0302" name="wasDiagnosisModified" visibility="public">
            <ownedComment xmi:id="_M96wQOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64587F58C0302">
              <body>Diagnosis modified after report was electronically signed/released. 1=  ' YES'   or 0 = 'NO'.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6420BEC8900C6" name="AutopsyEvent">
          <eAnnotations xmi:id="_M6CV1eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_M5mQ9OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420BEC8900C6">
            <body>Clinical documents commonly have 'Subjective' and 'Objective' findings, both of which are kinds of Observations. In addition, clinical documents commonly contain 'Assessments', which are also kinds of Observations. Thus, the establishment of a diagnosis is an Observation.    </body>
          </ownedComment>
          <ownedAttribute xmi:id="_420A62FD03B64586CB0302AA" name="ageAtDeath" visibility="public" type="_420A62FD03B641886F630221">
            <ownedComment xmi:id="_M5mQ9-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586CB0302AA">
              <body>Contains the age of the patient at the time of death.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B642FFAA72039E" name="autopsyDate" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_M5mQ-uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FFAA72039E">
              <body>The date and time when the autopsy assessment is completed.  Also the date of the final diagnosis of cause of death.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B642122495008D" name="autopsyType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_M5mQ_eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642122495008D">
              <body>Anatomical areas of the body the autopsy is performed on.  This can be as broad as a full autopsy or grouping of the body region such as chest, trunk, head. lower body.    </body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B64586CB580348" name="clinicalDiagnoses" visibility="public">
            <ownedComment xmi:id="_M5va4uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586CB580348">
              <body>Contains information in textual format about the autopsy.    </body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B64586CB580338" name="comments" visibility="public">
            <ownedComment xmi:id="_M5va5eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586CB580338">
              <body>Contains information in textual format about the autopsy.    </body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B64586CB03029B" name="dateOfDeath" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_M5va6OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586CB03029B">
              <body>This is the date and time of the death of the patient.    </body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B64586CB4203A5" name="diagnosisClarificationCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_M55L4eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586CB4203A5">
              <body>Contains the Code value to indicate whether the  clinical dx insufficient (ex. Intracranial hemorrhage) did autopsy clarify the dx (ex. ruptured aneurysm) ?  '1' FOR YES; '0' FOR NO; '2' FOR CONFIRMED;      </body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B64586CB16001A" name="finalDiagnosisDate" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_M55L5OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586CB16001A">
              <body>This is the date and time the final diagnosis was given.    </body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B64586CB420395" name="isMajorDxDisagreement" visibility="public">
            <ownedComment xmi:id="_M55L5-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586CB420395">
              <body>Contains the Code value to indicate whether there is major disagreement with the clinical Diagnoses. 0 = No  1 = Yes.     </body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B64586CB580357" name="pathologicalDiagnoses" visibility="public">
            <ownedComment xmi:id="_M55L6uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586CB580357">
              <body>These are the pathological diagnoses in textual format.    </body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B64586CB3902CA" name="provisionalDiagnosisDate" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_M6CV0uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586CB3902CA">
              <body>Contains the date provisional anatomic diagnoses reported.     </body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B64586CB3400B7" name="serviceCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_cgDWcL-7Ed2cYoIY7XWEQw" annotatedElement="_420A62FD03B64586CB3400B7">
              <body>Contains the code set that identifies the reason for autopsy service performed.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B64587159903BF" name="autopsyAssistant" visibility="public" type="_420A62FD03B6418A6B760063" isUnique="false" association="_420A62FD03B6458715980380">
            <ownedComment xmi:id="_SM2y4L-8Ed2cYoIY7XWEQw" annotatedElement="_420A62FD03B64587159903BF">
              <body>The practitioner who assisted in performing the autopsy. </body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NC-2eeLiEduGJrQyRGTO1A"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NC-2euLiEduGJrQyRGTO1A" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B64586CBCA0165" name="diagnosis" visibility="public" type="_420A62FD03B6424070DB0209" isUnique="false" association="_420A62FD03B64586CBC9028E">
            <ownedComment xmi:id="_MAohML-8Ed2cYoIY7XWEQw" annotatedElement="_420A62FD03B64586CBCA0165">
              <body>An association from AutopsyEvent2 to Diagnosis identifying a dignosis associated to the autopsy event.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NCYZieLiEduGJrQyRGTO1A"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NCYZiuLiEduGJrQyRGTO1A" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B64587F5B40351" name="document" visibility="public" type="_420A62FD03B64587F4F2036A" isUnique="false" association="_420A62FD03B64587F5B40044">
            <ownedComment xmi:id="_cgY4ML-8Ed2cYoIY7XWEQw" annotatedElement="_420A62FD03B64587F5B40351">
              <body>An association from AutopayEvent2 to AutopsyDocumnetReference identifying the document referencing the autopsy.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NDksUuLiEduGJrQyRGTO1A"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NDksU-LiEduGJrQyRGTO1A" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B64586CC06032B" name="grossImage" visibility="public" type="_420A62FD03B64586C73900D7" isUnique="false" association="_420A62FD03B64586CC030389">
            <ownedComment xmi:id="_xheh0L-7Ed2cYoIY7XWEQw" annotatedElement="_420A62FD03B64586CC06032B">
              <body>Images associated with Autopsy Organ/Tissue reports are stored in this multiple within the Autopsy Organ/Tissue field of the Lab Data (#63) file.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NCYZkOLiEduGJrQyRGTO1A"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NCYZkeLiEduGJrQyRGTO1A" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B6420E451A03E2" name="measurement" visibility="public" type="_420A62FD03B6420CDAE00271" isUnique="false" association="_420A62FD03B6420E451A0107">
            <ownedComment xmi:id="_NBC8yuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420E451A03E2">
              <body>Measurement value is the actual value of the result and its unit of measure.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NBC8zOLiEduGJrQyRGTO1A" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NBC8zeLiEduGJrQyRGTO1A" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B6458712D203AF" name="microscopicImage" visibility="public" type="_420A62FD03B64586C73900D7" isUnique="false" association="_420A62FD03B6458712D2012F">
            <ownedComment xmi:id="_9nJTIL-7Ed2cYoIY7XWEQw" annotatedElement="_420A62FD03B6458712D203AF">
              <body>Images associated with Autopsy Organ/Tissue reports are stored in this multiple within the Autopsy Organ/Tissue field of the Lab Data file.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NC-2cuLiEduGJrQyRGTO1A"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NC-2c-LiEduGJrQyRGTO1A" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B6420BEE670204" name="residentPathologist" visibility="public" type="_420A62FD03B6418A6B760063" isUnique="false" association="_420A62FD03B6420BEE66037F">
            <ownedComment xmi:id="_NA5LzeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420BEE670204">
              <body>Resident Pathologist who authored the autopsy assessment.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NA5Lz-LiEduGJrQyRGTO1A" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NA5L0OLiEduGJrQyRGTO1A" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B6420BF01B026F" name="seniorPathologist" visibility="public" type="_420A62FD03B6418A6B760063" isUnique="false" association="_420A62FD03B6420BF01A0336">
            <ownedComment xmi:id="_NBC8w-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420BF01B026F">
              <body>Senior Pathologist who verified and approved autopsy assessment.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NBC8xeLiEduGJrQyRGTO1A" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NBC8xuLiEduGJrQyRGTO1A" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_420A62FD03B645871A75010D" name="treatingSpecialtyAtDeath" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B645871A74033F">
            <ownedComment xmi:id="_Y1i-IL-8Ed2cYoIY7XWEQw" annotatedElement="_420A62FD03B645871A75010D">
              <body>An association from AutopsyEvent2 to FacilityTreatingSpeciality identifying the Treating specialist at death.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NDbiaeLiEduGJrQyRGTO1A"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NDbiauLiEduGJrQyRGTO1A" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6420BF01A0336" name="_autopsyEvent_seniorPathologist" memberEnd="_420A62FD03B6420BF01B026F _420A62FD03B6420BF01B0283">
          <eAnnotations xmi:id="_ZLiLsEzlEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedEnd xmi:id="_420A62FD03B6420BF01B0283" name="" visibility="public" type="_420A62FD03B6420BEC8900C6" isUnique="false" association="_420A62FD03B6420BF01A0336"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B645871A74033F" name="_autopsyEvent_treatingSpecialtyAtDeath" memberEnd="_420A62FD03B645871A75010D _420A62FD03B645871A75011C">
          <eAnnotations xmi:id="_ZIGdMkzlEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NDbiZuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B645871A74033F">
            <body>Contains the name of treating specialty at time of patient's death.  </body>
          </ownedComment>
          <ownedEnd xmi:id="_420A62FD03B645871A75011C" name="" visibility="public" type="_420A62FD03B6420BEC8900C6" isUnique="false" association="_420A62FD03B645871A74033F"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6458712D2012F" name="_autopsyEvent_microscopicImage" memberEnd="_420A62FD03B6458712D203AF _420A62FD03B6458712D203B1">
          <eAnnotations xmi:id="_ZIZ_MkzlEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NC1FhOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6458712D2012F">
            <body>Images associated with Autopsy Organ/Tissue reports are stored in this multiple within the Autopsy Organ/Tissue field of the Lab Data file.  </body>
          </ownedComment>
          <ownedEnd xmi:id="_420A62FD03B6458712D203B1" name="" visibility="public" type="_420A62FD03B6420BEC8900C6" isUnique="false" association="_420A62FD03B6458712D2012F"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64586CBC9028E" name="_autopsyEvent_diagnosis" memberEnd="_420A62FD03B64586CBCA0165 _420A62FD03B64586CBCA0174">
          <eAnnotations xmi:id="_ZIjJIkzlEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NCYZhuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586CBC9028E">
            <body>Contains the Diagnosis of the patient health Issue for the episode of care.  </body>
          </ownedComment>
          <ownedEnd xmi:id="_420A62FD03B64586CBCA0174" name="" visibility="public" type="_420A62FD03B6420BEC8900C6" isUnique="false" association="_420A62FD03B64586CBC9028E"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64587F5B40044" name="_autopsyEvent_document" memberEnd="_420A62FD03B64587F5B40351 _420A62FD03B64587F5B40353">
          <eAnnotations xmi:id="_ZIQOMEzlEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NDbidOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64587F5B40044">
            <body>The text of the report in it's entirety, as signed by the practitioner.  Can also mean the text that comprises the report section.  </body>
          </ownedComment>
          <ownedEnd xmi:id="_420A62FD03B64587F5B40353" name="" visibility="public" type="_420A62FD03B6420BEC8900C6" isUnique="false" association="_420A62FD03B64587F5B40044"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6420BEE66037F" name="_autopsyEvent_residentPathologist" memberEnd="_420A62FD03B6420BEE670204 _420A62FD03B6420BEE670218">
          <eAnnotations xmi:id="_ZLYasEzlEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedEnd xmi:id="_420A62FD03B6420BEE670218" name="" visibility="public" type="_420A62FD03B6420BEC8900C6" isUnique="false" association="_420A62FD03B6420BEE66037F"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64586CC030389" name="_autopsyEvent_grossImage" memberEnd="_420A62FD03B64586CC06032B _420A62FD03B64586CC06032D">
          <eAnnotations xmi:id="_ZIZ_MEzlEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NCYZjeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586CC030389">
            <body>Images associated with Autopsy Organ/Tissue reports are stored in this multiple within the Autopsy Organ/Tissue field of the Lab Data (#63) file.   </body>
          </ownedComment>
          <ownedEnd xmi:id="_420A62FD03B64586CC06032D" name="" visibility="public" type="_420A62FD03B6420BEC8900C6" isUnique="false" association="_420A62FD03B64586CC030389"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6420E451A0107" name="_autopsyEvent_measurement" memberEnd="_420A62FD03B6420E451A03E2 _420A62FD03B6420E451A03E4">
          <eAnnotations xmi:id="_ZIGdMEzlEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedEnd xmi:id="_420A62FD03B6420E451A03E4" name="" visibility="public" type="_420A62FD03B6420BEC8900C6" isUnique="false" association="_420A62FD03B6420E451A0107"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6458715980380" name="_autopsyEvent_autopsyAssistant" memberEnd="_420A62FD03B64587159903BF _420A62FD03B64587159903C1">
          <eAnnotations xmi:id="_ZLPQwkzlEdyZ7YHHi9KCRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NC-2duLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6458715980380">
            <body>Identifies the Autopsy Assistant that is performing the autopsy.</body>
          </ownedComment>
          <ownedEnd xmi:id="_420A62FD03B64587159903C1" name="" visibility="public" type="_420A62FD03B6420BEC8900C6" isUnique="false" association="_420A62FD03B6458715980380"/>
        </packagedElement>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_FloQMGRPEeCsvJrE4KlOMA" name="TestException">
        <ownedComment xmi:id="_L1xiADNQEeKkw_YjK6aRcw" annotatedElement="_FloQMGRPEeCsvJrE4KlOMA">
          <body>This class is used to communicate reason(s) why a test was unable to be performed.  It may indicate that the quantity of specimen was insufficient, that the specimen was contaminated, that the specimen is inappropriate for the kind of test ordered, etc.</body>
        </ownedComment>
        <generalization xmi:id="_PmqGUMqDEeC9Pb3leltpqQ" general="_NglJMH8AEd-6KMbY3gBFOQ"/>
        <ownedAttribute xmi:id="_N4v88GRPEeCsvJrE4KlOMA" name="reason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_2yqQIMYYEeGsb4KXw2Babg" annotatedElement="_N4v88GRPEeCsvJrE4KlOMA">
            <body>Indicates the reason why a test was unable to be performed.  It may indicate that the quantity of specimen was insufficient, that the specimen was contaminated, that the specimen is inappropriate for the kind of test ordered, etc.&#xD;
Note that when the reason that a test could not be performed is due to some aspect of the specimen, the specimen appropriateness and/or speciment condition should be used instead of this property.&#xD;
&#xD;
&quot;As best practice in the future, a combination of SPM-21 and SPM-24 should be used to provide the most detailed coded information about the specimen reject reason and the specific specimen condition, if applicable. Use of SPM-21 is the ideal way to communicate when a test order is canceled due to specimen rejection as it codifies the reason for cancellation. Because disposition of a specimen is a CLIA requirement this reason needs to be retained and displayed in the patient record and incorporated into any type of report regardless of the medium of that report (paper, displayed on screen). The IG has identified HL70490 table as the value set for SPM-21, though the content needs improvement. The SNOMED finding hierarchy also has some appropriate terms, but is not complete. Future work on these vocabularies will expand the content. Use of SPM-24 can be very useful for communicating specimen condition information that does not meet the laboratory’s standard for acceptability (HL70493). The SNOMED finding hierarchy also has some appropriate terms, but is not complete. Future work on these vocabularies will expand the content. If a laboratory system cannot use SPM-21 and SPM-24, then this information shall be communicated using OBX-5 and NTE segment(s)&quot;&#xD;
&#xD;
&quot;Contains the value observed by the observation producer....  It is not a required field because some systems will report only the Interpretation Codes.... This field may repeat for multipart, single answer results.&quot; - HL7 Version 2.8, OBX-5.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_v83_wLFVEeCiPcKjPTIyBg" name="antibioticSensitivityObservationEvent_antibiotic" memberEnd="_v9BJsLFVEeCiPcKjPTIyBg _v9BJs7FVEeCiPcKjPTIyBg">
        <ownedEnd xmi:id="_v9BJs7FVEeCiPcKjPTIyBg" name="" visibility="public" type="_420A62FD03B64263C8F8030F" association="_v83_wLFVEeCiPcKjPTIyBg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_v9BJtLFVEeCiPcKjPTIyBg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_v9BJtbFVEeCiPcKjPTIyBg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_x4U9ILxIEeCjnsq0FtkmeA" name="SpecimenTransportation">
        <ownedComment xmi:id="_kUcVoEU-EeKmiJoj9rWMSg" annotatedElement="_x4U9ILxIEeCjnsq0FtkmeA">
          <body>This class contains information regarding the transportation of a specimen.  This class currently contains the shipment identifier and the method of transportation, but will be augmented in future iterations as we intend to model more details regarding chain of custody.</body>
        </ownedComment>
        <generalization xmi:id="_dFxFcLxOEeCjnsq0FtkmeA" general="_3fUokLxNEeCjnsq0FtkmeA"/>
        <ownedAttribute xmi:id="_Tt_bcAl2EeGe4v7RnpTDUQ" name="shipmentId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_W4nkYAl2EeGe4v7RnpTDUQ" annotatedElement="_Tt_bcAl2EeGe4v7RnpTDUQ">
            <body>&quot;The identifier assigned by the shipment transportation provider that uniquely identifies this shipment from all other shipments by the same provider.  The addressee for the shipment should be able to use this identifier to match a physical shipment with the electronic manifest for the shipment.&quot; - HL7 Version 2.8, SPM-32.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MPcyAAcgEeGfLeiV6Brugg" name="transportationMethod" visibility="public">
          <ownedComment xmi:id="_TjzJYAcgEeGfLeiV6Brugg" annotatedElement="_MPcyAAcgEeGfLeiV6Brugg">
            <body>Indicates &quot;the means by which a sample reaches the diagnostic service provider.  This information is to aid the lab in scheduling or interpretation of results.  Possible answers: routine transport van, public postal service, etc.&quot; - HL7 Version 2.8, OBR-38.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_3fUokLxNEeCjnsq0FtkmeA" name="SpecimenHandling">
        <ownedComment xmi:id="_NNsucEU8EeKmiJoj9rWMSg" annotatedElement="_3fUokLxNEeCjnsq0FtkmeA">
          <body>This class contains information regarding the transportation or storage of a specimen.  Information may be recorded for both storage and transportation about the minimum and maximum temperatures to which the specimen was exposed.  Subtypes of this class deal with specific requirements for storage and transportation.&#xD;
&#xD;
Note that we need to model more details regarding chain of custody in general and the storage and handling of specimens in specific in future modeling iterations.  We may also need a shipping-container assessment, not just specimen assessment.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_1-BAILxIEeCjnsq0FtkmeA" name="dateTimeBegin" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_OpW-sEU9EeKmiJoj9rWMSg" annotatedElement="_1-BAILxIEeCjnsq0FtkmeA">
            <body>The date time upon which the specimen handling commenced.  For Specimen Transportation, this would be the date/time that the specimen was sent.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8G_wkLxIEeCjnsq0FtkmeA" name="dateTimeEnd" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_9-x94EhUEeKFm6BiMe_FyA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_LKrLILxJEeCjnsq0FtkmeA" annotatedElement="_8G_wkLxIEeCjnsq0FtkmeA">
            <body>The date time upon which the specimen handling ended.  For Specimen Transportation, this would be the date/time that the specimen was received.&#xD;
&#xD;
&quot;The time that the specimen is received at the diagnostic service.  The actual time that is recorded is based on how specimen receipt is managed and may correspond to the time the sample is logged in.&quot; - HL7 Version 2.8, SPM-18.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_IzS1ULxPEeCjnsq0FtkmeA" name="highTemperature" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_dX3P8EU8EeKmiJoj9rWMSg" annotatedElement="_IzS1ULxPEeCjnsq0FtkmeA">
            <body>The maximum temperature to which the specimen was exposed during the Specimen Handling episode described by this class.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_I8wdsEU8EeKmiJoj9rWMSg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_I8xEwEU8EeKmiJoj9rWMSg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9W_xILxOEeCjnsq0FtkmeA" name="lowTemperature" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_aD9PMEU8EeKmiJoj9rWMSg" annotatedElement="_9W_xILxOEeCjnsq0FtkmeA">
            <body>The minimum temperature to which the specimen was exposed during the Specimen Handling episode described by this class.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IJf0wEU8EeKmiJoj9rWMSg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IJf0wUU8EeKmiJoj9rWMSg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_andP8LxOEeCjnsq0FtkmeA" name="SpecimenStorage">
        <ownedComment xmi:id="_Fj4LcEU-EeKmiJoj9rWMSg" annotatedElement="_andP8LxOEeCjnsq0FtkmeA">
          <body>This class contains information regarding the storage of a specimen.  This class currently contains a storage location identifier, but will be augmented in future iterations as we intend to model more details regarding chain of custody as well as long-term storage (for example tissue banks).</body>
        </ownedComment>
        <generalization xmi:id="_duTFELxOEeCjnsq0FtkmeA" general="_3fUokLxNEeCjnsq0FtkmeA"/>
        <ownedAttribute xmi:id="_q7xo4Mp5EeC9Pb3leltpqQ" name="location" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_TtgYkEU-EeKmiJoj9rWMSg" annotatedElement="_q7xo4Mp5EeC9Pb3leltpqQ">
            <body>Identifies the location in which the specimen is/was stored.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_LKXIcLxREeCjnsq0FtkmeA" name="specimenAssessment_specimenHandling" memberEnd="_LKaLwLxREeCjnsq0FtkmeA _LKaLw7xREeCjnsq0FtkmeA">
        <ownedEnd xmi:id="_LKaLw7xREeCjnsq0FtkmeA" name="" visibility="public" type="_A57aMMHSEeCdLPayeDTWtA" association="_LKXIcLxREeCjnsq0FtkmeA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LKdPELxREeCjnsq0FtkmeA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LKdPEbxREeCjnsq0FtkmeA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_rWnUoMHPEeCdLPayeDTWtA" name="DefinedPatientEvent">
        <ownedComment xmi:id="_bUK4MM5mEeCM-vbOXYpzjw" annotatedElement="_rWnUoMHPEeCdLPayeDTWtA">
          <body>The specific patient-related event to which a specimen collection or collections (and subsequently, any tests performed on that specimen) are related or affected by time, sequence, directive, intent, etc.  Examples might include drug administration (peak and trough), beginning of fasting (lipids, FBS), glucose challenge (tolerances) or meal (postprandial), admission (pre- or post-admission studies), scheduled surgery/transfusion (compatibility testing), onset of symptoms (acute and convalescent), Last Menstrual Period (pregnancy test, Pap smear), lumbar puncture (CSF tubes 1, 2, and 3), treatment completion (test of cure, post-transfusion H&amp;H), use/ingestion (BAT, toxicology), start of 24-hour urine pooling (creatinine clearance), etc.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_9g-MQMHPEeCdLPayeDTWtA" name="eventType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_pPBpgM5mEeCM-vbOXYpzjw" annotatedElement="_9g-MQMHPEeCdLPayeDTWtA">
            <body>Categorizes the patient event that triggered the speciment collection, or the patient state at the time of the specimen collection.  Examples might include drug administration (peak and trough), beginning of fasting (lipids, FBS), glucose challenge (tolerances) or meal (postprandial), admission (pre- or post-admission studies), scheduled surgery/transfusion (compatibility testing), onset of symptoms (acute and convalescent), LMP (pregnancy test, Pap smear), lumbar puncture (CSF tubes 1, 2, and 3), treatment completion (test of cure, post-transfusion H&amp;H), use/ingestion (BAT, toxicology), start of 24-hour urine pooling (creatinine clearance), etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_sz-qgMHPEeCdLPayeDTWtA" name="timeBeforeOrSinceEvent" visibility="public" type="_420A62FD03B64239FAA800D9">
          <ownedComment xmi:id="_J2_MoM6HEeCM-vbOXYpzjw" annotatedElement="_sz-qgMHPEeCdLPayeDTWtA">
            <body>Specifies the amount of time that had elapsed between the event and the collection of the specimen.  Note that the event usually occurs before the specimen collection (e.g., in a glucose tolerance test, the amount of time after the glucose load had been administered), but sometimes the event in question occurs after the specimen collection (e.g., pre-admission).</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_A57aMMHSEeCdLPayeDTWtA" name="SpecimenAssessment">
        <ownedComment xmi:id="_w-dsAEVQEeKmiJoj9rWMSg" annotatedElement="_A57aMMHSEeCdLPayeDTWtA">
          <body>This class contains observations regarding the Specimen.  Such observations, or assessments, of the Specimen are performed by the laboratory upon initial receipt, although periodic assessments may be performed later, especially when the Specimen is in long-term storage, or when some change in custody has occurred.  The assessment also contains information concerning the handling of the Specimen, such as storage or transportation information.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_dJUBEMHSEeCdLPayeDTWtA" name="appropriateness" visibility="public">
          <ownedComment xmi:id="_dJUBEcHSEeCdLPayeDTWtA" annotatedElement="_dJUBEMHSEeCdLPayeDTWtA">
            <body>This field is deprecated in favor of using Reject Reason (SPM-21) and Specimen Condition (SPM-24).  This field is retained for backward compatibility for legacy HL7 V2 messaging.&#xD;
&quot;The suitability of the specimen for the particular planned use as determined by the filler.&quot; - HL7 Version 2.8, SPM-23.  Possible values include (from HL7 Table 492): Preferred; Appropriate; Inappropriate; Inappropriate due to....</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OyJcYJ_tEeOScYv3wgSwlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OyJcYZ_tEeOScYv3wgSwlA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Vj-8MHTEeCdLPayeDTWtA" name="containerCondition" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_aRIGMAlTEeGe4v7RnpTDUQ" annotatedElement="_5Vj-8MHTEeCdLPayeDTWtA">
            <body>&quot;In chain of custody cases where specimens are moved from lab to lab, the status of the container that the specimen is shipped in must be recorded at each receipt.  If the container is compromised in any way (seal broken, container cracked or leaking, etc) then this needs to be recorded for legal reasons.&quot; - HL7 Version 2.8, SPM-28.  Note that HL7 identifies a Code Table (Table 544) for this property, which currently contains 21 suggested values.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Mdvw0J_tEeOScYv3wgSwlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Mdvw0Z_tEeOScYv3wgSwlA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_K0C58MHSEeCdLPayeDTWtA" name="currentQuantity" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_eHOyEAl0EeGe4v7RnpTDUQ" annotatedElement="_K0C58MHSEeCdLPayeDTWtA">
            <body>&quot;The amount of specimen that currently exists or is available for use in further testing.&quot; - HL7 Version 2.8, SPM-25.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RCXLgJ_tEeOScYv3wgSwlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RCXykJ_tEeOScYv3wgSwlA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cMtPYMzJEeCMF_3VBil7Gw" name="dateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_cxkNYAl5EeGe4v7RnpTDUQ" annotatedElement="_cMtPYMzJEeCMF_3VBil7Gw">
            <body>The date/time that the Specimen Assessment was performed</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kD68oLxJEeCjnsq0FtkmeA" name="isSpecimenAvailable" visibility="public">
          <ownedComment xmi:id="_PpGgIAlqEeGe4v7RnpTDUQ" annotatedElement="_kD68oLxJEeCjnsq0FtkmeA">
            <body>&quot;Describes whether the specimen, as it exists, is currently available to use in an analysis.&quot; - HL7 Version 2.8, SPM-20.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_OmhhYPZQEd-e1vPpWfL-Bw" name="numberOfContainers" visibility="public">
          <ownedComment xmi:id="_1U2nEAc2EeGfLeiV6Brugg" annotatedElement="_OmhhYPZQEd-e1vPpWfL-Bw">
            <body>&quot;The number of containers for a given sample.  For sample receipt verification purposes; may be different from the total number of samples that accompany the order.&quot; - HL7 Version 2.8, OBR-37 and SPM-26.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SErkIJ_tEeOScYv3wgSwlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SErkIZ_tEeOScYv3wgSwlA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dFc0wMHSEeCdLPayeDTWtA" name="rejectReason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_dFc0wcHSEeCdLPayeDTWtA" annotatedElement="_dFc0wMHSEeCdLPayeDTWtA">
            <body>&quot;Describes one or more reasons the specimen is rejected for the specified observation/result/analysis.&quot; - HL7 Version 2.8, SPM-21.  Possible values include (from HL7 Table 490): Expired; Quantity not sufficient; Broken container; Clotting; Missing collection date; Missing patient ID number; Missing patient name; Hemolysis; Identification problem; Labeling; Contamination; Missing phlebotomist ID; Improper storage; Name misspelling.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iuSQIJ_sEeOScYv3wgSwlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iuTeQJ_sEeOScYv3wgSwlA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jNUK4MHSEeCdLPayeDTWtA" name="specimenCondition" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_jNUK4cHSEeCdLPayeDTWtA" annotatedElement="_jNUK4MHSEeCdLPayeDTWtA">
            <body>&quot;A mode or state of being that describes the nature of the specimen.&quot; - HL7 Version 2.8, SPM-24.  Possible values include (from HL7 Table 493): Autolyzed; Clotted; Contaminated; Cool; Frozen; Hemolyzed; Live; Room temperature; Sample not received.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zx05QAlTEeGe4v7RnpTDUQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zx05QQlTEeGe4v7RnpTDUQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_P70sEMHSEeCdLPayeDTWtA" name="specimenQuality" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" aggregation="composite">
          <ownedComment xmi:id="_YdZEgMHSEeCdLPayeDTWtA" annotatedElement="_P70sEMHSEeCdLPayeDTWtA">
            <body>&quot;The degree or grade of excellence of the specimen at receipt.&quot; - HL7 Version 2.8, SPM-22.  Possible values include (from HL7 Table 491): Excellent; Good; Fair; Poor.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UHJyMJ_tEeOScYv3wgSwlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UHKZQJ_tEeOScYv3wgSwlA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1LQI0EWNEeKmiJoj9rWMSg" name="temperature" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_Daa9QEWOEeKmiJoj9rWMSg" annotatedElement="_1LQI0EWNEeKmiJoj9rWMSg">
            <body>&quot;Identifies the specimen temperature in degrees Celsius&quot; - HL7 Version 2.8, SAC-31.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4Zke8EWNEeKmiJoj9rWMSg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4ZlGAEWNEeKmiJoj9rWMSg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TIVB0Mp5EeC9Pb3leltpqQ" name="specimen" visibility="public" type="_420A62FD03B642DBE3F101E7" association="_TILQ0Mp5EeC9Pb3leltpqQ">
          <ownedComment xmi:id="_akinMEVREeKmiJoj9rWMSg" annotatedElement="_TIVB0Mp5EeC9Pb3leltpqQ">
            <body>Identifies the specimen associated with the assessment, and therefore to which the assessment data pertains.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TIVB0cp5EeC9Pb3leltpqQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TIVB0sp5EeC9Pb3leltpqQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LKaLwLxREeCjnsq0FtkmeA" name="specimenHandling" visibility="public" type="_3fUokLxNEeCjnsq0FtkmeA" association="_LKXIcLxREeCjnsq0FtkmeA">
          <ownedComment xmi:id="_RQSaIEU8EeKmiJoj9rWMSg" annotatedElement="_LKaLwLxREeCjnsq0FtkmeA">
            <body>Points to information regarding the transportation or storage of a specimen.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LKaLwbxREeCjnsq0FtkmeA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LKaLwrxREeCjnsq0FtkmeA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_B0jz8Mp5EeC9Pb3leltpqQ" name="labTestPromise_specimenAssessment" memberEnd="_B0jz8cp5EeC9Pb3leltpqQ _B0tk8sp5EeC9Pb3leltpqQ">
        <ownedEnd xmi:id="_B0tk8sp5EeC9Pb3leltpqQ" name="" visibility="public" type="_420A62FD03B64230F39A02CC" association="_B0jz8Mp5EeC9Pb3leltpqQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_B0tk88p5EeC9Pb3leltpqQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_B0tk9Mp5EeC9Pb3leltpqQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_TILQ0Mp5EeC9Pb3leltpqQ" name="specimenAssessment_Specimen" memberEnd="_TIVB0Mp5EeC9Pb3leltpqQ _TIVB08p5EeC9Pb3leltpqQ">
        <ownedEnd xmi:id="_TIVB08p5EeC9Pb3leltpqQ" name="" visibility="public" type="_A57aMMHSEeCdLPayeDTWtA" association="_TILQ0Mp5EeC9Pb3leltpqQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TIVB1Mp5EeC9Pb3leltpqQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TIVB1cp5EeC9Pb3leltpqQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_J28rIMp7EeC9Pb3leltpqQ" name="specimen_definedPatientEvent" memberEnd="_J28rIcp7EeC9Pb3leltpqQ _J28rJMp7EeC9Pb3leltpqQ">
        <ownedEnd xmi:id="_J28rJMp7EeC9Pb3leltpqQ" name="" visibility="public" type="_420A62FD03B642DBE3F101E7" association="_J28rIMp7EeC9Pb3leltpqQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_J28rJcp7EeC9Pb3leltpqQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_J28rJsp7EeC9Pb3leltpqQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_R83lMMqCEeC9Pb3leltpqQ" name="reportableResult_deviceInstance" memberEnd="_R83lMcqCEeC9Pb3leltpqQ _R9BWMMqCEeC9Pb3leltpqQ">
        <ownedEnd xmi:id="_R9BWMMqCEeC9Pb3leltpqQ" name="" visibility="public" type="_NglJMH8AEd-6KMbY3gBFOQ" association="_R83lMMqCEeC9Pb3leltpqQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_R9BWMcqCEeC9Pb3leltpqQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_R9BWMsqCEeC9Pb3leltpqQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_W1_tkMzCEeCMF_3VBil7Gw" name="labTestPromise_specimenCollectionEvent" memberEnd="_W1_tkczCEeCMF_3VBil7Gw _W1_tlMzCEeCMF_3VBil7Gw">
        <ownedEnd xmi:id="_W1_tlMzCEeCMF_3VBil7Gw" name="" visibility="public" type="_420A62FD03B64230F39A02CC" association="_W1_tkMzCEeCMF_3VBil7Gw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_W1_tlczCEeCMF_3VBil7Gw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_W1_tlszCEeCMF_3VBil7Gw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_YaB70OhQEeCUNuD9-34Rcg" name="pathologyResult_labReportSection" memberEnd="_YaE_IOhQEeCUNuD9-34Rcg _YaICcehQEeCUNuD9-34Rcg">
        <ownedEnd xmi:id="_YaICcehQEeCUNuD9-34Rcg" name="" visibility="public" type="_420A62FD03B642DD3EE4017D" association="_YaB70OhQEeCUNuD9-34Rcg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YaICcuhQEeCUNuD9-34Rcg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YaICc-hQEeCUNuD9-34Rcg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_gcCccO3MEeCFZuasLkncZQ" name="reportableResult_interpretation" memberEnd="_gcFfwO3MEeCFZuasLkncZQ _gcIjEO3MEeCFZuasLkncZQ">
        <ownedEnd xmi:id="_gcIjEO3MEeCFZuasLkncZQ" name="" visibility="public" type="_NglJMH8AEd-6KMbY3gBFOQ" association="_gcCccO3MEeCFZuasLkncZQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Szvv4O3OEeCFZuasLkncZQ" name="reportableResult_laboratoryDirector" memberEnd="_SzyMIO3OEeCFZuasLkncZQ _Sz0oYO3OEeCFZuasLkncZQ">
        <ownedEnd xmi:id="_Sz0oYO3OEeCFZuasLkncZQ" name="" visibility="public" type="_NglJMH8AEd-6KMbY3gBFOQ" association="_Szvv4O3OEeCFZuasLkncZQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_wTLM4O3PEeCFZuasLkncZQ" name="pathologyResult_clinicalPathologist" memberEnd="_wTNpIO3PEeCFZuasLkncZQ _wTQFYO3PEeCFZuasLkncZQ">
        <ownedEnd xmi:id="_wTQFYO3PEeCFZuasLkncZQ" name="" visibility="public" type="_420A62FD03B642DD3EE4017D" association="_wTLM4O3PEeCFZuasLkncZQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_1mTzkPjJEeCmc6EQPl3F9g" name="TranscriptionEvent">
        <ownedComment xmi:id="_2PhOYEUuEeKmiJoj9rWMSg" annotatedElement="_1mTzkPjJEeCmc6EQPl3F9g">
          <body>Transcribe: &quot;to make a written copy, especially a typewritten copy, of (dictated material, notes taken during a lecture, or other spoken material).&quot; - Dictionary.com.  This class captures information about who transcribed the provider's dictated notes, and when that transcription occurred.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_85iwoPjJEeCmc6EQPl3F9g" name="dateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_N0psoEUvEeKmiJoj9rWMSg" annotatedElement="_85iwoPjJEeCmc6EQPl3F9g">
            <body>The date and time upon which the person identified as the transcriptionist converted the provider's dictated notes into written form.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_331KQfjJEeCmc6EQPl3F9g" name="transcriptionist" visibility="public" type="_420A62FD03B6418A6B760063" association="_331KQPjJEeCmc6EQPl3F9g">
          <ownedComment xmi:id="_KXocIAmOEeGe4v7RnpTDUQ" annotatedElement="_331KQfjJEeCmc6EQPl3F9g">
            <body>&quot;This field identifies the report transcriber.&quot; - HL7 Version 2.8, OBR-35</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_3BKoAPjJEeCmc6EQPl3F9g" name="reportableResult_transcription" memberEnd="_3BNrUPjJEeCmc6EQPl3F9g _3BQuoPjJEeCmc6EQPl3F9g">
        <ownedEnd xmi:id="_3BQuoPjJEeCmc6EQPl3F9g" name="" visibility="public" type="_NglJMH8AEd-6KMbY3gBFOQ" association="_3BKoAPjJEeCmc6EQPl3F9g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_331KQPjJEeCmc6EQPl3F9g" name="transcriptionEvent_transcriptionist" memberEnd="_331KQfjJEeCmc6EQPl3F9g _334NkvjJEeCmc6EQPl3F9g">
        <ownedEnd xmi:id="_334NkvjJEeCmc6EQPl3F9g" name="" visibility="public" type="_1mTzkPjJEeCmc6EQPl3F9g" association="_331KQPjJEeCmc6EQPl3F9g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_rJ3_APjLEeCmc6EQPl3F9g" name="labTestPromise_billingProcedureList" memberEnd="_rJ7CUPjLEeCmc6EQPl3F9g _rJ7CU_jLEeCmc6EQPl3F9g">
        <ownedEnd xmi:id="_rJ7CU_jLEeCmc6EQPl3F9g" name="" visibility="public" type="_420A62FD03B64230F39A02CC" association="_rJ3_APjLEeCmc6EQPl3F9g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_wb_GYKqXEeGeRqsN3l6jrA" name="SpecimenProcessingEvent">
        <ownedComment xmi:id="_MDrYcEWWEeKmiJoj9rWMSg" annotatedElement="_wb_GYKqXEeGeRqsN3l6jrA">
          <body>This class represents actions performed on a specimen in order to prepare it for future testing.  Such actions may include adding an additive or placing the specimen in a container containing a pre-defined additive in order to preserve, maintain or enhance the particular nature or component of the specimen.  Other actions include aliquoting a single specimens into multiple subsets, grouping or pooling multiple specimens into one specimen, etc.  As a result of this processing event, a new specimen(s) may be created, thus this class contains a pointer (zero-to-many) back to the Specimen class to identify the newly-created Specimen(s).</body>
        </ownedComment>
        <ownedAttribute xmi:id="_4RieAMzHEeCMF_3VBil7Gw" name="groupedSpecimenCount" visibility="public">
          <ownedComment xmi:id="_JnvM4AllEeGe4v7RnpTDUQ" annotatedElement="_4RieAMzHEeCMF_3VBil7Gw">
            <body>&quot;The number of individual specimens of a particular type represented by this instance of a specimen. The use of this field is restricted to specimens upon which all specimen related attributes are identical. This field would only be valued if the [Specimen Role] attribute has the value [Group].&quot; - HL7 Version 2.8, SPM-13.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xsMS4FSKEeOiZrLzx6PDyg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xsOIEFSKEeOiZrLzx6PDyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_yGwwsKqYEeGeRqsN3l6jrA" name="processCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_j9_nEEWXEeKmiJoj9rWMSg" annotatedElement="_yGwwsKqYEeGeRqsN3l6jrA">
            <body>Identifies the process that was performed.  Possible values include: Aliquot, Pool, Spun, etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oQG0oKqYEeGeRqsN3l6jrA" name="specimen" visibility="public" type="_420A62FD03B642DBE3F101E7" association="_oQB8IKqYEeGeRqsN3l6jrA">
          <ownedComment xmi:id="_aUadsEWXEeKmiJoj9rWMSg" annotatedElement="_oQG0oKqYEeGeRqsN3l6jrA">
            <body>Identifies Specimen instance(s) created as a result of a Specimen Processing Event.  Note the Id of the newly-created specimens are often derived from the Id of the original specimen.  For example, if a samply of whole blood with Id=1234 was spun into two new samples containing plasma (Id=1234-01) and platelets (Id=1234-02), two new Sample instances are created.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oQICwKqYEeGeRqsN3l6jrA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oQIp0KqYEeGeRqsN3l6jrA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8W-nECjuEeKdfLgBSxgNnA" name="additive" visibility="public" type="_6r9PsCjuEeKdfLgBSxgNnA" association="_8W5HgCjuEeKdfLgBSxgNnA">
          <ownedComment xmi:id="_30EP0CtPEeKKgp1v3A6sOA" annotatedElement="_8W-nECjuEeKdfLgBSxgNnA">
            <body>Identifies any materials introduced to the specimen before or at the time of collection.  These additives may be introduced in order to preserve, maintain enhance, or change the particular nature or component of the specimen.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8XAcQCjuEeKdfLgBSxgNnA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8XBDUCjuEeKdfLgBSxgNnA" value="*"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_oQB8IKqYEeGeRqsN3l6jrA" name="specimenProcessingEvent_specimen" memberEnd="_oQG0oKqYEeGeRqsN3l6jrA _oQLtIKqYEeGeRqsN3l6jrA">
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oQMUMKqYEeGeRqsN3l6jrA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oQMUMaqYEeGeRqsN3l6jrA" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Or2c4LsjEeGZTLDYkoM_Sw" name="labTestPromise_medicalDirector" memberEnd="_Or45ILsjEeGZTLDYkoM_Sw _Or78cLsjEeGZTLDYkoM_Sw">
        <ownedEnd xmi:id="_Or78cLsjEeGZTLDYkoM_Sw" name="" visibility="public" type="_420A62FD03B64230F39A02CC" association="_Or2c4LsjEeGZTLDYkoM_Sw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="__ZaisLskEeGZTLDYkoM_Sw" name="labTestPromise_labReferral" memberEnd="__Ze0ILskEeGZTLDYkoM_Sw __ZkTsLskEeGZTLDYkoM_Sw">
        <ownedEnd xmi:id="__ZkTsLskEeGZTLDYkoM_Sw" name="" visibility="public" type="_420A62FD03B64230F39A02CC" association="__ZaisLskEeGZTLDYkoM_Sw"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_H6KbwLslEeGZTLDYkoM_Sw" name="labReferral_performingLabsPromise" memberEnd="_H6OGILslEeGZTLDYkoM_Sw _H6SXkLslEeGZTLDYkoM_Sw">
        <ownedEnd xmi:id="_H6SXkLslEeGZTLDYkoM_Sw" name="" visibility="public" type="_b_84MOOaEd-8X4J7aT-aiQ" association="_H6KbwLslEeGZTLDYkoM_Sw"/>
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      <packagedElement xmi:type="uml:Class" xmi:id="_QYxoUMYREeGsb4KXw2Babg" name="LabTest">
        <ownedComment xmi:id="_tMPhwMYTEeGsb4KXw2Babg" annotatedElement="_QYxoUMYREeGsb4KXw2Babg">
          <body>This class represents a laboratory test ordered, promised, or resulted.  It consists of a test code, which should be a LOINC code, and a sub-identifier, which may be used when more than one of the same test are ordered, promised, or resulted.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_ZO6GEMYSEeGsb4KXw2Babg" name="name" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <body>&quot;This field contains the identifier code for the requested observation/test/battery.&quot; - HL7 Version 2.8, OBR-4&#xD;
&quot;Contains a unique identifier for the observation....  In most systems the identifier will point to a master observation table that will provide other attributes of the observation that may be used by the receiving system to process the observations it receives&quot;. - HL7 Version 2.8, OBX-3.&#xD;
&#xD;
It is recommended that LOINC be used.  Note that VA's VistA system uses the VA National Laboratory Test code via File 64.</body>
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        <ownedAttribute xmi:id="_eAY4EMYSEeGsb4KXw2Babg" name="subId" visibility="public">
          <ownedComment xmi:id="_2NLWwMYTEeGsb4KXw2Babg" annotatedElement="_eAY4EMYSEeGsb4KXw2Babg">
            <body>&quot;This field is used to distinguish between multiple OBX segments with the same observation ID organized under one OBR.&quot;. - HL7 Version 2.8, OBX-4.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_WTaawMYREeGsb4KXw2Babg" name="labTestPromise_labTestPromised" memberEnd="_WTeFIMYREeGsb4KXw2Babg _WTjksMYREeGsb4KXw2Babg">
        <ownedEnd xmi:id="_WTjksMYREeGsb4KXw2Babg" name="" visibility="public" type="_420A62FD03B64230F39A02CC" association="_WTaawMYREeGsb4KXw2Babg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Zll9MMYREeGsb4KXw2Babg" name="labTestRequest_labTestRequested" memberEnd="_ZlpnkMYREeGsb4KXw2Babg _ZlugEMYREeGsb4KXw2Babg">
        <ownedEnd xmi:id="_ZlugEMYREeGsb4KXw2Babg" name="" visibility="public" type="_420A62FD03B6458956DC035E" association="_Zll9MMYREeGsb4KXw2Babg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_D4ilcMYSEeGsb4KXw2Babg" name="reportableResult_reportableLabTest" memberEnd="_D4mP0MYSEeGsb4KXw2Babg _D4rIUMYSEeGsb4KXw2Babg">
        <ownedEnd xmi:id="_D4rIUMYSEeGsb4KXw2Babg" name="" visibility="public" type="_NglJMH8AEd-6KMbY3gBFOQ" association="_D4ilcMYSEeGsb4KXw2Babg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_tn30EMoUEeGas4Yp_oUthg" name="specimenCollectionEvent_specimenCollectionPromise" memberEnd="_tn8FgMoUEeGas4Yp_oUthg _toA-AMoUEeGas4Yp_oUthg">
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      </packagedElement>
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          <body>&quot;This field is defined to make it available for other types of linkages (e.g., toxicology).  This important information, together with the information in OBR-29 or OBR-57, uniquely identifies the parent result's OBX segment related to this order.&quot; - HL7 Version 2, OBX-26.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_uS0fAMqXEeG4_uv2Hb_AVQ" name="reportableResult" visibility="public" type="_NglJMH8AEd-6KMbY3gBFOQ" association="_uSxbsMqXEeG4_uv2Hb_AVQ">
          <ownedComment xmi:id="_YcgysMqaEeG4_uv2Hb_AVQ" annotatedElement="_uS0fAMqXEeG4_uv2Hb_AVQ">
            <body>Points to the Reportable Result (i.e., the &quot;target Reportable Result&quot;) to which the &quot;source Reportable Result&quot; (i.e., the Reportable Result that points to this class) is somehow related.&#xD;
&quot;This field is defined to make it available for other types of linkages (e.g., toxicology).  This important information, together with the information in OBR-29 or OBR-57, uniquely identifies the parent result's OBX segment related to this order.&quot; - HL7 Version 2, OBX-26.</body>
          </ownedComment>
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        <ownedAttribute xmi:id="_f6wX0MqYEeG4_uv2Hb_AVQ" name="relatedResultCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <body>Indicates how the &quot;target Result&quot; is related to the &quot;source Result&quot;.  Examples include Parent, Child, Replaces, Replaced By, etc.</body>
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        </ownedAttribute>
      </packagedElement>
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      <packagedElement xmi:type="uml:Association" xmi:id="_uSxbsMqXEeG4_uv2Hb_AVQ" name="relatedResult_reportableResult" memberEnd="_uS0fAMqXEeG4_uv2Hb_AVQ _uS27QMqXEeG4_uv2Hb_AVQ">
        <ownedEnd xmi:id="_uS27QMqXEeG4_uv2Hb_AVQ" name="" visibility="public" type="_hkGwsMqXEeG4_uv2Hb_AVQ" association="_uSxbsMqXEeG4_uv2Hb_AVQ"/>
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      <packagedElement xmi:type="uml:Class" xmi:id="_QVZQ4A8SEeK0aKhL_Nyezg" name="AccessionEvent">
        <ownedComment xmi:id="_3ksB0EU_EeKmiJoj9rWMSg" annotatedElement="_QVZQ4A8SEeK0aKhL_Nyezg">
          <body>Accession: &quot;An increase by means of something added to record as acquired&quot; - Websters.  The act of accepting a laboratory test and entering the test into the laboratory's workload.  While the definition would imply a close alignment with the Lab Test Promise, in practice, the Accession (and the &quot;Accession Number&quot;) are more closely associated with the Specimen, as the Specimen represents a unit of work.  Accession numbers and specimen numbers are often related, and when a specimen is subsetted for some other purpose, a new accession number may be created.  This class represents the act of creating a new accession, and is associated with both the Promise and the Specimen.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_78ZN8MnlEeG_ScqIlDrcqg" name="accessionDate" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_78ZN8cnlEeG_ScqIlDrcqg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_78ZN8snlEeG_ScqIlDrcqg" annotatedElement="_78ZN8MnlEeG_ScqIlDrcqg">
            <body>The date/time upon which the laboratory accepted the unit of work into its workload.  This date/time might be the same as the Laboratory Promise date, or the date/time that the laboratory received the Specimen(s), depending on local laboratory practice.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_78ZN9MnlEeG_ScqIlDrcqg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_78ZN88nlEeG_ScqIlDrcqg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_78Z1AMnlEeG_ScqIlDrcqg" name="accessionId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_78Z1AcnlEeG_ScqIlDrcqg" annotatedElement="_78Z1AMnlEeG_ScqIlDrcqg">
            <body>Uniquely identifies the accession.  The accession is closely associated with both the Promise to perform a laboratory test, and the Specimen(s) upon which the tests are performed.  The accession id therefore may be based upon the LabTestPromise.fillerOrderId or the Specimen.id, or conversely, those ids might be based upon this accessionId, depending on local laboratory practice. For example, if the accession id is ABCD, and two samples were received, one sample id might be ABCD-01 and the other ABCD-02.  The accession id therefore may be used to identify the laboratory promise, samples, and results.&#xD;
&#xD;
&quot;This field contains accession identifier(s) associated with the specimen....&quot; - HL7 Version 2.8, SPM-30.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KfTRsEVAEeKmiJoj9rWMSg" name="specimen" visibility="public" type="_420A62FD03B642DBE3F101E7" association="_Ke5pEEVAEeKmiJoj9rWMSg">
          <ownedComment xmi:id="_TkS_8EVDEeKmiJoj9rWMSg" annotatedElement="_KfTRsEVAEeKmiJoj9rWMSg">
            <body>Identifies the specimen(s) associated with the accession.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KfW8EEVAEeKmiJoj9rWMSg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KfXjIEVAEeKmiJoj9rWMSg" value="*"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_6r9PsCjuEeKdfLgBSxgNnA" name="Additive">
        <ownedComment xmi:id="_O28VkCtQEeKKgp1v3A6sOA" annotatedElement="_6r9PsCjuEeKdfLgBSxgNnA">
          <body>This class identifies any substances that were added or introduced to the specimen in order to preserve, maintain or enhance the particular nature or component of the specimen.  While the HL7 definition implies that this additive is only used before or during specimen collection, this Additive class may be used after specimen collection as part of specimen processing as well.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_JZc8IPvNEd-3ndaGus2qMA" name="additiveType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_2Uv3EAlVEeGe4v7RnpTDUQ" annotatedElement="_JZc8IPvNEd-3ndaGus2qMA">
            <body>&quot;Identifies any additives introduced to the specimen before or at the time of collection.  These additives may be introduced in order to preserve, maintain or enhance the particular nature or component of the specimen.&quot; - HL7 Version 2.8, SPM-6.  Note that HL7 identifies a Code Table (Table 371) for this property, which currently contains 57 suggested values.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NpWEAPvNEd-3ndaGus2qMA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NpWEAfvNEd-3ndaGus2qMA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-fxS0CtPEeKKgp1v3A6sOA" name="quantity" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_CEPbMEWTEeKmiJoj9rWMSg" annotatedElement="_-fxS0CtPEeKKgp1v3A6sOA">
            <body>Indicates the amount of the substance that is identified in the additiveType property exists in this instance.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_8W5HgCjuEeKdfLgBSxgNnA" name="specimenProcessingEvent_additive" memberEnd="_8W-nECjuEeKdfLgBSxgNnA _8XFUwCjuEeKdfLgBSxgNnA">
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      <packagedElement xmi:type="uml:Association" xmi:id="_9WEFgCjuEeKdfLgBSxgNnA" name="specimenContainer_additive" memberEnd="_9WIW8CjuEeKdfLgBSxgNnA _9WNPcCjuEeKdfLgBSxgNnA">
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      </packagedElement>
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        <ownedEnd xmi:id="_Lgrp0C0QEeKEnd784Zlo8Q" name="" visibility="public" type="_420A62FD03B64230F39A02CC" association="_LghRwC0QEeKEnd784Zlo8Q"/>
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      <packagedElement xmi:type="uml:Enumeration" xmi:id="_gv2V8DNVEeKkw_YjK6aRcw" name="PathologyReportSection">
        <ownedLiteral xmi:id="_mWwUEDNVEeKkw_YjK6aRcw" name="BriefClinicalHistory">
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            <body>BriefClinicalHistory</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_ozVEMDNVEeKkw_YjK6aRcw" name="FrozenSection">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_sHTWYDNVEeKkw_YjK6aRcw">
            <body>FrozenSection</body>
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        <ownedLiteral xmi:id="_3ayc0DNVEeKkw_YjK6aRcw" name="GrossDescription">
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            <body>Gross Description</body>
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        </ownedLiteral>
        <ownedLiteral xmi:id="_6ggQkDNVEeKkw_YjK6aRcw" name="MicroscopicExamination">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_7kO-cDNVEeKkw_YjK6aRcw">
            <body>MicroscopicExamination</body>
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        </ownedLiteral>
        <ownedLiteral xmi:id="_9OsVIDNVEeKkw_YjK6aRcw" name="OperativeFindings">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_-MI00DNVEeKkw_YjK6aRcw">
            <body>Operative Findings</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_BLgI8DNWEeKkw_YjK6aRcw" name="PostOperativeDiagnosis">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_Car44DNWEeKkw_YjK6aRcw">
            <body>Post-operative Diagnosis</body>
          </specification>
        </ownedLiteral>
        <ownedLiteral xmi:id="_ElMooDNWEeKkw_YjK6aRcw" name="PreOperativeDiagnosis">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_FwjogDNWEeKkw_YjK6aRcw">
            <body>Pre-operative Diagnosis</body>
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      <packagedElement xmi:type="uml:Dependency" xmi:id="_I2FPADNWEeKkw_YjK6aRcw" client="_420A62FD03B64586C4B903A9" supplier="_gv2V8DNVEeKkw_YjK6aRcw"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_Ke5pEEVAEeKmiJoj9rWMSg" memberEnd="_KfTRsEVAEeKmiJoj9rWMSg _KfZYUEVAEeKmiJoj9rWMSg">
        <ownedEnd xmi:id="_KfZYUEVAEeKmiJoj9rWMSg" name="" visibility="public" type="_QVZQ4A8SEeK0aKhL_Nyezg" association="_Ke5pEEVAEeKmiJoj9rWMSg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_q117MEVAEeKmiJoj9rWMSg" memberEnd="_q13wYEVAEeKmiJoj9rWMSg _q15lkEVAEeKmiJoj9rWMSg">
        <ownedEnd xmi:id="_q15lkEVAEeKmiJoj9rWMSg" name="" visibility="public" type="_420A62FD03B64266BCE800E0" association="_q117MEVAEeKmiJoj9rWMSg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_ZiYyEEuxEeKeIb_h9Qm4xw" name="MicroscopyFinding">
        <ownedComment xmi:id="_7Y1QUGEMEeO0cp8yTpBD0g" annotatedElement="_ZiYyEEuxEeKeIb_h9Qm4xw">
          <body>This class represents findings, other than the identification of microorganisms, arrived at by microscopic observation of a specimen.  This includes observations made of cells or tissue.  For example, the detection of red blood cells in a urine sample would be reported via this class.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_pwc8IEuxEeKeIb_h9Qm4xw" name="evaluationFinding" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Ap00IFUUEeKxd7-Yw-gPSg" annotatedElement="_pwc8IEuxEeKeIb_h9Qm4xw">
            <body>Findings concerning cells which are not separate microorganisms arrived at by microscopic observation.  These finding might be of normal cells existing in an abnormal location such as the detection of red blood cells in a urine sample.</body>
          </ownedComment>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_d--SIEuxEeKeIb_h9Qm4xw" memberEnd="_d_E_0EuxEeKeIb_h9Qm4xw _d_hEsEuxEeKeIb_h9Qm4xw">
        <ownedEnd xmi:id="_d_hEsEuxEeKeIb_h9Qm4xw" name="" visibility="public" type="_420A62FD03B64230FF74014C" association="_d--SIEuxEeKeIb_h9Qm4xw"/>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B642A6E9450017" name="Assessment">
      <eAnnotations xmi:id="_NGju5OLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_NGtf4uLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_UmgNAI8GEd-XNpj2tjovxA" name="ApplicabilityType">
        <ownedComment xmi:id="_UmgNAY8GEd-XNpj2tjovxA" annotatedElement="_UmgNAI8GEd-XNpj2tjovxA">
          <body>This value set specifies the how the content of assessment being exchanged is used.</body>
        </ownedComment>
        <ownedLiteral xmi:id="_UmgNAo8GEd-XNpj2tjovxA" name="Clinical">
          <ownedComment xmi:id="_-muOQJdDEd-1hLYGSfVdpQ" annotatedElement="_UmgNAo8GEd-XNpj2tjovxA">
            <body>This code specifies that the assessment is applicable to clinical evaluation of the patient.</body>
          </ownedComment>
        </ownedLiteral>
        <ownedLiteral xmi:id="_UmgNBI8GEd-XNpj2tjovxA" name="ProgramEvaluation">
          <ownedComment xmi:id="_UmgNBY8GEd-XNpj2tjovxA" annotatedElement="_UmgNBI8GEd-XNpj2tjovxA">
            <body>The value ProgramEvaluation identifies types of patients and problems presenting for treatment, quantifies level of problems, measures patients response to treatment, identifies agencies /workers  strengths and areas for improvement with particular populations and problems, enables management by outcome, reports to funding sources, etc.</body>
          </ownedComment>
        </ownedLiteral>
        <ownedLiteral xmi:id="_UmgNA48GEd-XNpj2tjovxA" name="Research">
          <ownedComment xmi:id="_GCrCcJdEEd-1hLYGSfVdpQ" annotatedElement="_UmgNA48GEd-XNpj2tjovxA">
            <body>This code specifies that the assessment is applicable for research.</body>
          </ownedComment>
        </ownedLiteral>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642DFB6BC006E" name="AssessmentEvent">
        <eAnnotations xmi:id="_NFEhJOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NE6wJ-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642DFB6BC006E">
          <body>This class describes the performance of an assessment of a particular aspect of a patient’s condition.  Such assessments employ a test or instrument, often a questionnaire, that quantify otherwise subjective observations.  These instruments employ scoring sysystems which have been systemetized and validated.  Standardized assessment tools create scores and (sometimes) sub-scores which are then used to determine the optimal placement and treatment plans for the patient and to track patient progress over time.  Standardized assessment tools facilitate the collection of accurate information in a reliable and consistent manner, provide clinicians and treatment agencies with increased accountability, identify patient progress over time, and provide a basis to adjust treatment plans.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_gTUboGJgEeKl3I3Lt5ZAXg" name="applicability" visibility="public" type="_UmgNAI8GEd-XNpj2tjovxA">
          <ownedComment xmi:id="_gTUboWJgEeKl3I3Lt5ZAXg" annotatedElement="_gTUboGJgEeKl3I3Lt5ZAXg">
            <body>Specifies whether the Assessment is used for clinical, research, or program evaluation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ORrwQGJiEeKl3I3Lt5ZAXg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ORrwQWJiEeKl3I3Lt5ZAXg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642DFC6C3028A" name="dateTimeAdminstered" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NFEhIuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642DFC6C3028A">
            <body>The date and time on which the assessment was performed.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642DFC705020D" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_NE6wK-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642DFC705020D">
            <body>A unique identifier for the assessment event.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642EE2AF2031A" name="remarks" visibility="public">
          <ownedComment xmi:id="_NFhNFeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642EE2AF2031A">
            <body>Contains comments regarding the Assessment Event by the administrator of the assessment.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PyifAGJiEeKl3I3Lt5ZAXg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PyifAWJiEeKl3I3Lt5ZAXg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZZUgUGKUEeKl3I3Lt5ZAXg" name="totalScoreConcept" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OeVtIGMbEeKxBO-lRPipyg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OeVtIWMbEeKxBO-lRPipyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_GyGGgGKUEeKl3I3Lt5ZAXg" name="totalScoreMeaning" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PPvU4GMbEeKxBO-lRPipyg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PPvU4WMbEeKxBO-lRPipyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ndUIoGMaEeKxBO-lRPipyg" name="totalScoreValue" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_ndUIoWMaEeKxBO-lRPipyg" annotatedElement="_ndUIoGMaEeKxBO-lRPipyg">
            <body>The total of the numeric values associated with each response in the Assessment.  The value of the score is used to assert conclusions regarding the condition of the patient, and to decide upon a care or treatment plan to meet the needs of the client/patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ndUIo2MaEeKxBO-lRPipyg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ndUIomMaEeKxBO-lRPipyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rPdCQF6gEeKGzfqSipVsxQ" name="assessmentInstrument" visibility="public" type="_sXbMYF6fEeKGzfqSipVsxQ" association="_rPTRQF6gEeKGzfqSipVsxQ">
          <ownedComment xmi:id="_ijkOoGMeEeKxBO-lRPipyg" annotatedElement="_rPdCQF6gEeKGzfqSipVsxQ">
            <body>Identifies the Assessment Instrument that was used as part of the Assessment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rPv9MF6gEeKGzfqSipVsxQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rPv9MV6gEeKGzfqSipVsxQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HUD3QHCOEeKknILXOCcS7w" name="assessmentResponse" visibility="public" type="_DqIjMHCOEeKknILXOCcS7w" association="_HUAz8HCOEeKknILXOCcS7w">
          <ownedComment xmi:id="_wCfCoHCXEeKknILXOCcS7w" annotatedElement="_HUD3QHCOEeKknILXOCcS7w">
            <body>This property contains a list of responses to an Assessment Instrument questions upon the administration of the Assessment Instrument.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HUFFYHCOEeKknILXOCcS7w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HUFFYXCOEeKknILXOCcS7w" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WsqlwX_mEd-Ure_vzgD_TA" name="dataEnterer" visibility="public" type="_HxX44Aq7Ed-426xscrxYmQ" association="_WsqlwH_mEd-Ure_vzgD_TA">
          <ownedComment xmi:id="_ebov8GMeEeKxBO-lRPipyg" annotatedElement="_WsqlwX_mEd-Ure_vzgD_TA">
            <body>Identifies the person who entered the responses into a computer systems.  This is not used for patient-entered data.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Wsqlwn_mEd-Ure_vzgD_TA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Wsqlw3_mEd-Ure_vzgD_TA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BVoWwH_mEd-Ure_vzgD_TA" name="interviewer" visibility="public" type="_7NSfgH_lEd-Ure_vzgD_TA" association="_BVfM0H_mEd-Ure_vzgD_TA">
          <ownedComment xmi:id="_Qs02kGMeEeKxBO-lRPipyg" annotatedElement="_BVoWwH_mEd-Ure_vzgD_TA">
            <body>Identifies the provider who administered the assessment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BVoWwX_mEd-Ure_vzgD_TA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BVoWwn_mEd-Ure_vzgD_TA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_thGcUX_lEd-Ure_vzgD_TA" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_thGcUH_lEd-Ure_vzgD_TA">
          <ownedComment xmi:id="_L1JV8GMeEeKxBO-lRPipyg" annotatedElement="_thGcUX_lEd-Ure_vzgD_TA">
            <body>Identifies the subject of the assessment</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_thGcUn_lEd-Ure_vzgD_TA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_thPmQH_lEd-Ure_vzgD_TA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5vmygWKREeKl3I3Lt5ZAXg" name="subScore" visibility="public" type="_ef5sgGJ8EeKl3I3Lt5ZAXg" association="_5vmygGKREeKl3I3Lt5ZAXg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5vmygmKREeKl3I3Lt5ZAXg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5vmyg2KREeKl3I3Lt5ZAXg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642DFB7AB0068" name="AssessmentInstrumentQuestion" isAbstract="true">
        <eAnnotations xmi:id="_NFNrEeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NFEhJ-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642DFB7AB0068">
          <body>This class represents a question on an Assessment Instrument as well as informatin regarding the possible response to that question.  Note that the response might be entered by an interviewer, entered by the interviewee, or populated by a software system (e.g., a system could automatically populate a question such as Date Created).  Note also that this class defines both the question, which is the same for every instance of an edition of a questionaire, and the response which is populated for each administration of the instrument.  For a given Assessment Instrument, the question part would be hard-coded while the response would be populated at run-time.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642E64C7A03D3" name="assessmentQuestion" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NFEhLeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642E64C7A03D3">
            <body>This property uniquely identifies the question being asked within the Assessment Instrument.  This is treated as a code because the Name and Version of the Assessment Instrument plus the Question Number serves as an identifier, while the text of the question can be represented as the associated text.  For example, the Addiction Severity Index, 5th Edition question G.4 is the &quot;Date of Admission&quot;.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1_mUMGGXEeKL0cZcPmQjWw" name="assessmentQuestionId" visibility="public">
          <ownedComment xmi:id="_1_mUMWGXEeKL0cZcPmQjWw" annotatedElement="_1_mUMGGXEeKL0cZcPmQjWw">
            <body>This property is used to convey the question &quot;number&quot; within the Assessment Instrument. While the assessmentQuestion uniquely identifies the question across all possible Assessment Instruments, it does not necessarily contain the question number as displayed on the Assessment Instrument.  This property therefore is needed to hold that data.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FYb6UH_lEd-Ure_vzgD_TA" name="possibleResponse" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
          <ownedComment xmi:id="_LjNecGHLEeK73_u7KyErow" annotatedElement="_FYb6UH_lEd-Ure_vzgD_TA">
            <body>This property represents the possible responses to a question on an Assessment Instrument.  It defines the permissible data type, and if the question is a multiple choice, will define the list of valid responses by using an enumeration.  Note that this property is optional (i.e., cardinality is 0..1), because clinical records will point to the response, which in turn points to the question.  In this case, the list of possible responses is not needed; the actual response is already known and is all that is needed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bgJ80JXeEeCD7vwmJe8BlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bgJ80ZXeEeCD7vwmJe8BlA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uOpAkGMcEeKxBO-lRPipyg" name="questionText" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_thGcUH_lEd-Ure_vzgD_TA" name="assessmentEvent_patient" memberEnd="_thGcUX_lEd-Ure_vzgD_TA _thPmQX_lEd-Ure_vzgD_TA">
        <ownedEnd xmi:id="_thPmQX_lEd-Ure_vzgD_TA" name="" visibility="public" type="_420A62FD03B642DFB6BC006E" association="_thGcUH_lEd-Ure_vzgD_TA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_BVfM0H_mEd-Ure_vzgD_TA" name="assessmentEvent_interviewer" memberEnd="_BVoWwH_mEd-Ure_vzgD_TA _BVoWw3_mEd-Ure_vzgD_TA">
        <ownedEnd xmi:id="_BVoWw3_mEd-Ure_vzgD_TA" name="" visibility="public" type="_420A62FD03B642DFB6BC006E" association="_BVfM0H_mEd-Ure_vzgD_TA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_WsqlwH_mEd-Ure_vzgD_TA" name="assessmentEvent_dataEnterer" memberEnd="_WsqlwX_mEd-Ure_vzgD_TA _Ws0WwH_mEd-Ure_vzgD_TA">
        <ownedEnd xmi:id="_Ws0WwH_mEd-Ure_vzgD_TA" name="" visibility="public" type="_420A62FD03B642DFB6BC006E" association="_WsqlwH_mEd-Ure_vzgD_TA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_sXbMYF6fEeKGzfqSipVsxQ" name="AssessmentInstrument">
        <ownedAttribute xmi:id="_vHUJoGDaEeKhedmo5dwvTw" name="code" visibility="public">
          <ownedComment xmi:id="_m1sO8OeuEeWKHuD1aKU_UQ" annotatedElement="_vHUJoGDaEeKhedmo5dwvTw">
            <body>Identifies the Assessment Instrument, or Questionnaire that was used, e.g., Morse Fall Scale, Addiction Severity Index.  Note that FHIR models this as an Id, where in the FHIM, we (currently) model this as a code.&#xD;
&quot;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).&quot; - HL7 FHIR, Questionnaire.identifier</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_UADRwOfGEeWKHuD1aKU_UQ" name="date" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_UADRwefGEeWKHuD1aKU_UQ" annotatedElement="_UADRwOfGEeWKHuD1aKU_UQ">
            <body>Indicates the date on which the Assessment Instrument was published. Note that implementations might obtain the Assessment Instrument publication date from a knowledge base via the kind of Assessment Instrument, and therefore this property might be derived.&#xD;
&quot;The date that this questionnaire was last changed.&quot; - HL7 FHIR, Questionnaire.date</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XQw0kOfGEeWKHuD1aKU_UQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XQyCsOfGEeWKHuD1aKU_UQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_joYoMGDaEeKhedmo5dwvTw" name="name" visibility="public">
          <ownedComment xmi:id="_xvYYgOeyEeWKHuD1aKU_UQ" annotatedElement="_joYoMGDaEeKhedmo5dwvTw">
            <body>This optional property provides the designation or appellation of the Assessment Instrument. Note that implementations might obtain the Assessment Instrument name from a knowledge base via the kind of Assessment Instrument, and therefore this property might be derived.&#xD;
&quot;The name or label associated with this questionnaire.&quot; - HL7 FHIR, Questionnaire.title</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NGa38GMbEeKxBO-lRPipyg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NGa38WMbEeKxBO-lRPipyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oLknUOevEeWKHuD1aKU_UQ" name="publisher" visibility="public">
          <ownedComment xmi:id="_oLknUeevEeWKHuD1aKU_UQ" annotatedElement="_oLknUOevEeWKHuD1aKU_UQ">
            <body>This optional property indicates the organization responsible for the curation of the Assessment Instrument. This property was added for compatibility with FHIR. The original FHIM model did not include this concept as it was held that this information could be obtained from a knowledge base via the kind of Assessment Instrument, and therefore wouldn't need to be exchanged.&#xD;
&quot;Organization or person responsible for developing and maintaining the questionnaire.&quot; - HL7 FHIR, Questionnaire.publisher</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oLknU-evEeWKHuD1aKU_UQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oLknUuevEeWKHuD1aKU_UQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BORIYOezEeWKHuD1aKU_UQ" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_FGTzIOfCEeWKHuD1aKU_UQ" annotatedElement="_BORIYOezEeWKHuD1aKU_UQ">
            <body>Indicates the current state of the Assessment Instrument publication.  Possible values include Draft, Published, and Retired. Note that implementations might obtain the Assessment Instrument publication status from a knowledge base via the kind of Assessment Instrument, and therefore this property might be derived.&#xD;
&quot;The lifecycle status of the questionnaire as a whole.&quot; - HL7 FHIR, Questionnaire.status</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BORIY-ezEeWKHuD1aKU_UQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BORIYuezEeWKHuD1aKU_UQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ekos0OewEeWKHuD1aKU_UQ" name="telecom" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_ekyd0OewEeWKHuD1aKU_UQ" annotatedElement="_ekos0OewEeWKHuD1aKU_UQ">
            <body>This optional property indicates the contact information for the organization responsible for the curation of the Assessment Instrument. This property was added for compatibility with FHIR. The original FHIM model did not include this concept as it was held that this information could be obtained from a knowledge base via the kind of Assessment Instrument, and therefore wouldn't need to be exchanged.&#xD;
&quot;Contact details to assist a user in finding and communicating with the publisher.&quot; - HL7 FHIR, Questionnaire.telecom</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ekyd0uewEeWKHuD1aKU_UQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ekyd0eewEeWKHuD1aKU_UQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pS1CgGDaEeKhedmo5dwvTw" name="version" visibility="public">
          <ownedComment xmi:id="_MbUMcOevEeWKHuD1aKU_UQ" annotatedElement="_pS1CgGDaEeKhedmo5dwvTw">
            <body>This optional property identifies the version number of the Assessment Instrument, or Questionnaire, that was used if , e.g., the current Addiction Severity Index is Version 6.&#xD;
&quot;The version number assigned by the publisher for business reasons. It may remain the same when the resource is updated.&quot; - HL7 FHIR, Questionnaire.version</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QN60YGMbEeKxBO-lRPipyg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QN60YWMbEeKxBO-lRPipyg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0aK-4WKREeKl3I3Lt5ZAXg" name="assessmentInstrumentQuestion" visibility="public" type="_420A62FD03B642DFB7AB0068" aggregation="composite" association="_0aK-4GKREeKl3I3Lt5ZAXg">
          <ownedComment xmi:id="_RZ5wwHCMEeKknILXOCcS7w" annotatedElement="_0aK-4WKREeKl3I3Lt5ZAXg">
            <body>This property represents the collection of questions on a given Assessment Instrument.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0aK-4mKREeKl3I3Lt5ZAXg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0aK-42KREeKl3I3Lt5ZAXg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_rPTRQF6gEeKGzfqSipVsxQ" name="assessmentEvent_assessmentInstrument" memberEnd="_rPdCQF6gEeKGzfqSipVsxQ _rP5HIF6gEeKGzfqSipVsxQ">
        <ownedEnd xmi:id="_rP5HIF6gEeKGzfqSipVsxQ" name="" visibility="public" type="_420A62FD03B642DFB6BC006E" association="_rPTRQF6gEeKGzfqSipVsxQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_ef5sgGJ8EeKl3I3Lt5ZAXg" name="SubScore">
        <ownedComment xmi:id="_R46E4GJ-EeKl3I3Lt5ZAXg" annotatedElement="_ef5sgGJ8EeKl3I3Lt5ZAXg">
          <body>This class represents the total of the values associated with a defined subset of the Assessment.  Some Assessment Instruments define a intermediate score(s) for related characteristics along with a total score for the overall instrument.  For example, an overall mental health Assessment instrument may define a sub-score for depression.  Note that many Assessment Instruments contain groupings or sections, which are not necessarily related to sub-scores.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_XAEL8GJ-EeKl3I3Lt5ZAXg" name="subScoreConcept" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_nqeTwGJ-EeKl3I3Lt5ZAXg" annotatedElement="_XAEL8GJ-EeKl3I3Lt5ZAXg">
            <body>Identifes the domain or concept that is measured by the subscore.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2b7V4GJ-EeKl3I3Lt5ZAXg" name="subScoreValue" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_-gUqIGJ-EeKl3I3Lt5ZAXg" annotatedElement="_2b7V4GJ-EeKl3I3Lt5ZAXg">
            <body>This attribute holds the numeric value of the subscore.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Package" xmi:id="_ZGl-IGJ_EeKl3I3Lt5ZAXg" name="MorseFallScale">
        <eAnnotations xmi:id="_ZGvvIGJ_EeKl3I3Lt5ZAXg" source="uml2.diagrams"/>
        <ownedComment xmi:id="_d3duUGKOEeKl3I3Lt5ZAXg" annotatedElement="_xDSn0GJ_EeKl3I3Lt5ZAXg">
          <body> 0 - 24	No risk&#xD;
25 - 45	Low to moderate risk&#xD;
46 +	High risk</body>
        </ownedComment>
        <packagedElement xmi:type="uml:Class" xmi:id="_xDSn0GJ_EeKl3I3Lt5ZAXg" name="MorseFallScale">
          <ownedComment xmi:id="_hhruoHB2EeKknILXOCcS7w" annotatedElement="_xDSn0GJ_EeKl3I3Lt5ZAXg">
            <body>&quot;The Morse Fall Scale (MFS) is a rapid and simple method of determining a patient’s likelihood of falling.... The MFS consists of six variables that are quick and easy to score, and it has been shown to have predictive validity and interrater reliability. The MFS is used widely in acute care, hospital, rehabilitation and nursing homes.&quot; - LOINC</body>
          </ownedComment>
          <generalization xmi:id="_G8GKUGKEEeKl3I3Lt5ZAXg" general="_sXbMYF6fEeKGzfqSipVsxQ"/>
          <ownedAttribute xmi:id="_3gSgcGJ_EeKl3I3Lt5ZAXg" name="code" visibility="public">
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_4pWW0GMaEeKxBO-lRPipyg" value="cs=Loinc; code=59453-1; text=Morse Fall Scale panel">
              <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            </defaultValue>
          </ownedAttribute>
          <ownedAttribute xmi:id="_3gSgcWJ_EeKl3I3Lt5ZAXg" name="name" visibility="public">
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_5JxmwGJ_EeKl3I3Lt5ZAXg" value="Morse Fall Scale">
              <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            </defaultValue>
          </ownedAttribute>
          <ownedAttribute xmi:id="_JXICUWKEEeKl3I3Lt5ZAXg" name="assessmentInstrumentQuestion" visibility="public" type="_w2fAUHB0EeKknILXOCcS7w" aggregation="composite" association="_JXICUGKEEeKl3I3Lt5ZAXg">
            <ownedComment xmi:id="_unYNAHCLEeKknILXOCcS7w" annotatedElement="_JXICUWKEEeKl3I3Lt5ZAXg">
              <body>This property represents the collection of six questions on the Morse Fall Scale Assessment Instrument.  Note that the questions also include the response to the question.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JXICUmKEEeKl3I3Lt5ZAXg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JXICU2KEEeKl3I3Lt5ZAXg" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="__PW4YGKUEeKl3I3Lt5ZAXg" name="totalScoreConcept" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_F6MYsGKVEeKl3I3Lt5ZAXg" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=Loinc; code=59460-6; text=Morse Fall risk total #"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="__PW4YWKUEeKl3I3Lt5ZAXg" name="totalScoreMeaning" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_MJfzkGKVEeKl3I3Lt5ZAXg" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=Loinc; code=59461-4; text=Morse Fall risk level"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_KrrXQGKAEeKl3I3Lt5ZAXg" name="HistoryOfFalling">
          <ownedComment xmi:id="_utZiAHB2EeKknILXOCcS7w" annotatedElement="_KrrXQGKAEeKl3I3Lt5ZAXg">
            <body>&quot;History of falling: This is scored as 25 if the patient has fallen during the present hospital admission or if there was an immediate history of physiological falls, such as from seizures or an impaired gait prior to admission. If the patient has not fallen, this is scored 0. Note: If a patient falls for the first time, then his or her score immediately increases by 25.&quot; - LOINC</body>
          </ownedComment>
          <generalization xmi:id="_ZYDIQGKEEeKl3I3Lt5ZAXg" general="_w2fAUHB0EeKknILXOCcS7w"/>
          <ownedAttribute xmi:id="_UysDgGKAEeKl3I3Lt5ZAXg" name="assessmentQuestion" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_UysDgWKAEeKl3I3Lt5ZAXg" annotatedElement="_UysDgGKAEeKl3I3Lt5ZAXg">
              <body>This property uniquely identifies the question being asked within the Assessment Instrument.  This is treated as a code because the Name and Version of the Assessment Instrument plus the Question Number serves as an identifier, while the text of the question can be represented as the associated text.  For example, the Addiction Severity Index, 5th Edition question G.4 is the &quot;Date of Admission&quot;.</body>
            </ownedComment>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_XjvO0GKAEeKl3I3Lt5ZAXg" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=Loinc; code=59454-9; text=History of falling"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_UysDgmKAEeKl3I3Lt5ZAXg" name="possibleResponse" visibility="public" type="_smwBwHB6EeKknILXOCcS7w">
            <ownedComment xmi:id="_UysDg2KAEeKl3I3Lt5ZAXg" annotatedElement="_UysDgmKAEeKl3I3Lt5ZAXg">
              <body>This property represents the possible responses to a question on an Assessment Instrument.  For the Morse Fall Scale History Of Falling question, the response must be a member of the HistoryOfFallingType enumeration.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UysDhWKAEeKl3I3Lt5ZAXg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UysDhGKAEeKl3I3Lt5ZAXg" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_uIf1MGKAEeKl3I3Lt5ZAXg" name="SecondaryDiagnosis">
          <ownedComment xmi:id="_DEHUwHB9EeKknILXOCcS7w" annotatedElement="_uIf1MGKAEeKl3I3Lt5ZAXg">
            <body>&quot;Secondary diagnosis: This is scored as 15 if more than one medical diagnosis is listed on the patient’s chart; if not, score 0.&quot; - LOINC</body>
          </ownedComment>
          <generalization xmi:id="_Zz3hkGKEEeKl3I3Lt5ZAXg" general="_w2fAUHB0EeKknILXOCcS7w"/>
          <ownedAttribute xmi:id="_uIf1MWKAEeKl3I3Lt5ZAXg" name="assessmentQuestion" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_uIf1MmKAEeKl3I3Lt5ZAXg" annotatedElement="_uIf1MWKAEeKl3I3Lt5ZAXg">
              <body>This property uniquely identifies the question being asked within the Assessment Instrument.  This is treated as a code because the Name and Version of the Assessment Instrument plus the Question Number serves as an identifier, while the text of the question can be represented as the associated text.  For example, the Addiction Severity Index, 5th Edition question G.4 is the &quot;Date of Admission&quot;.</body>
            </ownedComment>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_uIf1M2KAEeKl3I3Lt5ZAXg" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=Loinc; code=59455-6; text=Secondary diagnosis"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_uIf1NGKAEeKl3I3Lt5ZAXg" name="possibleResponse" visibility="public" type="_Lq2hEHB9EeKknILXOCcS7w">
            <ownedComment xmi:id="_uIf1NWKAEeKl3I3Lt5ZAXg" annotatedElement="_uIf1NGKAEeKl3I3Lt5ZAXg">
              <body>This property represents the possible responses to a question on an Assessment Instrument.  For the Morse Fall Scale Secondary Diagnosis question, the response must be a member of the SecondaryDiagnosisType enumeration.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uIf1N2KAEeKl3I3Lt5ZAXg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uIf1NmKAEeKl3I3Lt5ZAXg" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_3sAEYGKDEeKl3I3Lt5ZAXg" name="AmbulatoryAid">
          <ownedComment xmi:id="_s6t-QHCIEeKknILXOCcS7w" annotatedElement="_3sAEYGKDEeKl3I3Lt5ZAXg">
            <body>&quot;Ambulatory aids: This is scored as 0 if the patient walks without a walking aid (even if assisted by a nurse), uses a wheelchair, or is on a bed rest and does not get out of bed at all. If the patient uses crutches, a cane, or a walker, this item scores 15; if the patient ambulates clutching onto the furniture for support, score this item 30.&quot; - LOINC</body>
          </ownedComment>
          <generalization xmi:id="_aKLv0GKEEeKl3I3Lt5ZAXg" general="_w2fAUHB0EeKknILXOCcS7w"/>
          <ownedAttribute xmi:id="_3sAEYWKDEeKl3I3Lt5ZAXg" name="assessmentQuestion" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_3sAEYmKDEeKl3I3Lt5ZAXg" annotatedElement="_3sAEYWKDEeKl3I3Lt5ZAXg">
              <body>This property uniquely identifies the question being asked within the Assessment Instrument.  This is treated as a code because the Name and Version of the Assessment Instrument plus the Question Number serves as an identifier, while the text of the question can be represented as the associated text.  For example, the Addiction Severity Index, 5th Edition question G.4 is the &quot;Date of Admission&quot;.</body>
            </ownedComment>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_3sAEY2KDEeKl3I3Lt5ZAXg" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=Loinc; code=59456-4; text=Ambulatory aid"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_3sAEZGKDEeKl3I3Lt5ZAXg" name="possibleResponse" visibility="public" type="_-m9zAHCHEeKknILXOCcS7w">
            <ownedComment xmi:id="_3sAEZWKDEeKl3I3Lt5ZAXg" annotatedElement="_3sAEZGKDEeKl3I3Lt5ZAXg">
              <body>This property represents the possible responses to a question on an Assessment Instrument.  For the Morse Fall Scale Ambulatory Aid question, the response must be a member of the AmbulatoryAidType enumeration.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3sAEZ2KDEeKl3I3Lt5ZAXg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3sAEZmKDEeKl3I3Lt5ZAXg" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_JXICUGKEEeKl3I3Lt5ZAXg" name="morseFallScale_assessmentInstrumentQuestion" memberEnd="_JXICUWKEEeKl3I3Lt5ZAXg _JXRMQGKEEeKl3I3Lt5ZAXg">
          <ownedEnd xmi:id="_JXRMQGKEEeKl3I3Lt5ZAXg" name="" visibility="public" type="_xDSn0GJ_EeKl3I3Lt5ZAXg" association="_JXICUGKEEeKl3I3Lt5ZAXg">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JXRMQWKEEeKl3I3Lt5ZAXg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JXRMQmKEEeKl3I3Lt5ZAXg" value="1"/>
          </ownedEnd>
        </packagedElement>
        <packagedElement xmi:type="uml:Usage" xmi:id="_Wy4_sGKLEeKl3I3Lt5ZAXg" client="_KrrXQGKAEeKl3I3Lt5ZAXg" supplier="_smwBwHB6EeKknILXOCcS7w"/>
        <packagedElement xmi:type="uml:Usage" xmi:id="_hB8NoGKLEeKl3I3Lt5ZAXg" client="_uIf1MGKAEeKl3I3Lt5ZAXg" supplier="_Lq2hEHB9EeKknILXOCcS7w"/>
        <packagedElement xmi:type="uml:Usage" xmi:id="_qdW_MGKLEeKl3I3Lt5ZAXg" client="_3sAEYGKDEeKl3I3Lt5ZAXg" supplier="_-m9zAHCHEeKknILXOCcS7w"/>
        <packagedElement xmi:type="uml:Class" xmi:id="_JemCoGKMEeKl3I3Lt5ZAXg" name="IvOrIvAccess">
          <ownedComment xmi:id="_i35D4HCHEeKknILXOCcS7w" annotatedElement="_JemCoGKMEeKl3I3Lt5ZAXg">
            <body>&quot;Intravenous therapy: This is scored as 20 if the patient has an intravenous apparatus or a heparin lock inserted; if not, score 0.&quot; - LOINC</body>
          </ownedComment>
          <generalization xmi:id="_JemCoWKMEeKl3I3Lt5ZAXg" general="_w2fAUHB0EeKknILXOCcS7w"/>
          <ownedAttribute xmi:id="_JemComKMEeKl3I3Lt5ZAXg" name="assessmentQuestion" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_JemCo2KMEeKl3I3Lt5ZAXg" annotatedElement="_JemComKMEeKl3I3Lt5ZAXg">
              <body>This property uniquely identifies the question being asked within the Assessment Instrument.  This is treated as a code because the Name and Version of the Assessment Instrument plus the Question Number serves as an identifier, while the text of the question can be represented as the associated text.  For example, the Addiction Severity Index, 5th Edition question G.4 is the &quot;Date of Admission&quot;.</body>
            </ownedComment>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_JemCpGKMEeKl3I3Lt5ZAXg" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=Loinc; code=59457-2; text=IV or IV access"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_JemCpWKMEeKl3I3Lt5ZAXg" name="possibleResponse" visibility="public" type="_QD2WEHCHEeKknILXOCcS7w">
            <ownedComment xmi:id="_JemCpmKMEeKl3I3Lt5ZAXg" annotatedElement="_JemCpWKMEeKl3I3Lt5ZAXg">
              <body>This property represents the possible responses to a question on an Assessment Instrument.  For the Morse Fall Scale IV or IV Access question, the response must be a member of the IvOrIvAccessType enumeration.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JemCqGKMEeKl3I3Lt5ZAXg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JemCp2KMEeKl3I3Lt5ZAXg" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_QRKioGKMEeKl3I3Lt5ZAXg" name="Gait">
          <ownedComment xmi:id="_DlaNgHCJEeKknILXOCcS7w" annotatedElement="_QRKioGKMEeKl3I3Lt5ZAXg">
            <body>&quot;Gait: A normal gait is characterized by the patient walking with head erect, arms swinging freely at the side, and striding without hesitant. This gait scores 0. With a weak gait (score as 10), the patient is stooped but is able to lift the head while walking without losing balance. Steps are short and the patient may shuffle. With an impaired gait (score 20), the patient may have difficulty rising from the chair, attempting to get up by pushing on the arms of the chair/or by bouncing (i.e., by using several attempts to rise). The patient’s head is down, and he or she watches the ground when walking. Because the patient’s balance is poor, the patient grasps onto the furniture, a support person, or a walking aid for support and cannot walk without this assistance.&quot; - LOINC</body>
          </ownedComment>
          <generalization xmi:id="_QRKioWKMEeKl3I3Lt5ZAXg" general="_w2fAUHB0EeKknILXOCcS7w"/>
          <ownedAttribute xmi:id="_QRKiomKMEeKl3I3Lt5ZAXg" name="assessmentQuestion" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_QRKio2KMEeKl3I3Lt5ZAXg" annotatedElement="_QRKiomKMEeKl3I3Lt5ZAXg">
              <body>This property uniquely identifies the question being asked within the Assessment Instrument.  This is treated as a code because the Name and Version of the Assessment Instrument plus the Question Number serves as an identifier, while the text of the question can be represented as the associated text.  For example, the Addiction Severity Index, 5th Edition question G.4 is the &quot;Date of Admission&quot;.</body>
            </ownedComment>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_QRKipGKMEeKl3I3Lt5ZAXg" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=Loinc; code=59458-0; text=Gait"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_QRKipWKMEeKl3I3Lt5ZAXg" name="possibleResponse" visibility="public" type="_3rTzAHCIEeKknILXOCcS7w">
            <ownedComment xmi:id="_QRKipmKMEeKl3I3Lt5ZAXg" annotatedElement="_QRKipWKMEeKl3I3Lt5ZAXg">
              <body>This property represents the possible responses to a question on an Assessment Instrument.  For the Morse Fall Scale Gait question, the response must be a member of the GaitType enumeration.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QRKiqGKMEeKl3I3Lt5ZAXg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QRKip2KMEeKl3I3Lt5ZAXg" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Usage" xmi:id="_dSlxkGKMEeKl3I3Lt5ZAXg" client="_JemCoGKMEeKl3I3Lt5ZAXg" supplier="_QD2WEHCHEeKknILXOCcS7w"/>
        <packagedElement xmi:type="uml:Usage" xmi:id="_k_Va0GKMEeKl3I3Lt5ZAXg" client="_QRKioGKMEeKl3I3Lt5ZAXg" supplier="_3rTzAHCIEeKknILXOCcS7w"/>
        <packagedElement xmi:type="uml:Class" xmi:id="_5W5w4GKMEeKl3I3Lt5ZAXg" name="MentalStatus">
          <ownedComment xmi:id="_1IkUAHCJEeKknILXOCcS7w" annotatedElement="_5W5w4GKMEeKl3I3Lt5ZAXg">
            <body>&quot;Mental status: When using this Scale, mental status is measured by checking the patient’s own self-assessment of his or her own abilities. Ask the patient, “Are you able to go the bathroom alone or do you need assistance?” If the patient’s reply judging his or her own ability is consistent with the ambulatory nursing order, the patient is rated as “normal” and scored 0. If the patient’s response is not consistent with the nursing orders or if the patient’s response is unrealistic, then the patient is considered to overestimate his or her own abilities and to be forgetful of limitations and scored as 15.&quot; - LOINC</body>
          </ownedComment>
          <generalization xmi:id="_5W5w4WKMEeKl3I3Lt5ZAXg" general="_w2fAUHB0EeKknILXOCcS7w"/>
          <ownedAttribute xmi:id="_5W5w4mKMEeKl3I3Lt5ZAXg" name="assessmentQuestion" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_5W5w42KMEeKl3I3Lt5ZAXg" annotatedElement="_5W5w4mKMEeKl3I3Lt5ZAXg">
              <body>This property uniquely identifies the question being asked within the Assessment Instrument.  This is treated as a code because the Name and Version of the Assessment Instrument plus the Question Number serves as an identifier, while the text of the question can be represented as the associated text.  For example, the Addiction Severity Index, 5th Edition question G.4 is the &quot;Date of Admission&quot;.</body>
            </ownedComment>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_5W5w5GKMEeKl3I3Lt5ZAXg" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=Loinc; code=59459-8; text=Mental status"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5W5w5WKMEeKl3I3Lt5ZAXg" name="possibleResponse" visibility="public" type="_fWFfIHCJEeKknILXOCcS7w">
            <ownedComment xmi:id="_5W5w5mKMEeKl3I3Lt5ZAXg" annotatedElement="_5W5w5WKMEeKl3I3Lt5ZAXg">
              <body>This property represents the possible responses to a question on an Assessment Instrument.  For the Morse Fall Scale Mental Status question, the response must be a member of the MentalStatusType enumeration.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5W5w6GKMEeKl3I3Lt5ZAXg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5W5w52KMEeKl3I3Lt5ZAXg" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Usage" xmi:id="_nvsNIGKNEeKl3I3Lt5ZAXg" client="_5W5w4GKMEeKl3I3Lt5ZAXg" supplier="_fWFfIHCJEeKknILXOCcS7w"/>
        <packagedElement xmi:type="uml:Class" xmi:id="_w2fAUHB0EeKknILXOCcS7w" name="MorseFallScaleQuestion" isAbstract="true">
          <ownedComment xmi:id="_QbBYkHCKEeKknILXOCcS7w" annotatedElement="_w2fAUHB0EeKknILXOCcS7w">
            <body>This class represents a question on the Morse Fall Scale Assessment Instrument.  This abstract class exists primarily to re-define the generic AssessmentInstrument:assessmentInstrumentQuestion property to the MorseFallScale:assessmentInstrumentQuestion.  In other words, of all the possible questions on all the possible assessment instruments, we are explicitly identifying the six Morse Fall Scale questions.  Note that because both this class and its parent AssessmentInstrumentQuestion class are abstract, implementers would likely not instantiate either class, but rather the six concrete sub classes.</body>
          </ownedComment>
          <generalization xmi:id="_-vy5gHB0EeKknILXOCcS7w" general="_420A62FD03B642DFB7AB0068"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_smwBwHB6EeKknILXOCcS7w" name="HistoryOfFallingType">
          <eAnnotations xmi:id="_afS3sHB7EeKknILXOCcS7w" source="http://www.eclipse.org/uml2/2.0.0/UML">
            <details xmi:id="_afS3sXB7EeKknILXOCcS7w" key="enumeration"/>
            <details xmi:id="_afS3snB7EeKknILXOCcS7w" key="LL899-6"/>
          </eAnnotations>
          <ownedComment xmi:id="_K79u4HCKEeKknILXOCcS7w" annotatedElement="_smwBwHB6EeKknILXOCcS7w">
            <body>&quot;History of falling: This is scored as 25 if the patient has fallen during the present hospital admission or if there was an immediate history of physiological falls, such as from seizures or an impaired gait prior to admission. If the patient has not fallen, this is scored 0. Note: If a patient falls for the first time, then his or her score immediately increases by 25.&quot; - LOINC</body>
          </ownedComment>
          <ownedAttribute xmi:id="_uZ4MQHB6EeKknILXOCcS7w" name="No" visibility="public" type="_ZYu5cHUeEeGl_7Z-4li2AA">
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_kvADkHaBEeWta9wYoikasQ" type="_ZYu5cHUeEeGl_7Z-4li2AA" value="seq=1; code=LA32-8; value=0"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_z6Sg0HB6EeKknILXOCcS7w" name="Yes" visibility="public" type="_ZYu5cHUeEeGl_7Z-4li2AA">
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_mu9JIHaBEeWta9wYoikasQ" type="_ZYu5cHUeEeGl_7Z-4li2AA" value="seq=2; code=LA33-6; value=25"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_Lq2hEHB9EeKknILXOCcS7w" name="SecondaryDiagnosisType">
          <eAnnotations xmi:id="_Lq2hEXB9EeKknILXOCcS7w" source="http://www.eclipse.org/uml2/2.0.0/UML">
            <details xmi:id="_mgTxgHCGEeKknILXOCcS7w" key="enumeration"/>
            <details xmi:id="_mgTxgXCGEeKknILXOCcS7w" key="LL900-2"/>
          </eAnnotations>
          <ownedComment xmi:id="_UsHtQHB9EeKknILXOCcS7w" annotatedElement="_Lq2hEHB9EeKknILXOCcS7w">
            <body>&quot;Secondary diagnosis: This is scored as 15 if more than one medical diagnosis is listed on the patient’s chart; if not, score 0.&quot; - LOINC</body>
          </ownedComment>
          <ownedAttribute xmi:id="_Lq2hFHB9EeKknILXOCcS7w" name="No" visibility="public" type="_ZYu5cHUeEeGl_7Z-4li2AA">
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          </ownedAttribute>
          <ownedAttribute xmi:id="_Lq2hFnB9EeKknILXOCcS7w" name="Yes" visibility="public" type="_ZYu5cHUeEeGl_7Z-4li2AA">
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_2c0JIHaBEeWta9wYoikasQ" type="_ZYu5cHUeEeGl_7Z-4li2AA" value="seq=2; code=LA33-6; value=15"/>
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        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_QD2WEHCHEeKknILXOCcS7w" name="IvOrIvAccessType">
          <eAnnotations xmi:id="_QD2WEXCHEeKknILXOCcS7w" source="http://www.eclipse.org/uml2/2.0.0/UML">
            <details xmi:id="_pLLm4HCHEeKknILXOCcS7w" key="enumeration"/>
            <details xmi:id="_pLMN8HCHEeKknILXOCcS7w" key="LL902-8"/>
          </eAnnotations>
          <ownedComment xmi:id="_QD2WFHCHEeKknILXOCcS7w" annotatedElement="_QD2WEHCHEeKknILXOCcS7w">
            <body>&quot;Intravenous therapy: This is scored as 20 if the patient has an intravenous apparatus or a heparin lock inserted; if not, score 0.&quot; - LOINC</body>
          </ownedComment>
          <ownedAttribute xmi:id="_QD2WFXCHEeKknILXOCcS7w" name="No" visibility="public" type="_ZYu5cHUeEeGl_7Z-4li2AA">
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_p0BcoHaBEeWta9wYoikasQ" type="_ZYu5cHUeEeGl_7Z-4li2AA" value="seq=1; code=LA32-8; value=0"/>
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          <ownedAttribute xmi:id="_QD2WF3CHEeKknILXOCcS7w" name="Yes" visibility="public" type="_ZYu5cHUeEeGl_7Z-4li2AA">
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_rw_foHaBEeWta9wYoikasQ" type="_ZYu5cHUeEeGl_7Z-4li2AA" value="seq=2; code=LA33-6; value=20"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_-m9zAHCHEeKknILXOCcS7w" name="AmbulatoryAidType">
          <eAnnotations xmi:id="_-m9zAXCHEeKknILXOCcS7w" source="http://www.eclipse.org/uml2/2.0.0/UML">
            <details xmi:id="_h_jRMHCIEeKknILXOCcS7w" key="enumeration"/>
            <details xmi:id="_h_jRMXCIEeKknILXOCcS7w" key="LL901-0"/>
          </eAnnotations>
          <ownedComment xmi:id="_-m9zBHCHEeKknILXOCcS7w" annotatedElement="_-m9zAHCHEeKknILXOCcS7w">
            <body>&quot;Ambulatory aids: This is scored as 0 if the patient walks without a walking aid (even if assisted by a nurse), uses a wheelchair, or is on a bed rest and does not get out of bed at all. If the patient uses crutches, a cane, or a walker, this item scores 15; if the patient ambulates clutching onto the furniture for support, score this item 30.&quot; - LOINC</body>
          </ownedComment>
          <ownedAttribute xmi:id="_-m9zBXCHEeKknILXOCcS7w" name="Bed rest/nurse assist" visibility="public" type="_ZYu5cHUeEeGl_7Z-4li2AA">
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_Tva9AHaBEeWta9wYoikasQ" type="_ZYu5cHUeEeGl_7Z-4li2AA" value="seq=1; code=LA13030-4; value=0"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_-m9zB3CHEeKknILXOCcS7w" name="Crutches/cane/walker" visibility="public" type="_ZYu5cHUeEeGl_7Z-4li2AA">
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_WLjoQHaBEeWta9wYoikasQ" type="_ZYu5cHUeEeGl_7Z-4li2AA" value="seq=2; code=LA13031-2; value=15"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_UbczAHCIEeKknILXOCcS7w" name="Furniture" visibility="public" type="_ZYu5cHUeEeGl_7Z-4li2AA">
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_Y0YEoHaBEeWta9wYoikasQ" type="_ZYu5cHUeEeGl_7Z-4li2AA" value="seq=3; code=LA13032-0; value=30"/>
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        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_3rTzAHCIEeKknILXOCcS7w" name="GaitType">
          <eAnnotations xmi:id="_3rTzAXCIEeKknILXOCcS7w" source="http://www.eclipse.org/uml2/2.0.0/UML">
            <details xmi:id="_HErJsHCJEeKknILXOCcS7w" key="enumeration"/>
            <details xmi:id="_HErJsXCJEeKknILXOCcS7w" key="LL903-6"/>
          </eAnnotations>
          <ownedComment xmi:id="_3rTzBHCIEeKknILXOCcS7w" annotatedElement="_3rTzAHCIEeKknILXOCcS7w">
            <body>&quot;Gait: A normal gait is characterized by the patient walking with head erect, arms swinging freely at the side, and striding without hesitant. This gait scores 0. With a weak gait (score as 10), the patient is stooped but is able to lift the head while walking without losing balance. Steps are short and the patient may shuffle. With an impaired gait (score 20), the patient may have difficulty rising from the chair, attempting to get up by pushing on the arms of the chair/or by bouncing (i.e., by using several attempts to rise). The patient’s head is down, and he or she watches the ground when walking. Because the patient’s balance is poor, the patient grasps onto the furniture, a support person, or a walking aid for support and cannot walk without this assistance.&quot; - LOINC</body>
          </ownedComment>
          <ownedAttribute xmi:id="_3rTzBXCIEeKknILXOCcS7w" name="Normal/bedrest/immobile" visibility="public" type="_ZYu5cHUeEeGl_7Z-4li2AA">
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_evQHoHaBEeWta9wYoikasQ" type="_ZYu5cHUeEeGl_7Z-4li2AA" value="seq=1; code=LA13033-8; value=0"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_3rTzB3CIEeKknILXOCcS7w" name="Weak" visibility="public" type="_ZYu5cHUeEeGl_7Z-4li2AA">
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_g-ipsHaBEeWta9wYoikasQ" type="_ZYu5cHUeEeGl_7Z-4li2AA" value="seq=2; code=LA13034-6; value=10"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_3rTzCXCIEeKknILXOCcS7w" name="Impaired" visibility="public" type="_ZYu5cHUeEeGl_7Z-4li2AA">
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_cpQrgHaBEeWta9wYoikasQ" type="_ZYu5cHUeEeGl_7Z-4li2AA" value="seq=3; code=LA13035-3; value=20"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_fWFfIHCJEeKknILXOCcS7w" name="MentalStatusType">
          <eAnnotations xmi:id="_fWFfIXCJEeKknILXOCcS7w" source="http://www.eclipse.org/uml2/2.0.0/UML">
            <details xmi:id="_nsnFMHCJEeKknILXOCcS7w" key="enumeration"/>
            <details xmi:id="_nsnsQHCJEeKknILXOCcS7w" key="LL904-4"/>
          </eAnnotations>
          <ownedComment xmi:id="_z5HeUHCJEeKknILXOCcS7w" annotatedElement="_fWFfIHCJEeKknILXOCcS7w">
            <body>&quot;Mental status: When using this Scale, mental status is measured by checking the patient’s own self-assessment of his or her own abilities. Ask the patient, “Are you able to go the bathroom alone or do you need assistance?” If the patient’s reply judging his or her own ability is consistent with the ambulatory nursing order, the patient is rated as “normal” and scored 0. If the patient’s response is not consistent with the nursing orders or if the patient’s response is unrealistic, then the patient is considered to overestimate his or her own abilities and to be forgetful of limitations and scored as 15.&quot; - LOINC</body>
          </ownedComment>
          <ownedAttribute xmi:id="_fWGGMnCJEeKknILXOCcS7w" name="Oriented to own ability" visibility="public" type="_ZYu5cHUeEeGl_7Z-4li2AA">
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_x2s5oHaBEeWta9wYoikasQ" type="_ZYu5cHUeEeGl_7Z-4li2AA" value="seq=1; code=LA13036-1; value=0"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_fWGGNHCJEeKknILXOCcS7w" name="Forgets limitations" visibility="public" type="_ZYu5cHUeEeGl_7Z-4li2AA">
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_vnpoIHaBEeWta9wYoikasQ" type="_ZYu5cHUeEeGl_7Z-4li2AA" value="seq=2; code=LA13037-9; value=15"/>
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        </packagedElement>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_0aK-4GKREeKl3I3Lt5ZAXg" name="assessmentInstrument_assessmentInstrumentQuestion" memberEnd="_0aK-4WKREeKl3I3Lt5ZAXg _0aUI0GKREeKl3I3Lt5ZAXg">
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      <packagedElement xmi:type="uml:Association" xmi:id="_5vmygGKREeKl3I3Lt5ZAXg" name="assessmentInstrument_subScore" memberEnd="_5vmygWKREeKl3I3Lt5ZAXg _5vwjgGKREeKl3I3Lt5ZAXg">
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        <ownedComment xmi:id="_qkCc8HCXEeKknILXOCcS7w" annotatedElement="_DqIjMHCOEeKknILXOCcS7w">
          <body>This class represents a response to an Assessment Instrument question upon the administration of the Assessment Instrument.  It contains a pointer to the question as well as the response itself.  Note that the response might be entered by an interviewer, entered by the interviewee, or populated by a software system (e.g., a system could automatically populate a question such as Date Administered).</body>
        </ownedComment>
        <ownedAttribute xmi:id="_GYHMYHCOEeKknILXOCcS7w" name="assessmentInstrumentQuestion" visibility="public" type="_420A62FD03B642DFB7AB0068" association="_GYCT4HCOEeKknILXOCcS7w">
          <ownedComment xmi:id="_6tWfUHCWEeKknILXOCcS7w" annotatedElement="_GYHMYHCOEeKknILXOCcS7w">
            <body>This property represents the specific question to which the response is associated.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GYIagHCOEeKknILXOCcS7w" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GYJBkHCOEeKknILXOCcS7w" value="1"/>
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        <ownedAttribute xmi:id="_GnWzMHCXEeKknILXOCcS7w" name="response" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
          <ownedComment xmi:id="_GnWzMXCXEeKknILXOCcS7w" annotatedElement="_GnWzMHCXEeKknILXOCcS7w">
            <body>This property represents the possible responses to a question on an Assessment Instrument.  It defines the permissible data type, and if the question is a multiple choice, will define the list of valid responses by using an enumeration.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GnWzM3CXEeKknILXOCcS7w"/>
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        <ownedEnd xmi:id="_HUIIsHCOEeKknILXOCcS7w" name="" visibility="public" type="_420A62FD03B642DFB6BC006E" association="_HUAz8HCOEeKknILXOCcS7w"/>
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    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B64447DEE00169" name="OncologyRegistry">
      <eAnnotations xmi:id="_PkETLOLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_PkqJAOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64468715C013C" name="CancerCase">
        <eAnnotations xmi:id="_PQZJOuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PPzTWOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64468715C013C">
          <body>This class contains the information for the patient that has cancer such as  patient history, examination, and results of laboratory data.       </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6446928B80215" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_PP8dQuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446928B80215">
            <body>A unique identifier for the Act. (HL7 3.0)  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B22990379" name="accessionNumber" visibility="public">
          <ownedComment xmi:id="_PP8dS-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B22990379">
            <body>A unique identifier for the patient consisting of the year in which the patient was first seen at the reporting facility and the consecutive order in which the patient was abstracted.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B22990398" name="accessionYear" visibility="public">
          <ownedComment xmi:id="_PQGOReLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B22990398">
            <body>ACCESSION YEAR is the year the patient was first seen at the reporting institution for diagnosis and/or treatment of this primary; NOT the year the registrar accession the case.  ACCESSION YEAR relates only to one primary tumor.  A patient with multiple primaries can have a different ACCESSION YEAR on each bstract.                                                        This is used to produce an accession register.  The accession register identifies all primaries first treated or seen at the reporting institution for a given year.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B7E0F0232" name="afipSubmission" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PQPYNeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B7E0F0232">
            <body>Indicates whether the pathology was sent to the Armed Forces Institute of Pathology (AFIP) for a second opinion.  Possible values are No; Yes; Unknown;  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B76E300B6" name="associationWithHiv" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PQPYMuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B76E300B6">
            <body>Indicates the presence/absence of HIV.  Possible values are Yes; No; Unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B22990369" name="classCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PP8dSOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B22990369">
            <body>Identifies the category of case, either Analytic or Nonanalytic.  Possible values are NONANALYTIC; 'ANALYTIC; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B2299034A" name="classOfcase" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PP8dReLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B2299034A">
            <body>Classifies cases recorded in the database.  Possible values are  Dx here, 1st tx ew; Dx here, 1st tx here; Dx ew, 1st tx here; Dx ew, 1st tx ew;  Dx/1st tx before ref date; Dx at autopsy; Dx/1st tx in MD office; Pathology report only; Death cert; Unknown;  etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B7F200375" name="dateCaseCompleted" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PQPYOOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B7F200375">
            <body>The date that: (1) the abstractor decided that the case report was complete, and (2) the case passed all edits that were applied.   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64484DCCA0020" name="dateOfCancerConference" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PQZJOOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64484DCCA0020">
            <body>Indicates the date on which the case was first presented at a cancer conference.  The number of cancer conferences, sites presented, types of presentations, and dates can be analyzed and reported for administration, quality control, and Commission on Cancer survey preparation. Update this item if a patient is presented at a subsequent cancer conference.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447E0C250201" name="presetationAtCancerConference" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PQZJNeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447E0C250201">
            <body>Documents case presentation at a cancer conference and the type or format of presentation.  The number of cancer conferences, sites presented, and types of presentation can be analyzed and reported for administrative use, quality control, and survey preperation.  Possible values are Not presented; Prospective (diagnostic); Prospective (treatment); Prospective (follow-up); Prospective (combinations); Prospective, NOS; Retrospective; Follow-up; Presentation, NOS; Unknown;  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B22E6011C" name="reportingSourceType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PQGOSOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B22E6011C">
            <body>This a code used by central registries that identifies the source of documents used to abstract the cancer being reported.   Possible values are Hospital inpatient, hospital outpatient clinic; Laboratory only (hospital or private); Physician office/private practitioner; Nursing/convalescent home, hospice; Autopsy only; Death certificate only; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B22990388" name="sequenceNumber" visibility="public">
          <ownedComment xmi:id="_PQGOQuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B22990388">
            <body>Indicates the sequence of all reportable neoplasms over the lifetime of the patient.   - Codes 00-35 and 99 indicate reportable neoplasms of malignant or in situ behavior, which the CoC requires to be reported.       - Codes 60-88 indicate other neoplasms that the state registry or the hospital cancer committee has defined as reportable (cases reportable-by-agreement).                                                  - Code 00 only if the patient has a single reportable primary.  If the patient develops a subsequent reportable primary tumor, change the code for the first tumor from 00 to 01, and number subsequent tumors sequentially.                                - Code 60 only if the patient has a single primary reportable by agreement only.  If the patient develops a subsequent primary tumor reportable-by-agreement, change the code for the first tumor from 60 to 61, and assign codes to subsequent tumors reportable-by-agreement sequentially.   </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B75D10224" name="summaryStageSeer" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PQGOS-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B75D10224">
            <body>Indicates a site-specific description of the extent of disease at diagnosis.  Possible values are In situ; Localized; Regional by direct extension; Regional to lymph nodes; Regional by extension &amp;amp;amp; to nodes; Regional, NOS; Distant metastasis/systemic disease; Unknown; etc.   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64473179403D7" name="textHistologyTitle" visibility="public">
          <ownedComment xmi:id="_PQZJMuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473179403D7">
            <body>Description of histologic type, behavior, and grade in natural language.(Text)  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64473170201E3" name="textPrimarySiteTitle" visibility="public">
          <ownedComment xmi:id="_PQPYO-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473170201E3">
            <body>Description of primary site in natural language.(Text)  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64472F5A400EF" name="cancerCase" visibility="public" type="_420A62FD03B6447227470082" isUnique="false" association="_420A62FD03B64472F5A20074">
          <ownedComment xmi:id="_PikeVOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64472F5A400EF">
            <body>Cancer related Case</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PikeVuLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PikeV-LiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644698F6A01BE" name="cancerDiagnosis" visibility="public" type="_420A62FD03B644698C39028C" isUnique="false" association="_420A62FD03B644698F690217">
          <ownedComment xmi:id="_Pg7fm-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644698F6A01BE">
            <body>The  act or process of identifying or determining the nature and cause of a disease or injury.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Pg7fneLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Pg7fnuLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644731ABC0176" name="cancerStaging" visibility="public" type="_420A62FD03B6447318580112" isUnique="false" association="_420A62FD03B644731ABB02A1">
          <ownedComment xmi:id="_PikeW-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644731ABC0176">
            <body>Cancer Staging</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PikeXeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PikeXuLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446A108002D4" name="cancerTumor" visibility="public" type="_420A62FD03B6446A0EC602C5" isUnique="false" association="_420A62FD03B6446A107E0191">
          <ownedComment xmi:id="_PhPBluLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446A108002D4">
            <body>Evaluation of an abnormal growth, of tissue.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PhPBmOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PhPBmeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BB8F001DC" name="lymphNode" visibility="public" type="_420A62FD03B6446BA6D20359" isUnique="false" association="_420A62FD03B6446BB8EF02A3">
          <ownedComment xmi:id="_PhrtjeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BB8F001DC">
            <body>Masses of lymphoid tissue </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Phrtj-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PhrtkOLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BB8DF000B" name="metastasis" visibility="public" type="_420A62FD03B6446BA70300C5" isUnique="false" association="_420A62FD03B6446BB8DE0078">
          <ownedComment xmi:id="_PhrthuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BB8DF000B">
            <body>Transmission of pathogenic microorganisms or cancerous cells.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PhrtiOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PhrtieLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BA37F002B" name="palliativeProcedure" visibility="public" type="_420A62FD03B6446BA30E030D" isUnique="false" association="_420A62FD03B6446BA37E00F1">
          <ownedComment xmi:id="_Phh8jeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BA37F002B">
            <body>The relieving or soothing the symptoms of the patient's disease or disorder.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Phh8j-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Phh8kOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644733B1102C2" name="radiationtreatmentFollowup" visibility="public" type="_420A62FD03B6447326E000F3" isUnique="false" association="_420A62FD03B644733B0A01DC">
          <ownedComment xmi:id="_PikeYuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644733B1102C2">
            <body>Radiation Treatment ralated followup</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PiuPUeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PiuPUuLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644692C670026" name="reportingHospital" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B644692C650381">
          <ownedComment xmi:id="_PgyVqOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644692C670026">
            <body>Identifies the hospital which is reporting this cancer case.  This field contains the value of the INSTITUTION ID NUMBER field from the ONCOLOGY SITE PARAMETERS file.  Possible values are 6020009     ROYAL VICTORIA HOSPITAL; 6020012     ST MARY'S HOSPITAL;   6020015     MONTREAL GENERAL HOSPITAL ;  6030010     KWAJALEIN; 6040005     AGUADILLA GENERAL HOSPITAL; etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PgyVquLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PgyVq-LiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BD2A900AE" name="tumorStatus" visibility="public" type="_420A62FD03B6446BD245003C" isUnique="false" association="_420A62FD03B6446BD2A8019D">
          <ownedComment xmi:id="_Ph03cuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BD2A900AE">
            <body>Cancer Tumor Status.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ph03dOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ph03deLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644734694036A" name="subsequentTherapyComment" visibility="public" type="_420A62FD03B64473444A0050" isUnique="false" association="_420A62FD03B64473468B00AA">
          <ownedComment xmi:id="_PiuPVuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644734694036A">
            <body>Subsequent Therapy related comments</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PiuPWOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PiuPWeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64473855E0359" name="dxWorkup" visibility="public" type="_420A62FD03B6447359D60341" isUnique="false" association="_420A62FD03B64473855A02C8">
          <ownedComment xmi:id="_PiuPZOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473855E0359">
            <body>Follow-up after diagnosis of cancer.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Pi4AUeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Pi4AUuLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644749F1800B9" name="abstract" visibility="public" type="_420A62FD03B644749E7D0251" isUnique="false" association="_420A62FD03B644749F1602C9">
          <ownedComment xmi:id="_PjUFROLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644749F1800B9">
            <body>Summary of pertinent information about the patient</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Pjd2MeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Pjd2MuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64474D7EB0189" name="previousCancerHistory" visibility="public" type="_420A62FD03B64474D7300176" isUnique="false" association="_420A62FD03B64474D7E602C2">
          <ownedComment xmi:id="_PjnnMuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474D7EB0189">
            <body>prior history of any reportable malignancy.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PjnnNOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PjnnNeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447723F10221" name="nonRadiationTreatmentFollowup" visibility="public" type="_420A62FD03B6447700440214" isUnique="false" association="_420A62FD03B6447723E4009C">
          <ownedComment xmi:id="_PjwxLeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447723F10221">
            <body>Non Radiation Treatment ralated followup</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PjwxL-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PjwxMOLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447DD121009E" name="treatmentAssessment" visibility="public" type="_420A62FD03B6447DCE0B008E" isUnique="false" association="_420A62FD03B6447DD11F02C2">
          <ownedComment xmi:id="_Pj6iLeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447DD121009E">
            <body>Patient's pre treatment assessment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Pj6iL-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Pj6iMOLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64480974702CE" name="protocol" visibility="public" type="_420A62FD03B6448096E70320" isUnique="false" association="_420A62FD03B64480973C02BF">
          <ownedComment xmi:id="_PkETIOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64480974702CE">
            <body>Cancer Treatment Protocol.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PkETIuLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PkETI-LiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rvgjIFZ3EeGRR5REOzmNMg" name="dataEnterer" visibility="public" type="_HxX44Aq7Ed-426xscrxYmQ" association="_rvZ1cFZ3EeGRR5REOzmNMg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rvjmcFZ3EeGRR5REOzmNMg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rvkNgFZ3EeGRR5REOzmNMg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_trUKgG7LEeGMPulV_nCvVA" name="followingPhysician" visibility="public" type="_E0a_kAq7Ed-426xscrxYmQ" association="_trLnoG7LEeGMPulV_nCvVA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_trXN0G7LEeGMPulV_nCvVA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_trXN0W7LEeGMPulV_nCvVA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Qap3YG7MEeGMPulV_nCvVA" name="primarySurgeon" visibility="public" type="_7NSfgH_lEd-Ure_vzgD_TA" association="_Qall8G7MEeGMPulV_nCvVA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QarskG7MEeGMPulV_nCvVA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QasToG7MEeGMPulV_nCvVA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bvNC4G7OEeGMPulV_nCvVA" name="cancerTreatmentList" visibility="public" type="_n8bDIG7NEeGMPulV_nCvVA" association="_bvIxcG7OEeGMPulV_nCvVA">
          <ownedComment xmi:id="_epMHwG7OEeGMPulV_nCvVA" annotatedElement="_bvNC4G7OEeGMPulV_nCvVA">
            <body>The act or process of identifying a single course of treatment regimen, for the patient's cancer.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bvORAG7OEeGMPulV_nCvVA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bvO4EG7OEeGMPulV_nCvVA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HrLpAG7QEeGMPulV_nCvVA" name="recurrenceList" visibility="public" type="__L36YG7PEeGMPulV_nCvVA" association="_HrHXkG7QEeGMPulV_nCvVA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HrM3IG7QEeGMPulV_nCvVA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HrNeMG7QEeGMPulV_nCvVA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446880FB001A" name="RadiationTherapy">
        <eAnnotations xmi:id="_PQi6NuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PQi6MOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446880FB001A">
          <body>The treatment of cancer with radiation, especially by selective irradiation with x-rays or other ionizing radiation and by ingestion of radioisotopes.  [Source &amp;amp;lt;http://dictionary.reference.com/search?q=00-database-info&amp;amp;amp;db=ahsmd&amp;amp;gt;: The American Heritage  Stedman's Medical Dictionary ] </body>
        </ownedComment>
        <generalization xmi:id="_420A62FD03B6446B954402F3" general="_420A62FD03B6446B92AF0126"/>
        <ownedAttribute xmi:id="_420A62FD03B6446921FC00AE" name="radiation" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PQi6NOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446921FC00AE">
            <body>Indicates the type of radiation administered to the primary site or any metastatic site. Include all procedures that are part of the first course of treatment, whether delivered at the reporting institution or at other institutions. Possible values are None; Beam radiation; Radioactive implants; Radioisotopes; Beam rad w implants/radioisotopes; Radiation therapy, NOS; Refused radiation therapy; Recommended, unk if given; Unk if administered; etc. </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446883D101C3" name="Chemotherapy">
        <eAnnotations xmi:id="_PQsEIeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PQi6OeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446883D101C3">
          <body>The treatment of cancer using specific chemical agents or drugs that are selectively destructive to malignant cells and tissues.  [Source &amp;amp;lt;http://dictionary.reference.com/search?q=00-database-info&amp;amp;amp;db=ahsmd&amp;amp;gt;: The American Heritage  Stedman's Medical Dictionary]  </body>
        </ownedComment>
        <generalization xmi:id="_420A62FD03B6446B957F0230" general="_420A62FD03B6446B92AF0126"/>
        <ownedAttribute xmi:id="_420A62FD03B6446998CF0357" name="chemotherapy" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PQi6PeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446998CF0357">
            <body>Indicates the type of chemotherapy administered  as first course of treatment or subsequent treatment at this and at all other facilities.  If chemotherapy was not administered, then this item records the reason it was not administered to the patient. Chemotherapy consists of a group of anticancer drugs that inhibit the reproduction of cancer cells by interfering with DNA synthesis and mitosis.  Possible values are None; Chemotherapy, NOS; Single agent; Multiagent; Not admin/contraindicated; Pt died prior to tx; Not admin, no reason given; Refused by pt; Unknown if admin; Unknown, death cert; etc.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B644691F1E0397" name="HormoneTherapy">
        <eAnnotations xmi:id="_PQsEKuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PQsEJOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644691F1E0397">
          <body>The therapeutic use of hormones &amp;amp;lt;treated for cancer of the prostate by hormonotherapy -Journal of the American Medical Association.  [Source &amp;amp;lt;http://dictionary.reference.com/medical/aboutmwmed.html&amp;amp;gt;: Merriam-Webster's Medical Dictionary]    </body>
        </ownedComment>
        <generalization xmi:id="_420A62FD03B6446B958E0001" general="_420A62FD03B6446B92AF0126"/>
        <ownedAttribute xmi:id="_420A62FD03B644699A4D020C" name="hormoneTherapy" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PQsEKOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644699A4D020C">
            <body>Indicates the type of hormone therapy administered as first course of treatment or subsequent treatment at this and all other facilities.  If hormone therapy was not administered, then this item records the reason it was not administered to the patient.  Hormone therapy consists of a group of drugs that may affect the long-term control of a cancer's growth.  It is not usually used as a curative measure. Possible values are None; Hormone therapy; Not admin/contraindicated; Pt died prior to tx; Not admin, no reason given; Refused by pt; Unknown if admin; Unknown, death cert; etc.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446920A8039E" name="Immunotherapy">
        <eAnnotations xmi:id="_PQ11KuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PQ11JOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446920A8039E">
          <body>The treatment of or prophylaxis against disease by attempting to produce active or passive immunity called also immune therap.  [Source &amp;amp;lt;http://dictionary.reference.com/medical/aboutmwmed.html&amp;amp;gt;: Merriam-Webster's Medical Dictionary,   2002 Merriam-Webster, Inc.]       </body>
        </ownedComment>
        <generalization xmi:id="_420A62FD03B6446B953F01D4" general="_420A62FD03B6446B92AF0126"/>
        <ownedAttribute xmi:id="_420A62FD03B644699B0A02F4" name="immunotherapy" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PQ11KOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644699B0A02F4">
            <body>Indicate the type of immunotherapy administered as first course of treatment or subsequent treatment at this and all other facilities.  If immunotherapy was not administered, then this item records the reason it was not administered to the patient. Immunotherapy consists of biological or chemical agents that alter the immune system or change the host's response to the tumor cells.  Possible values are None; Immunotherapy; Not admin/contraindicated; Pt died prior to tx; Not admin, no reason given; Refused by pt; Unknown if admin; Unknown, death cert; etc</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B644698C39028C" name="CancerDiagnosisEvent">
        <eAnnotations xmi:id="_PRIwFOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PQ11LeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644698C39028C">
          <body> This class contains the information from the  act or process of identifying or determining the nature and cause of a disease or injury through evaluation of patient history, examination, and review of laboratory data, of various malignant neoplasms characterized by the proliferation of anaplastic cells that tend to invade surrounding tissue and metastasize to new body sites.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64469943201AA" name="dateOfDiagnosis" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PQ_mJeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64469943201AA">
            <body>Indicates the date of initial diagnosis by a physician for the tumor being reported.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64474CDBE0101" name="dateOfFirstContact" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PRIwEuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474CDBE0101">
            <body>Date of first contact with the reporting facility for diagnosis and/or treatment of this cancer.  If this is an autopsy-only or death certificate-only case, then the date of death.    </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64469B1EE03E0" name="diagnosticConfirmation" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PQ_mKOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64469B1EE03E0">
            <body>Diagnostic Confirmation specifies the best method of diagnostic confirmation of the cancer being reported at any time in the patient history.  Possible values are Positive Histology; Positive Cytology; Positive Microscopic, method NOS;  Positive lab test;  Direct visualization; Radiography/other imaging techniques; Clinical diagnosis only (other than 5, 6, or 7); Unknown if microscopically confirmed; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B697A004B" name="primarySite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PQ_mK-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B697A004B">
            <body>Identifies the Primary Site                       [The ICD-O topography code for the site of origin.]                                          Possible values are ICDO-3 TOPGRAPHY CODES   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644698F450175" name="siteGroup" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PQ_mIuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644698F450175">
            <body>IThis is theSite/Group that best defines the neoplasm.  Possible values are Va generated list of anatomic sites  in VHIM definition.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446994660227" name="dxFacility" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B6446994650208">
          <ownedComment xmi:id="_PhFQluLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446994660227">
            <body>Identifies the name of the facility where diagnosis was first made.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PhFQmOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PhFQmeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446994BA0105" name="facilityReferredFrom" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B6446994B90000">
          <ownedComment xmi:id="_PhFQneLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446994BA0105">
            <body>Identifies the facility that referred the patient to the reporting facility.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PhFQn-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PhFQoOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446994C002F9" name="facilityReferredTo" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B6446994C00014">
          <ownedComment xmi:id="_PhFQpOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446994C002F9">
            <body>Identifies the facility to which the patient was referred for further care after discharge from the reporting facility.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PhPBkeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PhPBkuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B8731028E" name="histology" visibility="public" type="_420A62FD03B6446B870E00AD" isUnique="false" association="_420A62FD03B6446B873002FB">
          <ownedComment xmi:id="_PhYLkOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B8731028E">
            <body>The microscopic study of the patient s cells and tissues.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Phh8geLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Phh8guLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64469DD890107" name="OtherTreatment">
        <eAnnotations xmi:id="_PRIwHeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PRIwF-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64469DD890107">
          <body>Other treatment that cannot be defined as surgery, radiation, or systemic therapy.</body>
        </ownedComment>
        <generalization xmi:id="_420A62FD03B6446B95850166" general="_420A62FD03B6446B92AF0126"/>
        <ownedAttribute xmi:id="_420A62FD03B64469DF0F00CC" name="otherTreatment" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PRIwG-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64469DF0F00CC">
            <body>Identifies other treatment that cannot be defined as surgery, radiation, or systemic therapy according to the defined data elements in the FORDS manual.  Possible values are None; Other; 'Other - Experimental; Other - Double Blind; Other - Unproven; Refusal; Recommended, unknown if administered; Unkown;  etc.    </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446A0EC602C5" name="TumorEvaluation">
        <eAnnotations xmi:id="_PRvNAeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PRShEeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446A0EC602C5">
          <body> The evaluation of the patient's abnormal growth, of tissue resulting from uncontrolled, progressive multiplication of cells and serving no physiological function; a neoplasm</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6446B8B9600FB" name="clinicalT" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PRlcAuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B8B9600FB">
            <body>Evaluates the primary tumor and reflects tumor size and/or extension as recorded by the physician.  Possible values are Not recorded by the physician; TX; T0; Ta; Tis; Tispu; T1; T4a; Not applicable; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446A105D0035" name="csTumorSize" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_PRbrCOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446A105D0035">
            <body>Describes the largest dimension or diameter of the primary tumor, and is always recorded in millimeters.  To convert centimeters to millimeters, multiply the dimension by 10.  If tumor size is given in tenths of millimeters, round down if between .1 and .5 mm, and round up if between .6 and .9 mm.  Answer must be 3 numerics.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BA49101D3" name="gradeDifferentiation" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PRShFOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BA49101D3">
            <body>Describes the tumor's resemblance to normal tissue.  Well differentiated (Grade I) is the most like normal tissue, and undifferentiated (Grade IV) is the least like normal tissue. Possible values are Grade I - Well differentiated, NOS; Grade II - Moderately, moderately well, intermediate; Grade III - Poorly differentiated; Grade IV  -  Undifferentiated/anaplastic; T-cell - Lymphomas and leukemias, T-cell; B-cell - Lymphomas and leukemias, B-cell, Pre-B; Null cell -  Leukemias only, Null cell, Non T-non B; Natural killer cell - Lymphomas and leukemias;  Unknown - Not determined, stated or applicable etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446A11FA01DD" name="laterality" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PRbrBeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446A11FA01DD">
            <body>Identifies the side of a paired organ or the side of the body on which the reportable tumor originated, applies to the primary site only. Possible values are Not a paired site; Right; Left; One side involved, right/left not specified; Bilateral involvement, side of origin unknown; Paired site, lateral origin unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B8CD803C5" name="otherT" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PRlcCOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B8CD803C5">
            <body>Indicates the code that evaluates the primary tumor and identifies the tumor size and/or extension.  Possible values are TX, T0, Ta, Tis, T1, T1A, T2B, T3C, T4D, Not Applicable; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B8C6302EB" name="pathologicT" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PRlcBeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B8C6302EB">
            <body>Indicates the appropriate code that evaluates the primary tumor (T) and reflects the tumor size and/or extension as recorded by the physician.  Possible Values are Not recorded by the physician; TX, T0; Ta, Tis; Tispu; Tispd; T1mic; T1; T1a; T1a1; T1a2; T1b; T1b1; T1b2; Not applicable etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644734EC90285" name="serumTumorMarkers" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PRlcC-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644734EC90285">
            <body>&quot;Serum Tumor Markers (S): SX  Marker studies not available or not performed S0  Marker study levels within normal limits* S1  LDH &amp;amp;lt; 1.5 X N   AND hCG (mIU/ml) &amp;amp;lt; 5000 AND AFP (ng/ml) &amp;amp;lt; 1000 S2  LDH 1.5-10 X N  OR  hCG (mIu/ml) 5000-50,000 OR AFP (ng/ml) 1000-10,000 S3  LDH &amp;amp;gt; 10 X N OR hCG (mIu/ml) &amp;amp;gt; 50,000 OR AFP (ng/ml) &amp;amp;gt; 10,000 N indicates the upper limit of normal for the LDH assay.  Possible values are Not available; Normal; LDH &amp;amp;lt; 1.5XN, hCG &amp;amp;lt; 5000 mIU/ml, AFP &amp;amp;lt; 1000 ng/ml; LDH 1.5-10XN or hCG 5000-50,000 mIu/ml or AFP 1000-10,000 ng/ml;  LDH &amp;amp;gt; 10XN or hCG &amp;amp;gt; 50,000 mIu/ml or A FP &amp;amp;gt; 10,000 ng/ml; etc.&quot;  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B8ABE01A5" name="tumorMarker1" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PRShF-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B8ABE01A5">
            <body>Indicates prognostic indicators.  Possible values are None done; Positive/elevated; Negative/normal; Borderline; Range 1; Range 2; Range 3;  Ordered, results not in chart; Unknown or no information; etc.   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B8ABE01D7" name="tumorMarker2" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PRShGuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B8ABE01D7">
            <body>Indicates prognostic indicators.  Possible values are None done; Positive/elevated; Negative/normal; Borderline; Range 1; Range 2; Range 3;  Ordered, results not in chart; Unknown or no information; etc.     </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B8ABE01FF" name="tumorMarker3" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PRbrAuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B8ABE01FF">
            <body>Record LDH prognostic indicators for testicular cancer.  Possible values are None done; Positive/elevated; Negative/normal; Borderline; Range 1; Range 2; Range 3;  Ordered, results not in chart; Unknown or no information; etc.   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446A0FC80059" name="tumorSize" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_PRbrC-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446A0FC80059">
            <body>Describes the largest dimension of the diameter of the primary tumor in millimeters (mm).  Code the exact size of the primary tumor in millimeters (mm).    </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446A18CC00D0" name="csExtension" visibility="public" type="_420A62FD03B6446A187E013C" isUnique="false" association="_420A62FD03B6446A18CB004C">
          <ownedComment xmi:id="_PhYLieLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446A18CC00D0">
            <body>contiguous growth (extension) of the primary tumor</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PhYLi-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PhYLjOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446A17B102BD" name="extension" visibility="public" type="_420A62FD03B6446A16BB00A7" isUnique="false" association="_420A62FD03B6446A17B00154">
          <ownedComment xmi:id="_PhYLguLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446A17B102BD">
            <body>The method used in determining the size and dimensions of the tumor.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PhYLhOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PhYLheLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446A17A40265" name="pathologicExtension" visibility="public" type="_420A62FD03B6446A170E033B" isUnique="false" association="_420A62FD03B6446A17A301FF">
          <ownedComment xmi:id="_PhPBneLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446A17A40265">
            <body>extension caused by or altered by or manifesting disease or pathology.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PhPBn-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PhPBoOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446A16BB00A7" name="ExtensionEvaluation">
        <eAnnotations xmi:id="_PRvNCeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PRvNBOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446A16BB00A7">
          <body>Evaluates the method used in determining the size and dimensions of the tumor</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6446A16F001F8" name="extension" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PRvNB-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446A16F001F8">
            <body>Indicates the Seer Extent of Disease coding schema.  Possible values are IN SITU;Tumor confined to lacrimal gland/duct; Invading periosteum of ; fossa of lacrimal gland/duct; Extension to any of the following without bone invasion:Orbital soft tissues, Optic nerve, Globe (eyeball); Adjacent bone; FURTHER contiguous extension; Metastasis; UNKNOWN if extension or metastasis; etc.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446A170E033B" name="PathologicExtensionEvaluation">
        <eAnnotations xmi:id="_PR4W8eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PRvNDOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446A170E033B">
          <body>This is the extension caused by or altered by or manifesting disease or pathology; &quot;diseased tonsils&quot;; &quot;a morbid growth&quot;; &quot;pathologic tissue&quot;; &quot;pathological bodily processes&quot; Source: The American Heritage  Stedman's Medical Dictionary  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6446A17280144" name="pathologicExtension" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PRvND-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446A17280144">
            <body>Indicates the farthest documented pathologic extension of tumor from the prostate, either by contiguous extension or distant metastasis.  Possible Values are 00 IN SITU: Noninvasive; intraepithelial; Involvement of one lobe, NOS (B) (pT2a);  More than one lobe involved (B) (pT2b); Localized, NOS; confined to prostate, NOS; Intracapsular involvement only; Stage B, NOS, (pT2, | NOS); Into prostatic apex/arising in prostatic apex, NOS; Arising in prostatic apex; Extending into prostatic apex; Invasion into (but not beyond) prostatic capsule (C1); No extracapsular ; extension but margins involved; Extension to periprostatic tissue (C1):; Extracapsular extension (beyond prostatic capsule),  NOS, Through capsule, NOS;  Unilateral extracapsular extension (pT3a);  Bilateral extracapsular extension (pT3a); Extension to seminal vesicle(s) (C2) (pT3b); Extracapsular extension and margins involved; etc.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446A187E013C" name="CsExtensionEvaluation">
        <eAnnotations xmi:id="_PR4W-eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PR4W9OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446A187E013C">
          <body>Identifies contiguous growth (extension) of the primary tumor within the organ of origin or its direct extension into neighboring organs.  Possible values are Not applicable; Further contiguous extension; No evidence of primary tumor; Unknown extension; primary tumor cannot be assessed; not stated in patient record; etc.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6446A18AB0385" name="csExtension" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PR4W9-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446A18AB0385">
            <body>Identifies contiguous growth (extension) of the primary tumor within the organ of origin or its direct extension into neighboring organs.  Possible values are Not applicable; Further contiguous extension; No evidence of primary tumor; Unknown extension; primary tumor cannot be assessed; not stated in patient record; etc.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446B870E00AD" name="Histology">
        <eAnnotations xmi:id="_PSVC5-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PR4W_OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B870E00AD">
          <body>This class contains information from the microscopic study of the patient's cells and tissues.      </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6446B87B100E4" name="histologyIcdO3" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PSCH8uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B87B100E4">
            <body>&quot;Identifies the microscopic anatomy of cells for primaries diagnosed in 2001 or later.  This field also contains the BEHAVIOR CODE which records the behavior of the tumor being reported.  The fifth digit of the morphology code is the behavior code.  Possible values are  CYST, EMBRYONIC; CYST, NEUROGLIAL-LINED; CYST, EPITHELIAL INCLUSION; CYST, COLLOID; SUSPICIOUS FOR MALIGNANT CELLS; HAMARTOMA; NEOPLASM, BENIGN; NEOPLASM, UNCERTAIN BENIGN OR MALIGNANT; NEOPLASM, IN SITU; NEOPLASM, MALIGNANT; TUMOR CELLS, BENIGN; TUMOR CELLS, UNCERTAIN BENIGN OR MALIGNANT; TUMOR CELLS IN SITU; TUMOR CELLS, MALIGNANT; IN SITU TUMOR, SMALL CELL TYPE; MALIGNANT TUMOR, SMALL CELL TYPE; IN SITU TUMOR, GIANT CELL TYPE; etc. &quot;  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B88510300" name="siteSpecificFactorOne" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PSCH9eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B88510300">
            <body>&quot;Identifies additional information needed to generate stage, or prognostic factors that have an effect on stage or survival.  Answer must be 3 numerics, no decimal places.  Possible values are  None; Unknown; [site-specific title] cannot be assessed; Not documented in patient record; Not applicable for this site; Codes for different sitespecific schemas e.g. For Head and neck - Size of Lymph Nodes; For Liver - Alpha Fetoprotein (AFP); For Breast - Estrogen Receptor Assay (ERA); etc.&quot;  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B887701D9" name="siteSpecificFactorTwo" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PSCH-OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B887701D9">
            <body>&quot;Identifies additional information needed to generate stage, or prognostic factors that have an effect on stage or survival.  Answer must be 3 numerics, no decimal places.  Possible values are  None; Unknown; [site-specific title] cannot be assessed; Not documented in patient record; Not applicable for this site; Codes for different sitespecific schemas e.g. For Head and neck - Extracapsular Extension, Lymph Nodes for Head and Neck; For Liver - Fibrosis Score; For Breast - Progesterone Receptor Assay (PRA); etc.&quot;  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B888F0350" name="siteSpecificFactorThree" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PSCH--LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B888F0350">
            <body>&quot;Identifies additional information needed to generate stage, or prognostic factors that have an effect on stage or survival.  Answer must be 3 numerics, no decimal places.  Possible values are  None; Unknown; [site-specific title] cannot be assessed; Not documented in patient record; Not applicable for this site; Codes for different sitespecific schemas e.g. For Head and neck - Levels I-III, Lymph Nodes of Head and Neck; For Breast - Number of Positive Ipsilateral Axillary Lymph Nodes; etc.&quot;  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B88A90022" name="siteSpecificFactorFour" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PSL48uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B88A90022">
            <body>&quot;Identifies additional information needed to generate stage, or prognostic factors that have an effect on stage or survival.  Answer must be 3 numerics, no decimal places.  Possible values are  None; Unknown; [site-specific title] cannot be assessed; Not documented in patient record; Not applicable for this site; Codes for different sitespecific schemas e.g. For Head and neck - Levels IV-V, Lymph Nodes of Head and Neck; For Breast - Immunohistochemistry (IHC) of Regional Lymph Nodes; etc.&quot;  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B88BD03BA" name="siteSpecificFactorFive" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PSVC4uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B88BD03BA">
            <body>&quot;Identifies additional information needed to generate stage, or prognostic factors that have an effect on stage or survival.  Answer must be 3 numerics, no decimal places. Possible values are  None; Unknown; [site-specific title] cannot be assessed; Not documented in patient record; Not applicable for this site; Codes for different sitespecific schemas e.g. For Head and neck - Levels VI-VIII, Lymph Nodes of Head and Neck; For Breast - Molecular Studies of Regional Lymph Nodes; etc.&quot;  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B88D10337" name="siteSpecificFactorSix" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PSVC5eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B88D10337">
            <body>&quot;Identifies additional information needed to generate stage, or prognostic factors that have an effect on stage or survival.  Answer must be 3 numerics, no decimal places.  Possible values are  None; Unknown; [site-specific title] cannot be assessed; Not documented in patient record; Not applicable for this site; Codes for different sitespecific schemas e.g. For Head and neck - Parapharyngeal, Parotid, Preauricular, and Sub-Occipital Lymph Nodes, Lymph Nodes for Head and Neck; For Breast - Size of Tumor--Invasive Component; etc.&quot;  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446B92AF0126" name="CancerTreatment">
        <eAnnotations xmi:id="_PSez5OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PSVC6uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B92AF0126">
          <body>This class contains the information for the patient s administration or application of remedies to a patient or for a disease or injury; medicinal or surgical management; therapy  1st occurence of each treatment type is the 1st course of treatment.  following occurences are subsequent treatments for that treatment type.    </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6446B93B3009E" name="treatmentDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PSez4uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B93B3009E">
            <body>Indicates the date on which this treatment was initiated.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446B9D960025" name="treatmentHospital" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B6446B9D9302FC">
          <ownedComment xmi:id="_Phh8huLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B9D960025">
            <body>Indicates the name of the institution providing treatment.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Phh8iOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Phh8ieLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446B9E1F02C1" name="CancerSurgery">
        <eAnnotations xmi:id="_PSxu0eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PSez5-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446B9E1F02C1">
          <body>Surgical operation or procedure, especially one involving the removal or replacement of a diseased organ or tissue related to cancer  </body>
        </ownedComment>
        <generalization xmi:id="_420A62FD03B6446BC1E00308" general="_420A62FD03B6446B92AF0126"/>
        <ownedAttribute xmi:id="_420A62FD03B6446DD095013D" name="numberOfNodesRemoved" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PSn92OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446DD095013D">
            <body>Indicates the number of regional lymph nodes removed.  Possible values are 00-99; 00 for No nodes removed 01 for 1 node removed 02 for 2 nodes removed ...90 for 90 or more nodes removed 95 for No nodes removed, aspiration performed 96 for Node removal as a sampling, number unknown 97 for Node removal as dissection, number unknown 98 for Nodes surgically removed, number unknown 99 for Unknown; not stated; death certificate only.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446DBBAE03AF" name="scopeOfLymphNodeSurgery" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PSn90uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446DBBAE03AF">
            <body>Indentifies the removal, biopsy, or aspiration of regional lymph node(s) at the time of surgery of the primary site or during a separate surgical event.  Possible values are None; Bx/aspiration, NOS; Sentinel Bx; Nodes removed, number unk; 1-3 nodes removed; 4 or more nodes removed; sentinel + 3, 4 or 5, timing not stated; Sentinel + 3, 4, or 5, diff times; Unknown/NA; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BC1B402F1" name="surgeryOfPrimary" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PSez6-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BC1B402F1">
            <body>Indicates the surgical procedure(s) performed to the primary site.     Possible values are None; no surgery of primary site; autopsy ONLY; Local tumor destruction, NOS; Local tumor excision, NOS; etc.            </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BC2BE033A" name="surgicalMargins" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PSez7uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BC2BE033A">
            <body>Records the final status of the surgical margins after resection of the primary tumor.  Possible values are No residual tumor; Residual tumor, NOS; Microscopic residual tumor; Macroscopic residual tumor; Margins not evaluable; No primary site surgery; Unknown or NA; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446DC61B0078" name="surgicalProcedureOtherSite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PSn91eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446DC61B0078">
            <body>Identifies the code for surgery of other regional site(s), distant site(s) or distant lymph node(s).  Possible values are None; Nonprimary surg proc performed; Nonprimary surg proc/other regional sites; Nonprimary surg proc/distant lymph node(s); Nonprimary surg proc/distant site; Combination of codes; Unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446BA30E030D" name="PalliativeProcedure">
        <eAnnotations xmi:id="_PSxu2eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PSxu1OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BA30E030D">
          <body>The relieving or soothing the symptoms of the patient's disease or disorder without effecting a cure. Source: Merriam-Webster's Medical Dictionary,   2002 Merriam-Webster, Inc.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6446BA336031F" name="palliativeProcedure" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PSxu1-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BA336031F">
            <body> Identifies any procedure performed in an effort to palliate or alleviate symptoms. Palliative procedures are performed to relieve symptoms.  Possible Values are No palliative care; Surgery; Radiation; Chemotherapy/hormone therapy/systemic drugs; Pain management;  1, 2, and/or 3 w/o 4;  1, 2, and/or 3 with 4; Palliative care, type unknown; Unknown, not stated; etc.                                  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BA3B401DF" name="palliativeProcAtFacility" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B6446BA3AD0384">
          <ownedComment xmi:id="_Phh8lOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BA3B401DF">
            <body>Indicates the name of the institution providing treatment.                        </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PhrtgeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PhrtguLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446BA6D20359" name="LymphNodeEvaluation">
        <eAnnotations xmi:id="_PTEpx-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PSxu3OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BA6D20359">
          <body>LymphNodeEvaluation Evaluation of the patient's masses of lymphoid tissue that are surrounded by a capsule of connective tissue, are distributed along the lymphatic vessels, and contain numerous lymphocytes which filter the flow of lymph passing through the node called also lymph gland  Source: Merriam-Webster's Medical Dictionary,   2002 Merriam-Webster, Inc.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6446BBE410297" name="lymphNodesSeer" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PSxu3-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BBE410297">
            <body>&quot;Identifies SEER lymph node involvement. Possible values are number between 0 and 9 - No lymph node involvement; One positive ipsilateral node &amp;amp;lt;3 cm in greatest diameter; One positive ipsilateral node 3 and &amp;amp;lt;6 cm in greatest diameter; Multiple positive ipsilateral nodes &amp;amp;lt;6 cm; Ipsilateral, node size not stated; Bilateral and/or contralateral; positive nodes &amp;amp;lt;6 cm or size not stated;  Any positive node(s), at least one &amp;amp;gt;6 cm; Other than above; Lymph Nodes, NOS; UNKNOWN; not stated;  etc.&quot;  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BBE760009" name="csRegionalLymphNodes" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PS7f0uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BBE760009">
            <body>&quot;Identifies the regional lymph nodes involved with cancer at the time of diagnosis. 2 numerics; 01 - 99; None; Possible values are No regional lymph node involvement;  Lymph nodes, NOS; Unknown; regional lymph nodes cannot be assessed; not stated in patient record; Not applicable; site/histology specific codes; etc&quot;  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BBE9A01C3" name="regionalNodesPositive" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PS7f1eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BBE9A01C3">
            <body>Indicates the exact number of regional lymph nodes examined by the pathologist and found to contain metastases. Possible values are  All nodes examined are negative; 1-89 nodes are positive (Code exact number of nodes positive);  90 or more nodes are positive;  95  Positive aspiration of lymph node(s) was performed;  97  Positive nodes are documented, but the number is unspecified;  98  No nodes were examined;  99  It is unknown whether nodes are positive; not applicable; not stated in patient record; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BBF6B039A" name="regionalNodesExamined" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PS7f2OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BBF6B039A">
            <body>Indicates the total number of regional lymph nodes examined by the pathologist.  Possible values are No nodes were examined; 1-89 nodes were examined;   90 or more nodes were examined;  95  No regional nodes were removed, but aspiration of regional nodes was performed;  96  Regional lymph node removal was documented as a sampling, and the number  of nodes is unknown/not stated;  97  Regional lymph node removal was documented as a dissection, and the number of nodes is unknown/not stated;  98  Regional lymph nodes were surgically removed, but the number of lymph nodes is unknown/not stated and not documented as a sam pling or dissection; nodes were examined but the number is unknown;  99  It is unknown whether nodes were examined; not applicable or negative; not stated in patient record; etc  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BBA3C0067" name="clinicalN" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PS7f2-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BBA3C0067">
            <body>Identifies the absence or presence of regional lymph node (N) metastasis and describes the extent of regional lymph node metastasis as recorded by the physician.  Possible values are Not recorded by the physician.; NX; N0; N1; N1b; N2c; N3; Not Applicable.                                      </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BBC98005B" name="pathologicN" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PTEpwuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BBC98005B">
            <body>Identifies the absence or presence of regional lymph node (N) metastasis and describes the extent of regional lymph node metastasis as recorded by the physician.  Not recorded by the physician; NX, N0; N0(i-); N0(i+); N0(mol-); N0(mol+); N1mi; Not applicable etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BBCC6002F" name="otherN" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PTEpxeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BBCC6002F">
            <body>Indicates the code that classifies the regional lymph nodes and describes the absence or presence and the extent of node metastases.  Possible values are NX, NO, N1A, N1B, N2, N2A, N2B, N2C, N3, Not Applicable etc.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446BA70300C5" name="MetastasisEvaluation">
        <eAnnotations xmi:id="_PTYLyuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PTEpyuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BA70300C5">
          <body>Transmission of pathogenic microorganisms or cancerous cells from an original site to one or more sites elsewhere in the body, usually by way of the blood vessels or lymphatics</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6446BB91A0331" name="clinicalM" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PTYLwuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BB91A0331">
            <body>Idenifiies the presence or absence of distant  metastasis (M) as recorded by the physicain. Possible values are Not recorded by the physician; MX, M0; M1; M1a; M1b; M1c; not applicable etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BA7CC03A9" name="csMetastasisAtDx" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PTOay-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BA7CC03A9">
            <body>Identifies the distant site(s) of metastatic involvement at time of diagnosis.  Possible values are 00 No; Distant lymph node(s); Distant metastases except code 10 Distant metastasis, NOS Carcinomatosis; (40) + (10); Unknown; distant metastasis cannot be assessed,not stated in patient record; Not applicable etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BB9480066" name="pathologicM" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PTYLxeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BB9480066">
            <body>Identifies the presence or absence of distant metastasis (M) as recorded by the physician.  Possible values are MX, M0; M1; M1a; M1b; M1c; Not applicable; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BB96B0283" name="otherM" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PTYLyOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BB96B0283">
            <body>Indicates the code that identifies the presence or absence of distant metastases. Possible values are MX, M0, M1, M1A, M1B, M1C, Not Applicable; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BA78901A4" name="metastasis1" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PTOawuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BA78901A4">
            <body>Identifies only the site(s) of distant metastasis identified during initial diagnosis and workup. Possible values are None; Peritoneum; Lung; Pleura; Liver; Bone; Central nervous system; Skin; Lymph nodes (distant); Other/Gen/Carcinomatosis/Unkn; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BA7A303A0" name="metastasis2" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PTOaxeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BA7A303A0">
            <body>Identifies the second site of distant metastasis identified during initial diagnosis and workup.  Possible values are None; Peritoneum; Lung; Pleura; Liver; Bone; Central nervous system; Skin; Lymph nodes (distant); Other/Gen/Carcinomatosis/Unkn; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BA7A60214" name="metastasis3" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PTOayOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BA7A60214">
            <body>Identifies the third site of distant metastasis identified during initial diagnosis and workup.  Possible values are None; Peritoneum; Lung; Pleura; Liver; Bone; Central nervous system; Skin; Lymph nodes (distant); Other/Gen/Carcinomatosis/Unkn; etc.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446BC32F0210" name="HemaTransEndocrineProc">
        <eAnnotations xmi:id="_PThVt-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PThVseLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BC32F0210">
          <body>The treatment of Endocrine gland disease by the use of blood or blood derivatives, as in transfusion. [Source &amp;amp;lt;http://dictionary.reference.com/search?q=00-database-info&amp;amp;amp;db=ahsmd&amp;amp;gt;: The American Heritage  Stedman's Medical Dictionary ]  </body>
        </ownedComment>
        <generalization xmi:id="_420A62FD03B6446BC41B03AA" general="_420A62FD03B6446B92AF0126"/>
        <ownedAttribute xmi:id="_420A62FD03B6446BC346017D" name="hemaTransEndocrineProc" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PThVteLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BC346017D">
            <body>Identifies systemic therapeutic procedures administered as part of subsequent course of treatment at this and all other facilities.  If none of these procedures were administered, then this item records the reason they were not performed.  These include bone marrow transplants, stem cell harvests, surgical and/or radiation endocrine therapy.  Possible values are  Bone marrow transplant, NOS; Bone marrow transplant - autologous; Bone marrow transplant - allogeneic;  Stem cell harvest; Endocrine surgery and/or radiation; Refused by pt; ETC.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446BD245003C" name="TumorStatus">
        <eAnnotations xmi:id="_PT0QoeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PThVuuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BD245003C">
          <body> Contains the status of the patient's tumor.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6446DCD460301" name="cancerStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PTrGteLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446DCD460301">
            <body>Indicates the presence or absence of clincial evidence of cancer as of the DATE OF LAST CONTACT OR DEATH.  Possible values are No evidence of this tumor; Evidence of this tumor; Unknown/not stated if this tumor present etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446DDD9F0132" name="lastTumorStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PTrGu-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446DDD9F0132">
            <body>Indicates the code that summarizes the cancer status.Possible values are No evidence of this tumor;  Evidence of this tumor; Unknown/not stated if this tumor present; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BD255037F" name="multipleTumors" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PThVveLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BD255037F">
            <body>Indicates the existence and (if known) number of multiple tumors at an anatomic site.  If there are NOT multiple tumors at this site, this field  is BLANK.  If there ARE multiple tumors at this site, the exact number of tumors is entered; if known, or a 1 if the exact number if not known.  Possible values are blank; 1 etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446E08A8037D" name="surgicalApproach" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PTrGuOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446E08A8037D">
            <body>Indicates the method used to approach the organ of origin and/or primary tumor.  The approach for surgery of the primary site only. Possible values are No surgery performed; Open approach, endoscopy not used; Open approach, assisted by laparoscope; Laparoscopic approach only; Laparoscopy NOS (unknown if with or without open approach; Video assisted Thoracoscopy (VAT); Thoracoscopy NOS; Endoscopy NOS; Unknown approach, not applicable; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446DCD14011F" name="tumorStatusDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PTrGsuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446DCD14011F">
            <body>The date on which the tumor status was evaluated.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6446BD44602F7" name="Recurrence">
        <eAnnotations xmi:id="_PUHyoeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PT0QpOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BD44602F7">
          <body>The reappearance, of the patient's cancer,  after previous removal or remission of the cancer.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6446BD5360003" name="distantSite1" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PT-BoeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BD5360003">
            <body>Identifies the first site of distant recurrence. Possible values are None; Peritoneum; Lung; Pleura; Liver; Bone; Central Nervous System; Skin; Lymph Nodes (Distant); Other/Generalized/NOS; etc.                                                               </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BD54E036F" name="distantSite2" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PT-BpOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BD54E036F">
            <body>Identifies the first site of distant recurrence. Possible values are None; Peritoneum; Lung; Pleura; Liver; Bone; Central Nervous System; Skin; Lymph Nodes (Distant); Other/Generalized/NOS; etc.                                                               </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BD5510233" name="distantSite3" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PT-Bp-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BD5510233">
            <body>Identifies the first site of distant recurrence. Possible values are None; Peritoneum; Lung; Pleura; Liver; Bone; Central Nervous System; Skin; Lymph Nodes (Distant); Other/Generalized/NOS; etc.                                                              </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446DE6990050" name="otherTypeOfFirstRecurrence" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PT-BquLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446DE6990050">
            <body>Identifies the OTHER TYPE OF FIRST RECURRENCE. The term &quot;recurrence&quot; means the return or reappearance of the cancer after a disease-free intermission or remission.  The patient may have more than one site of recurrence (i.e., both regional and distant metastases).  Code regional in the data field TYPE OF FIRST RECURRENCE, and distant in this field.  If the patient has only one site of recurrence or has been disease-free since treatment, code 00.  Possible values are  Local recurrence, NOS; Trocar site;  Local recurrence of invasive tumor; Regional recurrence, NOS; Regional recurrence of in situ tumor, NOS; Distant recurrence in lung; None, disease-free; In situ recurrence of invasive tumor; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BD4F50335" name="recurrenceCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PT0QquLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BD4F50335">
            <body>Identifies the type of first recurrence after a period of documented disease-free intermission or remission.  Possible values are  Local recurrence, NOS; Trocar site;  Local recurrence of invasive tumor; Regional recurrence, NOS; Regional recurrence of in situ tumor, NOS; Distant recurrence in lung; None, disease-free; In situ recurrence of invasive tumor; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446BD4B40042" name="recurrenceDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PT0Qp-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446BD4B40042">
            <body>The date of the first recurrence.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6447227470082" name="CancerPatientSummary">
        <eAnnotations xmi:id="_PUkemeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PUHyrOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447227470082">
          <body>Epsiode of Cancer in this patient.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64472278A0128" name="id " visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_PUHyr-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64472278A0128">
            <body>A unique identifier for the Act. (HL7 3.0)  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447232FC0258" name="alcoholHistory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PUQ8mOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447232FC0258">
            <body>Code the patient's past or current consumption of alcoholic beverages including wine or beer.  Possible values are Yes; No; Unknown; No history of alcohol use; Current use of alcohol; Past history of alcohol use; Alcohol usage unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644726B8A010C" name="asbestosExposure" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PUatleLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644726B8A010C">
            <body>Identifies if the patient was exposed to asbestos. Possible values are  Yes; No; Unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644726C780262" name="comments" visibility="public">
          <ownedComment xmi:id="_PUatm-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644726C780262">
            <body>This is a comment on the follow-up.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644723C200022" name="dateFollowupDue" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PUQ8kuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644723C200022">
            <body>The date of next scheduled follow-up.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644726D18001E" name="entryStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PUkekuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644726D18001E">
            <body>Indicates whether entry is complete.  Possible values are complete; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644723D6A021B" name="familyHistoryOfCancer" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PUatkuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644723D6A021B">
            <body>Identifies whether the patient has a family history of any reportable malignancy.  'Possible values are No; Yes; Unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447E3CDC0004" name="isDeceased" visibility="public">
          <eAnnotations xmi:id="_PUkel-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PUkeleLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447E3CDC0004">
            <body>&quot;An indication that the subject is dead.&quot;&quot;  HL7 V3 RIM Ballot 8   </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lYOLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0lYeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64474724502AD" name="qualityOfSurvival" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PUatmOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474724502AD">
            <body>Identifies the code describing the patient's quality of survival.  Possible values are Normal; Symptomatic &amp;amp;amp; Ambulatory; More than 50% Ambulatory; Less than 50% Ambulatory; Bedridden; Not applicable, dead; Unknown or unspecified; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447232BD0171" name="tobaccoHistory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PUQ8leLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447232BD0171">
            <body>Code the patient's past or current use of tobacco.  Possible values are Yes; No; Unknown; Never used; Cigarette smoker, current; Cigar/Pipe smoker, current; Snuff/Chew/Smokeless, current; Combination use, current; Previous use; Unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447472E101AD" name="usualOccupation" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PUQ8m-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447472E101AD">
            <body>Indicates the patient's usual occupation (that is, the kind of work performed during most of the patient's working life before diagnosis of this tumor). &quot;retired&quot; is not recorder  patient's current or most recent occupation or any known occupation is used  If usual occupation is not available or is unknown.   This is the OCCUPATION field of SNOMED.  Possible values are ABLE SEAMAN; ABRASIVE WHEEL MOULDER ; ADMINISTRATION MANAGER; ADVERTISING COPYWRITER; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64472332A000F" name="cancerDeath" visibility="public" type="_420A62FD03B644722EB10045" isUnique="false" association="_420A62FD03B6447233290022">
          <ownedComment xmi:id="_Ph-ohOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64472332A000F">
            <body>Cancer related Death</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PiHyYeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PiHyYuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447228B80000" name="cancerPatient" visibility="public" type="_420A62FD03B6418A4E500034" isUnique="false" association="_420A62FD03B6447228B60102">
          <ownedComment xmi:id="_Ph-ofeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447228B80000">
            <body>The patient who is the subject of the cancer patient episode of Care.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ph-of-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ph-ogOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644726A3700BE" name="familyHistory" visibility="public" type="_420A62FD03B644726A1901E7" isUnique="false" association="_420A62FD03B644726A36008B">
          <ownedComment xmi:id="_PiHydOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644726A3700BE">
            <body>Cancer Family History</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PiRjYeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PiRjYuLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447276DF024E" name="followup" visibility="public" type="_420A62FD03B644726DAF03B4" isUnique="false" association="_420A62FD03B6447276DE0379">
          <ownedComment xmi:id="_PiRjZuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447276DF024E">
            <body>Followup History</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PibUYeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PibUYuLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64474B1D501CF" name="modality" visibility="public" type="_420A62FD03B64474B1390199" isUnique="false" association="_420A62FD03B64474B1CE016B">
          <ownedComment xmi:id="_Pjd2NuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474B1D501CF">
            <body>A method of treatment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Pjd2OOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Pjd2OeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B644722EB10045" name="CancerDeathEvent">
        <eAnnotations xmi:id="_PU3ZgeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PUkenOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644722EB10045">
          <body>This class contains informatin about cancer related death.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B644722ED3031F" name="isCauseOfDeathCancer" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PUtoguLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644722ED3031F">
            <body>causeOfDeathCancer  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644723043018D" name="icdCauseOfDeath" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PUtoheLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644723043018D">
            <body>icdCauseOfDeath  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644747727011A" name="placeOfDeath" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PUtoiOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644747727011A">
            <body> This is the place of death.  These codes include states of the United States as well as foreign countries.  Possible values are SEER Geocodes.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644723BB4027F" name="dateOfDeath" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PUtoi-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644723BB4027F">
            <body>The date and tine of death.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644723CB70097" name="careCenterAtDeath" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B644723CAA023D">
          <ownedComment xmi:id="_PiHyZuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644723CB70097">
            <body>Care center at death .</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PiHyaOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PiHyaeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64472696A01C8" name="autopsy" visibility="public" type="_420A62FD03B644723B5900A8" isUnique="false" association="_420A62FD03B6447269690202">
          <ownedComment xmi:id="_PiHybeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64472696A01C8">
            <body>Autopsy of cancer related death</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PiHyb-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PiHycOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B644723B5900A8" name="AutopsyEvent">
        <eAnnotations xmi:id="_PVAjceLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PU3ZhOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644723B5900A8">
          <body>This class contains information about autopsy of cancer related death.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B644723D9F0145" name="autopsy" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PU3Zh-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644723D9F0145">
            <body>Indicates a code (if known) whether a post-mortem examination was performed on the patient. Possible values are Patient alive; Autopsy performed; No autopsy performed; Patient expired, unknown if autopsy per formed; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447268AF00EC" name="autopsyDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PU3ZiuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447268AF00EC">
            <body>The date and time of autopsy.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447268DE00FE" name="autopsySequenceNbr" visibility="public">
          <ownedComment xmi:id="_PU3ZjeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447268DE00FE">
            <body>The autopsy sequence number, usually stated as A-90-XXXX.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B644726A1901E7" name="FamilyHistory">
        <eAnnotations xmi:id="_PVAjfOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PVAjdOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644726A1901E7">
          <body>Contains information Identifying the patient's family member with cancer.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B644726AC70147" name="familyMemberCancerAnatomicLocation" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PVAjeuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644726AC70147">
            <body>The location of the family member's cancer, from the COMMON CANCERS File.  Possible values are Brain; Gallbladder; Breast; COLON &amp;amp;amp; RECTUM; ESOPHAGUS;  etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644726A970062" name="familyMemberWithCancer" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PVAjd-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644726A970062">
            <body>Identifies the family member with cancer.  Possible value FATHER; MOTHER; BROTHER; SISTER; UNCLE; AUNT; NIECE; NEPHEW; DISTANT RELATION; IN-LAWS; HUSBAND; WIFE; CHILD; NOT KNOWN; GRANDMOTHER; GRANDFATHER; etc.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B644726DAF03B4" name="PatientFollowupHistory">
        <eAnnotations xmi:id="_PVdPYuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PVAjf-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644726DAF03B4">
          <body>Contains information pertinent patient followup history. e.g. follow-up status, vital status, the source from which the latest follow-up information was obtained. etc.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6447272490277" name="dateOfLastContactOrDeath" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PVKUdeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447272490277">
            <body>The date of last contact with the patient or the date of death.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447274EC0228" name="followupSource" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PVdPYOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447274EC0228">
            <body>Indicates the source from which the latest follow-up information was obtained.  Possible values are Reported hospitalization; Readmission; Physician; Patient; Department of Motor Vehicles; Medicare/Medicaid file; Death certificate; Other; Unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64472721F003C" name="followupStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PVKUcuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64472721F003C">
            <body>Indicates the  patient's followup status.  Possible values are Inactive; Active; LTF; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447274E80345" name="vitalStatus" visibility="public">
          <ownedComment xmi:id="_PVKUeOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447274E80345">
            <body>Indicates the vital status of the patient as of the date entered in DATE OF LAST CONTACT OR DEATH.  Possivle values are Dead; Alive; etc.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64472EA4F0116" name="followupRegistry" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B64472EA490316">
          <ownedComment xmi:id="_PibUZuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64472EA4F0116">
            <body>Cancer followup registry</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PibUaOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PikeUOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64473805200D1" name="lastFollowupContact" visibility="public" type="_420A62FD03B64248829E032E" isUnique="false" association="_420A62FD03B6447380510206">
          <ownedComment xmi:id="_PiuPXeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473805200D1">
            <body>The Patient's last follow-up contact.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PiuPX-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PiuPYOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6447318580112" name="CancerStaging">
        <eAnnotations xmi:id="_PV57VOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PVdPb-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447318580112">
          <body>This class contains information related to cancer staging that describes the extent or severity of an individual s cancer.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64473188B035A" name="clinicalStagedBy" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PVnAYuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473188B035A">
            <body>Identifies the person who recorded the AJCC staging elements and the stage group in the patient's medical record.  Possible values are Not staged; Managing MD; Pathologist; Pathologist &amp;amp;amp; managing MD; Committee chair, liaison MD, registry advisor; Registrar;  Registrar &amp;amp;amp; MD;  Another facility;  NA; Unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447318F4030B" name="clinicalStageGroup" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PVnAZeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447318F4030B">
            <body>Identifies the anatomic extent of disease based on the T , N, and M elements as recorded by the physician.  Possible values are Stage 0; Stage 0A; Stage 0is; Stage I,Stage IA; Stage IA1;Stage IA2; Stage IIB; Stage IVC; Not applicable; Unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6448060A80232" name="lymphaticVesselInvasion" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PVwxa-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6448060A80232">
            <body>Identifies whether lymphatic vessel invasion was involved.  Possible values are Lymphatic vessel invasion cannot be assessed; No lymphatic vessel invasion; Lymphatic vessel invasion; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644731A230072" name="pathologicStagedBy" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PVwxZeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644731A230072">
            <body>Identifies the person who recorded the pathologic AJCC staging elements and the stage group in the patient's medical record. Possible values are Not staged; Managing MD; Pathologist; Pathologist &amp;amp;amp; managing MD; Committee chair, liaison MD, registry advisor; Registrar; Registrar &amp;amp;amp; MD; Another facility; NA; Unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447319FE035E" name="pathologicStageGroup" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PVwxYuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447319FE035E">
            <body>Identifies the anatomic extent of disease based on the T, N, and M elements as recorded by the physician.  Possible values are Stage 0; Stage 0a; Stage 0s; Stage Ois; Stage II; Stage IIA; Stage IVB; Stage IVC; Not Applicable; unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447C5A3802F0" name="physiciansStage" visibility="public">
          <ownedComment xmi:id="_PVwxaOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447C5A3802F0">
            <body>Indicates information regarding the physician's stage  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447319960318" name="stageGroupingAjcc" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PVnAaOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447319960318">
            <body>This field is set by either the CLINCICAL STAGE GROUP (38) or PATHOLOGIC STAGE GROUP (88) field depending on which takes precedence.  It consists of the more general stage group values of 0, I, II, III, IV, Unk/Uns or NA.  G302  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6448060A80250" name="venousInvasion" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PV57UuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6448060A80250">
            <body>Indicates whether venous invasion was involved.  Possible values are Venous invasion cannot be assessed; No venous invasion; Microscopic venous invasion; Macroscopic venous invasion; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_iot2YFZ6EeGRR5REOzmNMg" name="stagingPhysician" visibility="public" type="_hXa7cAq6Ed-426xscrxYmQ" association="_ioo94FZ6EeGRR5REOzmNMg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iovEgFZ6EeGRR5REOzmNMg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iovrkFZ6EeGRR5REOzmNMg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6447326E000F3" name="RadiationTreatmentEvaluation">
        <eAnnotations xmi:id="_PWWnQeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PV57V-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447326E000F3">
          <body>Contains information pertinent to the followup of the radiation treatment.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64474D1810188" name="boostDosage" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_PWDsW-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474D1810188">
            <body>Additional boost dosage delivered to that part of the treatment volume encompassed by the boost fields or devices. The unit of measure is centiGray (cGy).  Possible values are 00000 thru (5 9 s) 99999.  (Manually entered)  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447600010156" name="boostTreatmentModality" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PWM2ReLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447600010156">
            <body>Identifies the dominant modality of radiation therapy used to deliver the most clinically significant boost dose to the primary volume of interest during the first course of treatment. This is accomplished with external beam fields of reduced size (relative to the regional treatment fields), implants, stereotactic radiosurgery, conformal therapy, or IMRT. External beam boosts may consist of two or more successive phases with progressively smaller fields generally coded as a single entry. Posible values are  Neutrons (w or w/o X-Ray/electrons); Megavoltage, NOS; Brachytherapy, High-Dose-Rate (HDR); Photons (2-5 MV); etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64474D1220069" name="dateRadiationTherapyEnded" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PWDsVeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474D1220069">
            <body>The date on which the patient completes or receives the last radiation treatment at any facility.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64474BF3E0031" name="locationOfRadiationTx" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PWDsUuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474BF3E0031">
            <body>Identifies the location of the facility where radiation therapy was administered during the first course of treatment.  Possible values are No radiation tx; All radiation tx at this fac; Regional tx at this fac, boost elsewhere; Boost at this fac, regional elsewhere; All radiation tx elsewhere; Other; Unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447C580C01C4" name="numberOfTxsToThisVolume" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_PWM2S-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447C580C01C4">
            <body>Indicates the total number of treatment sessions (fractions) administered during the first course of treatment.  Number between 0 and 99.    </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644761380009F" name="radiationSurgerySequence" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PWM2SOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644761380009F">
            <body>Indicates the sequencing of radiation and surgical procedures given as part of the first course of treatment.  Possible values are No rad and/or surgery; Rad before surgery; Rad after surgery; Rad both before/after surgery; Intraoperative rad; Intraoperative rad w rad before/after surgery; Sequence unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64474BED9025C" name="radiationTreatmentVolume" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PV57WuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474BED9025C">
            <body>Identifies the volume or anatomic target of the most clinically significant regional radiation therapy delivered to the patient during the first course of treatment.  Possible values are Eye/orbit; Chest/lung (NOS); Lung (limited); Esophagus; Breast/lymph nodes; Chest Wall;  Lower extended field; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64474D1540089" name="regionalDoseCgy" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_PWDsWOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474D1540089">
            <body>The dominant or most clinically significant total dose of regional radiation therapy delivered to the patient during the first course of treatment.  The unit of measure is centiGray (cGy).  Possible values are 0000 thru 9999 (Manually entered)  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644760001011A" name="regionalTreatmentModality" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PWM2QuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644760001011A">
            <body>Iidentifies the dominant modality of radiation therapy used to deliver the most clinically significant regional dose to the primary volume of interest during the first course of treatment.  Posible values are  Neutrons (w or w/o X-Ray/electrons); Megavoltage, NOS; Brachytherapy, High-Dose-Rate (HDR); Photons (2-5 MV); etc.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64473444A0050" name="SubsequentTherapyComment">
        <eAnnotations xmi:id="_PWWnTOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PWWnROLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473444A0050">
          <body>This class contains subsequent therapy related comments.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64473449B03DC" name="chemoTherapyPlannedGiven" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PWWnR-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473449B03DC">
            <body>Indicates whether the patient received chemotherapy.  Possible values Yes; No, not recommended; Patient refused chemotherapy; Chemotherapy planned, but not given; Unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64473461D011A" name="hormoneTherapyPlannedGiven" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PWWnSuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473461D011A">
            <body>Indicates whether the patient received hormonal therapy. Possible values are Yes; No, not recommended; Patient refused hormone therapy; Hormone therapy planned, but not given; Unknown;  etc.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6447359D60341" name="DiagnosticWorkup">
        <eAnnotations xmi:id="_PXGOLeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PWgYQeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447359D60341">
          <body>This class contains information pertinent to the diagnostic followup of a cancer patient.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64473890B019A" name="dateOfBloodInSptumPerPT" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_PWpiO-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PWpiOeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473890B019A">
            <body>The date of the presence of blood in the patient's sputum (as reported by the patient).  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lauLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0la-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644744BCA026C" name="dateOfChangeInBowelHabits" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_PWzTMeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PWpiQ-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644744BCA026C">
            <body>The date of a change in bowel habits (as reported by the patient).  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lbuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0lb-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644735A34036E" name="dateOfFirstSymptoms" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_PWgYRuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PWgYROLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644735A34036E">
            <body>The date on which the patient was first seen with symptoms or had abnormal test results which began the workup which led to the diagnosis of cancer.  This date would be before or equal to the DATE DX.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lYuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0lY-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644745FE3017A" name="dateOfIncreasedCough" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_PWzTO-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PWzTOeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644745FE3017A">
            <body>The date on which the patient experienced increased coughing.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lcuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0lc-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64474601D026E" name="dateOfFever" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_PW9ENuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PW9ENOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474601D026E">
            <body>The date on which the patient experienced a fever.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lduLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0ld-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64474609E02C3" name="dateOfNightSweats" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_PW9EQOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PW9EPuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474609E02C3">
            <body>The date on which the patient experienced night sweats.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0leuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0le-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644736FEF020F" name="dateStartOfWorkupOrdered" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_PWgYS-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PWgYSeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644736FEF020F">
            <body>The date the physician placed consult to specialty clinic OR ordered diagnostic procedures or tests.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lZOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0lZeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64473702701A1" name="dateWorkupStarted" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_PWpiMeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PWgYTuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473702701A1">
            <body>The date when the patient was seen in the specialty clinic OR had diagnostic procedures or tests performed.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lZuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0lZ-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64473872300E4" name="bloodInSputumPerPt" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PWpiNuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PWpiNOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473872300E4">
            <body>Indicates the presence of blood in the patient's sputum as reported by the patient. Possible values are No; Yes; unknown/Not documented; etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0laOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0laeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644744B0001A4" name="changeInBowelHabitsPerPt" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PWpiQOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PWpiPuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644744B0001A4">
            <body>Indicates all changes in bowel habits as reported by the patient.   Possible values are No; 'Yes; Unknown/not documented; etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lbOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0lbeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644745F8D013A" name="increasedCough" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PWzTNuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PWzTNOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644745F8D013A">
            <body>Indicates whether the patient experienced increased coughing.  Possible values are No; Yes; Unknown/not documented; etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lcOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0lceLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644745FFD0344" name="fever" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PW9EMeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PWzTPuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644745FFD0344">
            <body>Indicates whether the patient experienced a fever.  Possible values are No; Yes; Unknown/not documented; etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0ldOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0ldeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64474608B00DB" name="nightSweats" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PW9EO-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PW9EOeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474608B00DB">
            <body>Indicates whether the patient experienced night sweats.  Possible values are No; Yes; Unknown/not documented; etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0leOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0leeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447463180293" name="sporadicPolyps" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PXGOK-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PXGOKeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447463180293">
            <body>Indicates the existence of sporadic polyps.  Possible values are No; Yes; Unknown/not documented; etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lgOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0lgeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447462DB010F" name="ulcerativeColitis" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PXGOJuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PXGOJOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447462DB010F">
            <body>Indicates whether the patient was affected by ulcerative colitis (UC).  Possible values are No; Yes; Unknown/not documented; etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lfuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0lf-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447460BB0365" name="weightLossPerPt" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PXGOIeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PW9EQ-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447460BB0365">
            <body>Indicates the weight loss as reported by the patient.  Possible values are No; Yes; Unknown/not documented; etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lfOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0lfeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447450560158" name="resultBariumEnema" visibility="public" type="_420A62FD03B644744DF9016C" isUnique="false" association="_420A62FD03B6447450550070">
          <ownedComment xmi:id="_PjK7ReLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447450560158">
            <body>Result of Barium Enema</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PjK7R-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PjK7SOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64473CC6D0307" name="resultBronchoscopy" visibility="public" type="_420A62FD03B64473CBBA03BE" isUnique="false" association="_420A62FD03B64473CC6C0369">
          <ownedComment xmi:id="_PjBKQuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473CC6D0307">
            <body>Result of Bronchoscopy</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PjBKROLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PjBKReLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644745D860347" name="resultColonoscopy" visibility="public" type="_420A62FD03B644745BFA0398" isUnique="false" association="_420A62FD03B644745D850205">
          <ownedComment xmi:id="_PjUFNuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644745D860347">
            <body>result of Colonoscopy</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PjUFOOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PjUFOeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644745E5C0312" name="resultDyspnea" visibility="public" type="_420A62FD03B644745DF40128" isUnique="false" association="_420A62FD03B644745E5A03CE">
          <ownedComment xmi:id="_PjUFPeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644745E5C0312">
            <body>Result of Dyspnea</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PjUFP-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PjUFQOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64473C78101B0" name="resultChestXRay" visibility="public" type="_420A62FD03B64473C6C50034" isUnique="false" association="_420A62FD03B64473C7800123">
          <ownedComment xmi:id="_Pi4AVuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473C78101B0">
            <body>Result of Chest C-Ray</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Pi4AWOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Pi4AWeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447456730311" name="resultCtOfAbdomenPelvis" visibility="public" type="_420A62FD03B644745656014C" isUnique="false" association="_420A62FD03B6447456720193">
          <ownedComment xmi:id="_PjK7U-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447456730311">
            <body>Result of  Ct Of Abdomen Pelvis</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PjUFMeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PjUFMuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64473CB4802B5" name="resultCtScanOfThorax" visibility="public" type="_420A62FD03B64473C7CE0279" isUnique="false" association="_420A62FD03B64473CB4702BE">
          <ownedComment xmi:id="_Pi4AXeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473CB4802B5">
            <body>Result of Ct Scan Of Thorax</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Pi4AX-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Pi4AYOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644744D8F0246" name="resultFobt" visibility="public" type="_420A62FD03B644744CED0026" isUnique="false" association="_420A62FD03B644744D8E032B">
          <ownedComment xmi:id="_PjBKUOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644744D8F0246">
            <body>Result of Fecal Occult Blood Test</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PjK7QOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PjK7QeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64473CDD7009A" name="resultMediastinoscopy" visibility="public" type="_420A62FD03B64473CCFF02CB" isUnique="false" association="_420A62FD03B64473CDD60053">
          <ownedComment xmi:id="_PjBKSeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473CDD7009A">
            <body>Result of Mediastinoscopy</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PjBKS-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PjBKTOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64587EA0603B4" name="resultPetScan" visibility="public" type="_420A62FD03B64587E8C20227" isUnique="false" association="_420A62FD03B64587EA06011F">
          <ownedComment xmi:id="_PkETJ-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64587EA0603B4">
            <body>Result of Pet Scan.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PkETKeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PkETKuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447455730019" name="resultSigmoidoscopy" visibility="public" type="_420A62FD03B6447454E303CA" isUnique="false" association="_420A62FD03B6447455720072">
          <ownedComment xmi:id="_PjK7TOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447455730019">
            <body>Result of Sigmoidoscopy</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PjK7TuLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PjK7T-LiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64473C6C50034" name="ChestXRay">
        <eAnnotations xmi:id="_PXP_LeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PXP_JeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473C6C50034">
          <body>A Phtograph of chest taken by X-Ray.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64473C70700A7" name="chestXRay" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PXP_KOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473C70700A7">
            <body>Indicates the results of the diagnostic test CHEST X-RAY.  Possoble values are Not done; Positive; Negative; Unknown/not documented; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64473C7610345" name="dateOfChestXRay" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PXP_K-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473C7610345">
            <body>The date of the diagnostic test CHEST X-RAY.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64473C7CE0279" name="CtScanOfThorax">
        <eAnnotations xmi:id="_PXZJGuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PXZJEuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473C7CE0279">
          <body>Cat scan of thorax. An image produced by a CAT scanner. Also called CT scan.   [Source: The American Heritage  Dictionary of the English Language, Fourth Edition]         </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64473CAD400E2" name="ctScanOfThorax" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PXZJFeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473CAD400E2">
            <body>Indicates the results of the diagnostic test CT SCAN.  Possoble values are Not done; Positive; Negative; Unknown/not documented; etc.   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64473CB2603D9" name="dateOfCtScanOfThorax" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PXZJGOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473CB2603D9">
            <body>The date of the diagnostic test CT SCAN.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64473CBBA03BE" name="Bronchoscopy">
        <eAnnotations xmi:id="_PXi6F-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PXZJHeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473CBBA03BE">
          <body>An examination used for inspection of the interior of the tracheo-bronchial tree, performance of endobronchial diagnostic tests, taking of specimens for biopsy and culture and removal of foreign bodies.   [Source: On-line Medical Dictionary,   1997-98 Academic Medical Publishing &amp;amp;amp; CancerWEB ]    </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64473CBFE00CC" name="bronchoscopy" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PXi6EuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473CBFE00CC">
            <body>Indicates the results of the diagnostic test BRONCHOSCOPY.  Possoble values are Not done; Positive; Negative; Unknown/not documented; etc.     </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64473CC390167" name="dateOfBronchoscopy" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PXi6FeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473CC390167">
            <body>The date of the diagnostic test BRONCHOSCOPY.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64473CCFF02CB" name="Mediastinoscopy">
        <eAnnotations xmi:id="_PXsrFOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PXi6GuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473CCFF02CB">
          <body>Examination of the mediastinum through an incision above the sternum   [Source: Merriam-Webster's Medical Dictionary,   2002 Merriam-Webster, Inc. ]    </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64473CD5002BD" name="mediastinoscopy" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PXi6HeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473CD5002BD">
            <body>Indicates the results of the diagnostic test MEDIASTINOSCOPY.  Possoble values are Not done; Positive; Negative; Unknown/not documented; etc.   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64473CDAE03DB" name="dateOfMediastinoscopy" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PXsrEuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64473CDAE03DB">
            <body>The date of the diagnostic test MEDIASTINOSCOPY.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B644744CED0026" name="FecalOccultBloodTest">
        <eAnnotations xmi:id="_PX11AeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PXsrF-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644744CED0026">
          <body>Fecal Occult Blood Testing</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B644744D010364" name="fecalOccultBloodTest" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PXsrGuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644744D010364">
            <body>Indicates thee results of the diagnostic test FECAL OCCULT BLOOD TEST (FOBT).  Possbile values are Not done; Positive (3-card sample);  Negative (3-card sample); Positive (6-card sample); Negative (6-card sample); Unknown/not documented; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644744D18030D" name="dateOfFobt" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PXsrHeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644744D18030D">
            <body>The date of the diagnostic test FECAL OCCULT BLOOD TEST (FOBT).  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B644744DF9016C" name="BariumEnema">
        <eAnnotations xmi:id="_PX_mAeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PX11BOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644744DF9016C">
          <body>The administration of barium in enema form for radiographic study of the lower intestinal tract. Also called contrast enema.  [Source: The American Heritage  Stedman's Medical Dictionary]       </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B644744E130354" name="bariumEnema" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PX11B-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644744E130354">
            <body>The results of the diagnostic test BARIUM ENEMA.  Possoble values are Not done; Positive; Negative; Unknown/not documented; etc.   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644744E370085" name="dateOfBariumEnema" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PX11CuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644744E370085">
            <body>The date off the diagnostic test BARIUM ENEMA.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6447454E303CA" name="Sigmoidoscopy">
        <eAnnotations xmi:id="_PX_mDOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PX_mBOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447454E303CA">
          <body>The process of using a sigmoidoscope called also proctosigmoidoscopy  sig moid o scop ic /-d&amp;amp;amp;-'sk p-ik/ adjective   [Source: Merriam-Webster's Medical Dictionary,   2002 Merriam-Webster, Inc.]     </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6447454FE007F" name="sigmoidoscopy" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PX_mB-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447454FE007F">
            <body>Indicates the results of the diagnostic test SIGMOIDOSCOPY.  Possoble values are Not done; Positive; Negative; Unknown/not documented; etc.   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64474555E010A" name="dateOfSigmoidoscopy" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PX_mCuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474555E010A">
            <body>The date of the diagnostic test SIGMOIDOSCOPY.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B644745656014C" name="CtOfAbdomenPelvis">
        <eAnnotations xmi:id="_PYJXB-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PX_mD-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644745656014C">
          <body>Cat scan of abdoment Pelvis. An image produced by a CAT scanner. Also called CT scan.   [Source: The American Heritage  Dictionary of the English Language, Fourth Edition]         </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64474579103A8" name="ctOfAbdomenPelvis" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PYJXAuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474579103A8">
            <body>Indicates the results of the diagnostic test CT OF ABDOMEN/PELVIS.  Possoble values are Not done; Positive; Negative; Unknown/not documented; etc.   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447457B10354" name="dateOfCtOfAbdomenPelvis" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PYJXBeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447457B10354">
            <body>The date of the diagnostic test CT OF ABDOMEN/PELVIS.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B644745BFA0398" name="Colonoscopy">
        <eAnnotations xmi:id="_PYSg9OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PYJXCuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644745BFA0398">
          <body>Visual examination of the colon (with a colonoscope) from the cecum to the rectum; requires sedation  [Source: WordNet   2.0,   2003 Princeton University ]    </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B644745C1003DF" name="colonoscopy" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PYJXDeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644745C1003DF">
            <body>Indicates the results of the diagnostic test COLONOSCOPY.  Possoble values are Not done; Positive; Negative; Unknown/not documented; etc.   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644745C3F02BA" name="dateOfColonoscopy" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_PYSg8uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644745C3F02BA">
            <body>The date of the diagnostic test COLONOSCOPY.  If this test was not done, record a '0'.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B644745DF40128" name="Dyspnea">
        <eAnnotations xmi:id="_PYlb4eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PYSg9-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644745DF40128">
          <body>Difficulty in breathing, often associated with lung or heart disease and resulting in shortness of breath. Also called air hunger.  [Source: The American Heritage  Dictionary of the English Language, Fourth Edition]    </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B644745E0503E0" name="dyspnea" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PYSg-uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644745E0503E0">
            <body>Indicates whether the patient experienced dyspnea.  Possible values are No; Yes; Unknown/not documented; etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644745EE2015D" name="dateOfDyspnea" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PYSg_eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644745EE2015D">
            <body>Record the date on which the patient was affected by dyspnea.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B644749E7D0251" name="Abstract">
        <eAnnotations xmi:id="_PYlb6eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PYlb5OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644749E7D0251">
          <body>This class has information related to abstract status.  The abstract is a summary of pertinent information about the patient, the cancer, the treatment, and outcome</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B644749EC700B2" name="abstractStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PYlb5-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644749EC700B2">
            <body>Indicates the status of the abstract data entry.  Possible values are Incomplete; Minimal data; Partial; Complete; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1FsPYFZ3EeGRR5REOzmNMg" name="author" visibility="public" type="_hXa7cAq6Ed-426xscrxYmQ" association="_1FqaMFZ3EeGRR5REOzmNMg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1Fs2cFZ3EeGRR5REOzmNMg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1FtdgFZ3EeGRR5REOzmNMg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64474B1390199" name="Modality">
        <eAnnotations xmi:id="_PYvM5OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PYlb7OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474B1390199">
          <body>This class contains attribures that identify whether more than one method of treatment were used or not.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64474B14A03A6" name="clinicalMultiModality" visibility="public">
          <ownedComment xmi:id="_PYlb7-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474B14A03A6">
            <body>The first method of therapy is other than cancer-directed surgery.  The patient is first treated with radiation therapy, chemotherapy, hormone therapy, immunotherapy, &quot;other&quot; therapy, or any combination of these therapies. The stage is based on a pathologic resection of the primary done after at least one of the other therapies has started.  The other therapy may or may not be complete.  This stage should supplement the clinical AJCC stage, not replace it.  Possible values are Yes; No;   </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64474B16A0261" name="multiModality" visibility="public">
          <ownedComment xmi:id="_PYvM4uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474B16A0261">
            <body>MULTIMODALITY THERAPY determines whether the pTNM category will have a &quot;y Prefix&quot; (eg yT1 N0M0).  The &quot;y Prefix&quot; indicates those cases in which classification is performed during or following initial multimodality therapy.  The ypTNM categorizes the extent of tumor actually present at the time of that examination.  The &quot;y&quot; category is not an estimate of the extent of tumor prior to multimodality therapy. Possible values are Yes; No;  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64474D7300176" name="CancerHistory">
        <eAnnotations xmi:id="_PYvM7OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PYvM5-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474D7300176">
          <body>This class contains information that Identifies whether the patient has a prior history of any reportable malignancy.   </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64474D7A400D2" name="previousHistoryOfCancer" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PYvM6uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474D7A400D2">
            <body>Identifies whether the patient has a prior history of any reportable malignancy. Possible values are No; Yes; Unknown; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MyH7YG7VEeGMPulV_nCvVA" name="reportableMalignancyListEntry" visibility="public" type="_F93ZUG7VEeGMPulV_nCvVA" association="_MyDp8G7VEeGMPulV_nCvVA">
          <ownedComment xmi:id="_SoOMEG7VEeGMPulV_nCvVA" annotatedElement="_MyH7YG7VEeGMPulV_nCvVA">
            <body>An order, arrangement, or significance in which the reportable Malignancy takes place. </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MyJJgG7VEeGMPulV_nCvVA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MyJwkG7VEeGMPulV_nCvVA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64474D9CB0193" name="ReportableMalignancy">
        <eAnnotations xmi:id="_PZCH0eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PY496OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474D9CB0193">
          <body>The reportable malignancy of the patient's cancer.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64474DA61035B" name="CancerNumber" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PY496-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474DA61035B">
            <body>Indicates the reportable malignancy associated with this patient's PREVIOUS HISTORY OF CANCER.ICDO.   Possible values are ICDO-3 TOPOGRAPHY CODES  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6447700440214" name="CancerTreatmentEvaluation">
        <eAnnotations xmi:id="_PZL43eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PZCH1OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447700440214">
          <body>Contains information pertinent to the followup of the all the treatments other than Radiation Treatment.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64477232602BF" name="crohnsDisease" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PZL42-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PZL42eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64477232602BF">
            <body>Indicates the appropriate code for whether Crohn's disease/ulcerative colitis was a pre-existing condition.  Possible Values are No; Yes; Unknown; etc.    </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0liuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0li-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64477114E025D" name="familialAdenomatousPolyposis" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PZCH3uLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PZCH3OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64477114E025D">
            <body>Idetifies whether the patient was affected by FAP (Familial adenomatous polyposis).  Possible values are No; Yes; Unknown/not documented; etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lhOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0lheLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447711210136" name="gleasonsScore" visibility="public">
          <eAnnotations xmi:id="_PZCH2eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PZCH1-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447711210136">
            <body>Indicates the Gleason's score.  Possible values are unknown, not reported or not applicable,  99; etc.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lguLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0lg-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644771207035D" name="hnpcc" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PZL40eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PZCH4eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644771207035D">
            <body>Indicates whether the patient is affected by hereditary nonpolyposis colon cancer (HNPCC) syndrome.  Possible values are No; Yes; Unknown/not documented; etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0lhuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0lh-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64477145A000F" name="inflammatoryBowelDisease" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PZL41uLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PZL41OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64477145A000F">
            <body>Record whether the patient was affected by inflammatory bowel disease (IBD).  Possible values are No; Yes; Unknown/not documented; etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ez0liOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ez0lieLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64474D52401D7" name="division" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B64474D5180139">
          <ownedComment xmi:id="_Pjd2PeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64474D52401D7">
            <body>The division to which this primary belongs.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Pjd2P-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Pjd2QOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6447DCE0B008E" name="PatientTreatmentAssessment">
        <eAnnotations xmi:id="_PZezw-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PZL44OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447DCE0B008E">
          <body>Contains information pertinent to patient's pre treatment assessment.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6447DD0ED00E9" name="dateFirstSurgicalProcedure" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PZVp2OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447DD0ED00E9">
            <body>The earliest date on which any first course surgical procedure was performed.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447DD0490378" name="dateOfNoTreatment" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PZVp1eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447DD0490378">
            <body>The date on which it is decided not to treat the patient.  If the physician decides not to treat the patient, record the date of this decision as the DATE OF NO TREATMENT.  The physician may decide not to treat the patient because of co-morbid conditions, advanced disease, or because the accepted management of the cancer is to observe until the disease progresses or until the patient becomes symptomatic.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64484DC500061" name="readmissionWithinThirtyDaysSurgery" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PZezweLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64484DC500061">
            <body>Records a readmission to the same hospital within 30 days of discharge following a hospitalization for surgical resection of the primary site.  Possible values are No surgery/not readmitted; Unplanned readmission; Planned readmission; Planned and unplanned readmission; Unknown if surgery or readmission; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447DD0440277" name="reasonForNoRadiation" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PZVp0uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447DD0440277">
            <body>Indicates the reason that no regional radiation  therapy was administered to the primary site.  Possible values are Radiation administered; Not part of 1st course; Contraindicated; Patient died prior to tx; Not administered, no reason; Refused by patient; Unknown if administered; Unknown, death cert/autopsy cases; etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447DD03E01D8" name="reasonNoSurgeryOfPrimary" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PZL44-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447DD03E01D8">
            <body>Indicates the reason for no SURGERY OF PRIMARY SITE, SCOPE OF LYMPH NODE SURGERY, and SURGERY OF OTHER SITES/NODES.  Codes 1-2 and 6-9 are valid only when the field SURGERY OF PRIMARY SITE is coded 00, SCOPE OF LYMPH NODE SURGERY is coded 0, and SURGERY OF OTHER SITES/NODES is coded 0.  Possible values are Surgery performed; Not part of 1st course; Contraindicated/risk factors; Patient died prior to surgery; No reason in record; Refused by patient; Unknown if performed; Unknown/dx at autopsy/death cert; etc.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6448096E70320" name="CancerProtocol">
        <eAnnotations xmi:id="_PZxutOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PZok0-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6448096E70320">
          <body>This class contains attributes pertinent to a systemic plan of the cancer treatment.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64480972C0243" name="yearPutOnProtocol" visibility="public">
          <ownedComment xmi:id="_PZxusuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64480972C0243">
            <body>Indicates the year in which the patient was entered into a protocol.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64587E8C20227" name="PetScan">
        <eAnnotations xmi:id="_Pgokp-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Pgfav-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64587E8C20227">
          <body>Positron emission tomography: PET. A highly specialized imaging technique that uses short-lived radioactive substances to produce three-dimensional colored images of those substances functioning within the body. These images are called PET scans and the technique is termed PET scanning.  [Source: Medical Dictionary - MedicineNet.com]  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64587E909023D" name="petScan" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PgokouLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64587E909023D">
            <body>Indicates the results of the diagnostic test PET SCAN. Possoble values are Not done; Positive; Negative; Unknown/not documented; etc.   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64587E91002D4" name="dateOfPetScan" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PgokpeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64587E91002D4">
            <body>The date of the diagnostic test PET SCAN.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B644692C650381" memberEnd="_420A62FD03B644692C670026 _420A62FD03B644692C67029D">
        <ownedEnd xmi:id="_420A62FD03B644692C67029D" name="" visibility="public" type="_420A62FD03B64468715C013C" isUnique="false" association="_420A62FD03B644692C650381"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B644698F690217" memberEnd="_420A62FD03B644698F6A01BE _420A62FD03B644698F6A01C0">
        <ownedEnd xmi:id="_420A62FD03B644698F6A01C0" name="" visibility="public" type="_420A62FD03B64468715C013C" isUnique="false" association="_420A62FD03B644698F690217"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6446994650208" memberEnd="_420A62FD03B6446994660227 _420A62FD03B64469946602B3">
        <ownedEnd xmi:id="_420A62FD03B64469946602B3" name="" visibility="public" type="_420A62FD03B644698C39028C" isUnique="false" association="_420A62FD03B6446994650208"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6446994B90000" memberEnd="_420A62FD03B6446994BA0105 _420A62FD03B6446994BA0192">
        <ownedEnd xmi:id="_420A62FD03B6446994BA0192" name="" visibility="public" type="_420A62FD03B644698C39028C" isUnique="false" association="_420A62FD03B6446994B90000"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6446994C00014" memberEnd="_420A62FD03B6446994C002F9 _420A62FD03B6446994C0037B">
        <ownedEnd xmi:id="_420A62FD03B6446994C0037B" name="" visibility="public" type="_420A62FD03B644698C39028C" isUnique="false" association="_420A62FD03B6446994C00014"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6446A107E0191" memberEnd="_420A62FD03B6446A108002D4 _420A62FD03B6446A108002DE">
        <ownedEnd xmi:id="_420A62FD03B6446A108002DE" name="" visibility="public" type="_420A62FD03B64468715C013C" isUnique="false" association="_420A62FD03B6446A107E0191"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6446A17A301FF" memberEnd="_420A62FD03B6446A17A40265 _420A62FD03B6446A17A4026F">
        <ownedEnd xmi:id="_420A62FD03B6446A17A4026F" name="" visibility="public" type="_420A62FD03B6446A0EC602C5" isUnique="false" association="_420A62FD03B6446A17A301FF"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6446A17B00154" memberEnd="_420A62FD03B6446A17B102BD _420A62FD03B6446A17B102C8">
        <ownedEnd xmi:id="_420A62FD03B6446A17B102C8" name="" visibility="public" type="_420A62FD03B6446A0EC602C5" isUnique="false" association="_420A62FD03B6446A17B00154"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6446A18CB004C" memberEnd="_420A62FD03B6446A18CC00D0 _420A62FD03B6446A18CC00D2">
        <ownedEnd xmi:id="_420A62FD03B6446A18CC00D2" name="" visibility="public" type="_420A62FD03B6446A0EC602C5" isUnique="false" association="_420A62FD03B6446A18CB004C"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6446B873002FB" memberEnd="_420A62FD03B6446B8731028E _420A62FD03B6446B87310290">
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      <packagedElement xmi:type="uml:Association" xmi:id="_MyDp8G7VEeGMPulV_nCvVA" memberEnd="_MyH7YG7VEeGMPulV_nCvVA _MyMz4G7VEeGMPulV_nCvVA">
        <ownedEnd xmi:id="_MyMz4G7VEeGMPulV_nCvVA" name="" visibility="public" type="_420A62FD03B64474D7300176" association="_MyDp8G7VEeGMPulV_nCvVA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_NPl6gG7VEeGMPulV_nCvVA" memberEnd="_NPqL8G7VEeGMPulV_nCvVA _NPudYG7VEeGMPulV_nCvVA">
        <ownedEnd xmi:id="_NPudYG7VEeGMPulV_nCvVA" name="" visibility="public" type="_F93ZUG7VEeGMPulV_nCvVA" association="_NPl6gG7VEeGMPulV_nCvVA"/>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B6420A57FD032D" name="Orders">
      <eAnnotations xmi:id="_NOAatOLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_NOTVouLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_P-pesMoPEeGas4Yp_oUthg" annotatedElement="_Vy_ZsMoAEeGas4Yp_oUthg _iDCu8Ik4Ed-pqcFAwb-XNw">
        <body>XOr</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_Q13E8LxMEeCjnsq0FtkmeA" name="RelatedSubject">
        <ownedComment xmi:id="_1NihwMoQEeGas4Yp_oUthg" annotatedElement="_Q13E8LxMEeCjnsq0FtkmeA">
          <body>This class relates two or more persons or things that are subjects of a healthcare activity to each other.  For example, samples from multiple bags of chicken feed might be combined (&quot;pooled&quot;), against which tests might be performed.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_WD-voLxMEeCjnsq0FtkmeA" name="subject" visibility="public" type="_61ai4MTBEd-6Z_53K--WsA" association="_WD7sULxMEeCjnsq0FtkmeA">
          <ownedComment xmi:id="_Fx32wMoREeGas4Yp_oUthg" annotatedElement="_WD-voLxMEeCjnsq0FtkmeA">
            <body>Points to the Subject (i.e., the &quot;target Subject&quot;) to which the &quot;source Subject&quot; (i.e., the Subject that points to this class) is somehow related.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WD-vobxMEeCjnsq0FtkmeA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WD-vorxMEeCjnsq0FtkmeA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Ap6sIMqBEeC9Pb3leltpqQ" name="relatedSubjectCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_6NfNkMoQEeGas4Yp_oUthg" annotatedElement="_Ap6sIMqBEeC9Pb3leltpqQ">
            <body>Indicates how the &quot;subject&quot; is related to the &quot;related subject&quot;.  Examples include Parent, Child, Replaces, Replaced By, etc.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_61ai4MTBEd-6Z_53K--WsA" name="Subject">
        <ownedComment xmi:id="_SgZnkMoAEeGas4Yp_oUthg" annotatedElement="_61ai4MTBEd-6Z_53K--WsA">
          <body>This class represents the person or thing, other than a patient, that is the subject of a healthcare activity.  For example, the subject might be a research animal, an environmental sample, or a foodstuff sample for food safety testing.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_VgmVwLxMEeCjnsq0FtkmeA" name="relatedSubject" visibility="public" type="_Q13E8LxMEeCjnsq0FtkmeA" association="_VgjScLxMEeCjnsq0FtkmeA">
          <ownedComment xmi:id="_ACTr4MoREeGas4Yp_oUthg" annotatedElement="_VgmVwLxMEeCjnsq0FtkmeA">
            <body>Contains other Subjects to which this Subject is related.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VgmVwbxMEeCjnsq0FtkmeA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VgmVwrxMEeCjnsq0FtkmeA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_192yEcqAEeC9Pb3leltpqQ" name="entity" visibility="public" type="_MF0JYOEVEd6EKMSYA1gKjA" association="_192yEMqAEeC9Pb3leltpqQ">
          <ownedComment xmi:id="_3dagoEFwEeOWAYGYxfkLag" annotatedElement="_192yEcqAEeC9Pb3leltpqQ">
            <body>Pointer to the Person or Animal or Thing (e.g., a soil sample) that is the subject of the Order.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_192yEsqAEeC9Pb3leltpqQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_192yE8qAEeC9Pb3leltpqQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64589572B02E8" name="HealthcareOrder" isAbstract="true">
        <eAnnotations xmi:id="_MC55iuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_rORMkKwREeG4dfTp_XT2yg" key="EntryPoint"/>
        </eAnnotations>
        <ownedComment xmi:id="_C4_nMBHDEeCBuOUrBnIXmQ" annotatedElement="_420A62FD03B64589572B02E8">
          <body>This class represents those properties which are common to all orders.  This class is &quot;owned&quot; by the Common package so as to avoid package interdependencies.  Information that is specific to given order types (e.g., Lab, Pharmacy) are contained in subtypes to this class.  These subtype classes are in the the respective domain packages (e.g., the LabRequest class is in the Lab package).</body>
        </ownedComment>
        <generalization xmi:id="_2PkMELucEeSu6tW34laYTQ" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_JcqWoMSkEeG325TcQ8YAGA" name="alternatePlacerOrderId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_JcqWocSkEeG325TcQ8YAGA" annotatedElement="_JcqWoMSkEeG325TcQ8YAGA">
            <body>&quot;This field enables a shorter number to be communicated that is unique within other identifiers.&quot; - HL7 Version 2.8, ORC-53.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JcqWo8SkEeG325TcQ8YAGA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JcqWosSkEeG325TcQ8YAGA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jQbR8AcuEeGfLeiV6Brugg" name="callbackPhone" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_pQHjgAcuEeGfLeiV6Brugg" annotatedElement="_jQbR8AcuEeGfLeiV6Brugg">
            <body>&quot;Contains the telephone number to call for clarification of a request or other information regarding the order.&quot; - HL7 Version 2.8, ORC-14.&#xD;
&quot;Contains the telephone number for reporting a status or a result&quot; - HL7 Version 2.8, OBR-17.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Oya20OO6EeCbbuWBGGTBrA" name="confidentialityCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_OhGOEAcsEeGfLeiV6Brugg" annotatedElement="_Oya20OO6EeCbbuWBGGTBrA">
            <body>&quot;This field contains information about the level of security and/or sensitivity surrounding the order (e.g., highly sensitive, not sensitive, sensitive, etc.).&quot; - HL7 Version 2.8, ORC-28</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_mBZaMActEeGfLeiV6Brugg" name="dangerCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_vcO88ActEeGfLeiV6Brugg" annotatedElement="_mBZaMActEeGfLeiV6Brugg">
            <body>&quot;Contains the code and/or text indicating any known or suspected patient or specimen hazards, e.g., patient with active tuberculosis or blood from a hepatitis patient.&quot; - HL7 Version 2.8, OBR-12.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qBCfkActEeGfLeiV6Brugg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qBDGoActEeGfLeiV6Brugg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6421B8C940052" name="dateTimeBegin" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NHAa3uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6421B8C940052">
            <body>&quot;This field may be specified by the requester, in which case it indicates the earliest date/time at which the services should be started.  In many cases, however, the start date/time will be implied or will be defined by other fields in the service request record (e.g., urgency   STAT).  In such a case, this field will be empty. The filling service will often record a value in this field after receipt of the service request, however, and compute an end time on the basis of the start date/time for the filling service's internal use.&quot; - HL7 Version 2.8, TQ1-7</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6423B035A0205" name="dateTimeCompleted" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_NHAa0OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NG2p1OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6423B035A0205">
            <body>The date/time this order is considered complete.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eu5pLOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eu5pLeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642408DBC031C" name="dateTimeEnd" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NHJkxeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642408DBC031C">
            <body>&quot;When filled in by the requester of the service, this field should contain the latest date/time that the service should be performed.  If it has not been performed by the specified time, it should not be performed at all.  The requester may not always fill in this value, yet the filling service may fill it in on the basis of the instruction it receives and the actual start time. Regardless of the value of the end date/time, the service should be stopped at the earliest of the date/times specified by either the duration or the end date/time.&quot; - HL7 Version 2.8, TQ1-8</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64589570A015A" name="dateTimeOrdered" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_MCwvnOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_MCwvmuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64589570A015A">
            <body>The date/time that the order was created by the ordering provider.&#xD;
&quot;Date prescription was written.&quot; - NCPDP Telecommunication (Field 414-DE, Data Dictionary 201104).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ettWXeLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ettWXuLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kFoz8Ac0EeGfLeiV6Brugg" name="duplicateProcedureReason" visibility="public">
          <ownedComment xmi:id="_xyNRoAc0EeGfLeiV6Brugg" annotatedElement="_kFoz8Ac0EeGfLeiV6Brugg">
            <body>&quot;This field is used to document why the procedure found in OBR-44 - Procedure Code is a duplicate of one ordered/charged previously for the same patient within the same date of service and has been determined to be medically necessary.&quot; - HL7 Version 2.8, OBR-48.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_E6tyYAcbEeGfLeiV6Brugg" name="isEscortRequired" visibility="public">
          <ownedComment xmi:id="_5QnZYAczEeGfLeiV6Brugg" annotatedElement="_E6tyYAcbEeGfLeiV6Brugg">
            <body>Indicates whether &quot;the patient needs to be escorted to the diagnostic service department.&quot; - HL7 Version 2.8, OBR-42</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_J-YgkAcbEeGfLeiV6Brugg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_J-ZHoAcbEeGfLeiV6Brugg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lSyK4JkHEeCFEfqQZ7sMZg" name="isInpatientOrder" visibility="public">
          <ownedComment xmi:id="_UGw2EAcsEeGfLeiV6Brugg" annotatedElement="_lSyK4JkHEeCFEfqQZ7sMZg">
            <body>&quot;This field indicates whether the order is to be executed in an inpatient setting or an outpatient setting.&quot; - HL7 Version 2.8, ORC-29</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64589570A015B" name="placerOrderId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_MC55gOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64589570A015B">
            <body>&quot;This field is the placer application's order number.&quot; - HL7 Version 2.8, ORC-2&#xD;
&quot;This field is identical to ORC-2-Placer Order Number....  It identifies an order uniquely among all orders from a particular ordering application.&quot; - HL7 Version 2.8, OBR-2.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lfVUgPTqEdy4NNd432ztnw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lfVUgfTqEdy4NNd432ztnw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64589570A017A" name="priority" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_MC55heLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_MC55g-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64589570A017A">
            <body>&quot;This field describes the urgency of the request.  If this field is blank, the default is R&quot; (Routine) - HL7 Version 2.8, TQ1-9</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ettWX-LjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ettWYOLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_X-gg4PjMEeCmc6EQPl3F9g" name="placerSupplementalInfo" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_u8W8sPjMEeCmc6EQPl3F9g" annotatedElement="_X-gg4PjMEeCmc6EQPl3F9g">
            <body>&quot;Contains supplemental service information sent from the placer system to the filler system for the universal procedure code reported in OBR-4 Universal Service ID.  This field will be used to provide ordering information detail that is not available in other specific fields in the OBR segment.&quot; - HL7 Version 2.8, OBR-46.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FKoUUAc0EeGfLeiV6Brugg" name="plannedPatientTransportComment" visibility="public">
          <ownedComment xmi:id="_KIac8Ac0EeGfLeiV6Brugg" annotatedElement="_FKoUUAc0EeGfLeiV6Brugg">
            <body>Contains &quot;comments on special requirements for the transport of the patient to the diagnostic service department.&quot; - HL7 Version 2.8, OBR-43</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4aBxgO3KEeCFZuasLkncZQ" name="reasonForStudy" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_l7FUgO3LEeCFZuasLkncZQ" annotatedElement="_4aBxgO3KEeCFZuasLkncZQ">
            <body>&quot;This is required for some studies to obtain proper reimbursement.&quot; - HL7 Version 2.8, OBR-31.  Used to link various tests or procedures together in order to provide a more complete picture of a patient's condition.  Also used for billing purposes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mrL7wO3LEeCFZuasLkncZQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mrMi0O3LEeCFZuasLkncZQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Wsp5EAmDEeGe4v7RnpTDUQ" name="relevantClinicalInformation" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_gTZJ0AmDEeGe4v7RnpTDUQ" annotatedElement="_Wsp5EAmDEeGe4v7RnpTDUQ">
            <body>&quot;Contains the additional clinical information about the patient or specimen.  This field is used to report the suspected diagnosis and clinical findings on requests for interpreted diagnostic studies.  Examples include reporting the amount of inspired carbon dioxide for blood gasses, the point in the menstrual cycle for cervical pap tests, and other conditions that influence test interpretations.&quot; - HL7 Version 2.8, OBR-13.  Possible values include (from HL7 Table 916): Patient was fasting prior to the procedure; The patient indicated they did not fast prior to the procedure; Not Given – Patient was not asked at the time of the procedure; Fasting not asked of the patient at time of procedure.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_84v3kMncEeG_ScqIlDrcqg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_84xFsMncEeG_ScqIlDrcqg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BaqREIlEEd-pqcFAwb-XNw" name="remarks" visibility="public">
          <ownedComment xmi:id="_fJjHEO62Ed-crcWiXVDZrQ" annotatedElement="_BaqREIlEEd-pqcFAwb-XNw">
            <body>General textual comments about this Order.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xo5mAPjNEeCmc6EQPl3F9g" name="resultHandling" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_E5XxIPjOEeCmc6EQPl3F9g" annotatedElement="_xo5mAPjNEeCmc6EQPl3F9g">
            <body>&quot;Information regarding the handling of the result.  For example, an order may specify that the result (e.g., an x-ray film) should be given to the patient for return to the requestor....  If this field is not populated then routine handling is implied.&quot; - HL7 Version 2.8, OBR-49    Note that the HL7 V2 value set only contains values pertinent to Radiology (e.g., give film to patient).  However, it is envisioned that other scenarios might be handled by this property.  This property is optional.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F_JGYPjOEeCmc6EQPl3F9g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F_JGYfjOEeCmc6EQPl3F9g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64589570A016D" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MC55iOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64589570A016D">
            <body>&quot;Specifies the status of an order....  The purpose of this field is to report the status of an order either upon request (solicited), or when the status changes (unsolicited).  It does not initiate action.  It is assumed that the order status always reflects the status as it is known to the sending application at the time that the message is sent.  Only the filler can originate the value of this field.&quot; - HL7 Version 2.8, ORC-5&#xD;
&#xD;
A code specifying the status of the Order.  Valid status codes should reflect the HL7 state machine, e.g., Active, Held, Canceled, Aborted, New, Nullified, Obsolete.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_67duwPXCEdytsOh7tTzTwg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_67duwfXCEdytsOh7tTzTwg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_U5Eh0EtBEdyGhN1DL5AQjA" name="statusModifier" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_8qOWsO62Ed-crcWiXVDZrQ" annotatedElement="_U5Eh0EtBEdyGhN1DL5AQjA">
            <body>&quot;This field is a modifier or refiner of the ORC-5-Order status field. This field may be used to provide additional levels of specificity or additional information for the defined order status codes.&quot; - HL7 Version 2.8, ORC-25</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7S27EPXCEdytsOh7tTzTwg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7S27EfXCEdytsOh7tTzTwg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3S-u0Fi2EeWPFcZL8Pri7w" name="suggestedPrecaution" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_vCm-oFi3EeWPFcZL8Pri7w" annotatedElement="_3S-u0Fi2EeWPFcZL8Pri7w">
            <body>This property indicates the kind of precaution(s) that the orderer suggests be taken in order to prevent transmission of infectious disease.  Possible values include: blood-borne pathogen precaution, airborne pathogen precaution, droplet precaution, contact precautions, etc. This property categorizes the precaution protocol that ought to be invoked.  The actual protocol invoked may be indicated in the PrecautionProtocol class.  Note that a precaution will in some cases be ordered, in which case a separate instance of the HealthcareOrder would be created.  This property is not intended to order a precaution but to suggest one that might be taken while fulfilling the subject order.  For a system that implements a Boolean flag to indicate that the patient is to be in an isolation protocol, one approach would be to set that flag based on the content of this property.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_v3ms8Fi3EeWPFcZL8Pri7w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_v3nUAFi3EeWPFcZL8Pri7w" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1JHIkAcfEeGfLeiV6Brugg" name="transportationArrangementResponsibility" visibility="public">
          <ownedComment xmi:id="_Ve2rYAchEeGfLeiV6Brugg" annotatedElement="_1JHIkAcfEeGfLeiV6Brugg">
            <body>Indicates &quot;who is responsible for arranging transport to the planned diagnostic service.  Examples: Requester, Provider, Patient.&quot; - HL7 Version 2.8, OBR-40.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zlt4oAmPEeGe4v7RnpTDUQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zlt4oQmPEeGe4v7RnpTDUQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_P9cRQAchEeGfLeiV6Brugg" name="transportationMode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_bmjCYAchEeGfLeiV6Brugg" annotatedElement="_P9cRQAchEeGfLeiV6Brugg">
            <body>&quot;Identifies how (or whether) to transport a patient, when applicable.&quot; - HL7 Version 2.8, OBR-30.  Possible values include (from HL7 Table 124): Cart - patient travels on cart or gurney; The examining device goes to patient's location; Patient walks to diagnostic service; Wheelchair.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JxNKwAmNEeGe4v7RnpTDUQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JxNKwQmNEeGe4v7RnpTDUQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uYHV4AcfEeGfLeiV6Brugg" name="wasTransportArranged" visibility="public">
          <ownedComment xmi:id="_o1N98AczEeGfLeiV6Brugg" annotatedElement="_uYHV4AcfEeGfLeiV6Brugg">
            <body>Indicates &quot;whether transport arrangements are known to have been made.&quot; - HL7 Version 2.8, OBR-41</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ep2kgZkGEeCFEfqQZ7sMZg" name="diagnosisList" visibility="public" type="_e4dl4AgVEd6eWYJXJewDdQ" association="_ep2kgJkGEeCFEfqQZ7sMZg">
          <ownedComment xmi:id="_5A9_oBUwEeGk2cucW4LtoA" annotatedElement="_ep2kgZkGEeCFEfqQZ7sMZg">
            <body>A (set of) specific confirmed or suspected patient diagnosis associated with a Health Care Order indicating the health care basis for the Healthcare Order.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ep2kgpkGEeCFEfqQZ7sMZg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ep2kg5kGEeCFEfqQZ7sMZg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ScDqoJNjEeCyufOLCDZkFA" name="encounter" visibility="public" type="_420A62FD03B64213F5B40316" association="_Sb22UJNjEeCyufOLCDZkFA">
          <ownedComment xmi:id="_GlJwABCUEeGYNskcagX10g" annotatedElement="_ScDqoJNjEeCyufOLCDZkFA">
            <body>The PatientEncounter during which the Order was created.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ScE4wJNjEeCyufOLCDZkFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ScE4wZNjEeCyufOLCDZkFA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_sQmiMOOxEeCbbuWBGGTBrA" name="orderAction" visibility="public" type="_420A62FD03B6420BCF080009" association="_sQdYQOOxEeCbbuWBGGTBrA">
          <ownedComment xmi:id="_VA6cUBUxEeGk2cucW4LtoA" annotatedElement="_sQmiMOOxEeCbbuWBGGTBrA">
            <body>A record of action has been taken on an order, including the signature and verification required to release to the service.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sQmiMeOxEeCbbuWBGGTBrA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sQmiMuOxEeCbbuWBGGTBrA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_iDCu8Yk4Ed-pqcFAwb-XNw" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_iDCu8Ik4Ed-pqcFAwb-XNw">
          <ownedComment xmi:id="_nTEeIIk4Ed-pqcFAwb-XNw" annotatedElement="_iDCu8Yk4Ed-pqcFAwb-XNw">
            <body>Identifies the patient which is the subject of the Order.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iDCu8ok4Ed-pqcFAwb-XNw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iDCu84k4Ed-pqcFAwb-XNw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fmX3MIlDEd-pqcFAwb-XNw" name="patientLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_fmOGMIlDEd-pqcFAwb-XNw">
          <ownedComment xmi:id="_h6yw4IlDEd-pqcFAwb-XNw" annotatedElement="_fmX3MIlDEd-pqcFAwb-XNw">
            <body>The physical location of the patient.  This information is used to communicate to the performing Service where the Patient might be found, which is particularly important for services that involve the patient (e.g., a Lab Test ordered requires a blood draw).&#xD;
&quot;Specifies the location of the patient to whom the pharmaceutical substance is to be delivered.&quot; - HL7 Version 2.8, RXO-34.&#xD;
&quot;Specifies the address, either mailing or physical, to which the prescription should be mailed or delivered.&quot; - HL7 Version 2.8, RXO-35.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fmX3MYlDEd-pqcFAwb-XNw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fmX3MolDEd-pqcFAwb-XNw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Q98HIQcwEeGfLeiV6Brugg" name="resultCopiesTo" visibility="public" type="_420A62FD03B6418A6B760063" association="_Q98HIAcwEeGfLeiV6Brugg">
          <ownedComment xmi:id="_cTqCMAcwEeGfLeiV6Brugg" annotatedElement="_Q98HIQcwEeGfLeiV6Brugg">
            <body>&quot;Identifies the people who are to receive copies of the results.&quot; - HL7 Version 2.8, OBR-28.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Q98HIgcwEeGfLeiV6Brugg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Q98HIwcwEeGfLeiV6Brugg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_JtydgJNkEeCyufOLCDZkFA" name="setOfOrders" visibility="public" type="_TN9LgPDqEd-lSvs7gQOGZw" association="_JtxPYJNkEeCyufOLCDZkFA">
          <ownedComment xmi:id="_-w4fQBCPEeGYNskcagX10g" annotatedElement="_JtydgJNkEeCyufOLCDZkFA">
            <body>An aggregation of Orders that are assembled so that they might be managed as a group.  The member Orders will generally be for a single Patient, and commonly issued by a single Provider, but otherwise these orders will have no other inherent relationships between themselves.  This concept is different from an Order Set, Panel, or Battery, in that the SetOfOrders is composed after the orders have been created; wheras the latter concepts are defined before the order is created.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JtzEkJNkEeCyufOLCDZkFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JtzroJNkEeCyufOLCDZkFA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_w9NjcBRSEeGQfutgOfQGQw" name="standingOrder" visibility="public" type="_vW0NYBRSEeGQfutgOfQGQw" association="_w9KgIBRSEeGQfutgOfQGQw">
          <ownedComment xmi:id="_G7PlUBU1EeGk2cucW4LtoA" annotatedElement="_w9NjcBRSEeGQfutgOfQGQw">
            <body>An order that is created by policy, and which is not tied to a single patient, but which is generated for a patient when certain conditions are met.  For example, a policy might exist that persons deploying to a particular region must have a particular vaccination administered beforehand.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_w9P_sBRSEeGQfutgOfQGQw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_w9QmwBRSEeGQfutgOfQGQw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ahxAURUyEeGk2cucW4LtoA" name="cosigner" visibility="public" type="_ciFhEHpAEd-44ra0dfiJCw" association="_ahxAUBUyEeGk2cucW4LtoA">
          <ownedComment xmi:id="_b5PwoBUyEeGk2cucW4LtoA" annotatedElement="_ahxAURUyEeGk2cucW4LtoA">
            <body>Captures participation information (who, when, comments) of the person who co-signed the order.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ahxAUhUyEeGk2cucW4LtoA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ahxAUxUyEeGk2cucW4LtoA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_UxCjsMX-EeGsb4KXw2Babg" name="billingInformation" visibility="public" type="_SsqRIMX-EeGsb4KXw2Babg" association="_Uw9rMMX-EeGsb4KXw2Babg">
          <ownedComment xmi:id="_nkgX0MYAEeGsb4KXw2Babg" annotatedElement="_UxCjsMX-EeGsb4KXw2Babg">
            <body>&quot;Used to provide billing information, on the ordered service, to the filling application.&quot; - HL7 Version 2.8, BLG Segment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UxDKwMX-EeGsb4KXw2Babg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UxDx0MX-EeGsb4KXw2Babg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VzizUMoAEeGas4Yp_oUthg" name="subject" visibility="public" type="_61ai4MTBEd-6Z_53K--WsA" association="_Vy_ZsMoAEeGas4Yp_oUthg">
          <ownedComment xmi:id="_V-OmEMoQEeGas4Yp_oUthg" annotatedElement="_VzizUMoAEeGas4Yp_oUthg">
            <body>Represents the person or thing, other than a patient, that is the subject of a healthcare activity.  For example, the subject might be a research animal, an environmental sample, or a foodstuff sample for food safety testing.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Vzl2oMoAEeGas4Yp_oUthg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VzmdsMoAEeGas4Yp_oUthg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_v4ihEMoSEeGas4Yp_oUthg" name="healthcarePromise" visibility="public" type="_3r94oOO5EeCbbuWBGGTBrA" association="_v4ePoMoSEeGas4Yp_oUthg">
          <ownedComment xmi:id="_Vr4KcMoTEeGas4Yp_oUthg" annotatedElement="_v4ihEMoSEeGas4Yp_oUthg">
            <body>Points to the Healthcare Promises (if any) created in response to the Healthcare Order.  Note that since both the HealthcareOrder and HealthcarePromise are abstract classes, this association is available to all subclasses, such that LabPromise would point to LabOrder, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_v4jvMMoSEeGas4Yp_oUthg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_v4kWQMoSEeGas4Yp_oUthg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lmmZcKwREeG4dfTp_XT2yg" name="healthcareOrder" visibility="public" type="_420A62FD03B64589572B02E8" association="_lmjWIKwREeG4dfTp_XT2yg">
          <ownedComment xmi:id="_xdQ4oMoREeGas4Yp_oUthg" annotatedElement="_lmmZcKwREeG4dfTp_XT2yg">
            <body>Points to the Healthcare Order in response to which the Healthcare Promise was created.  Note that since both the HealthcareOrder and HealthcarePromise are abstract classes, this association is available to all subclasses, such that LabPromise would point to LabOrder, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lmnnkKwREeG4dfTp_XT2yg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lmnnkawREeG4dfTp_XT2yg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_u5hhANzCEeWL2f9XaFHwGQ" name="precautionProtocolInvoked" visibility="public" type="_rZKqsNs4EeW2RplReLPV6w" association="_u5cBcNzCEeWL2f9XaFHwGQ">
          <ownedComment xmi:id="_biOfsNzDEeWL2f9XaFHwGQ" annotatedElement="_u5hhANzCEeWL2f9XaFHwGQ">
            <body>Pointer to a list of zero-to-many procedures that is invoked as a precaution to prevent harm to the patient, guests, or healthcare workers in response to a known situation where a potential danger may exist.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_u5j9QNzCEeWL2f9XaFHwGQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_u5j9QdzCEeWL2f9XaFHwGQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_3r94oOO5EeCbbuWBGGTBrA" name="HealthcarePromise" isAbstract="true">
        <eAnnotations xmi:id="_EaGNwKwQEeG4dfTp_XT2yg" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_EaGNwawQEeG4dfTp_XT2yg" key="EntryPoint"/>
        </eAnnotations>
        <ownedComment xmi:id="_MV7rsAoZEeGTP7iPaRFP_g" annotatedElement="_3r94oOO5EeCbbuWBGGTBrA">
          <body>This abstract class contains those properties which are common to all Promise classes (e.g., LabPromise, PharmacyPromise, etc.).  A Promise is an intent to perform a service that has the strength of a commitment, i.e., other parties may rely on the originator of such promise that said originator will see to it that the promised act will be fulfilled. A promise can be either solicited or unsolicited.  The entity that makes such a promise is also called a &quot;filler&quot;, while the entity that requests the service is also called a &quot;placer&quot;.  The Promise can be looked at as the Order from the filler's point of view.</body>
        </ownedComment>
        <generalization xmi:id="_3gb-ELucEeSu6tW34laYTQ" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_JJcFgAcvEeGfLeiV6Brugg" name="chargeToPracticeCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_lSVp4AcvEeGfLeiV6Brugg" annotatedElement="_JJcFgAcvEeGfLeiV6Brugg">
            <body>&quot;This field is the charge to the ordering entity for the studies performed when applicable. The first component is a dollar amount when known by the filler.  The second is a charge code when known by the filler (results only)&quot; - HL7 Version 2.8, OBR-23.  This property contains the charge code, if available.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_paRIkAcvEeGfLeiV6Brugg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_paaSgAcvEeGfLeiV6Brugg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ObmisAcvEeGfLeiV6Brugg" name="chargeToPracticeCost" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_n2SNUAcvEeGfLeiV6Brugg" annotatedElement="_ObmisAcvEeGfLeiV6Brugg">
            <body>&quot;This field is the charge to the ordering entity for the studies performed when applicable. The first component is a dollar amount when known by the filler.  The second is a charge code when known by the filler (results only).&quot; - HL7 Version 2.8, OBR-23.  This property contains the dollar amount, if available.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oYzrkAcvEeGfLeiV6Brugg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oYzrkQcvEeGfLeiV6Brugg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qaO2EEVoEeKmiJoj9rWMSg" name="dateAccepted" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="__odHUEVoEeKmiJoj9rWMSg" annotatedElement="_qaO2EEVoEeKmiJoj9rWMSg">
            <body>The date/time on which the ordered service was accepted by the filler.  In other words, the creation date of the Promise record.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8Pvl0OO5EeCbbuWBGGTBrA" name="expectedAvailabilityDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_FL4AkAcrEeGfLeiV6Brugg" annotatedElement="_8Pvl0OO5EeCbbuWBGGTBrA">
            <body>&quot;Specifies the date/time the filler expects the services to be available.  For example when a prescription is ready for pickup or when a supply will be sent or picked up, or for when a laboratory result is expected to be available.&quot; - HL7 Version 2.8, ORC-27</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8ZrjMApAEeGJyqUYQ0j7Rw" name="fillerOrderId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_ZHE7wApBEeGJyqUYQ0j7Rw" annotatedElement="_8ZrjMApAEeGJyqUYQ0j7Rw">
            <body>A unique identifier of the order from the filling organization's point of view.  Note that different terms have been historically been used for the filler order id in different domains.  For example, in Pharmacy, the &quot;filler order id&quot; is typically called a &quot;prescription number&quot;.  Similarly in Lab, it is typically called an &quot;accession number&quot;.&#xD;
&quot;This field is the order number associated with the filling application....&quot; - HL7 Version 2.8, ORC-3 and OBR-3.&#xD;
&quot;This field is equivalent in uniqueness to the pharmacy/treatment supplier filler order number.  At some sites, this may be the pharmacy/treatment supplier (internal) sequential form.  At other sites, this may be an external number.&quot; - HL7 Version 2.8, RXD-7.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7IAaMPjMEeCmc6EQPl3F9g" name="fillerSupplementalInfo" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_u5QeoAmREeGe4v7RnpTDUQ" annotatedElement="_7IAaMPjMEeCmc6EQPl3F9g">
            <body>&quot;Contains supplemental service information sent from the filler system to the placer system for the procedure code reported in OBR-4 Universal Service ID.  This field will be used to report ordering information detail that is not available in other specific fields in the OBR segment.  Typically it will reflect the same information as was sent to the filler system in OBR-46-Placer supplemental service information unless the order was modified, in which case the filler system will report what was actually performed using this field....&quot; - HL7 Version 2.8, OBR-47.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VHctsLTlEd2sMvQnSCqOzA" name="priority" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Xn1yMMDrEd2cYoIY7XWEQw" annotatedElement="_VHctsLTlEd2sMvQnSCqOzA">
            <body>&quot;Describes the urgency of the request. If this field is blank, the default is [Routine]&quot; - HL7 Version 2.8, TQ1-9.  Possible values include (from HL7 Table 122): Stat; ASAP; Routine; Preop; Callback; Timing critical*; As needed.  *Note that the Timing Critical has a syntax that allows more information, e.g., Timing Critical within 15 minutes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_u9EVoNOWEd2aQZomWdBJLg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_u9EVodOWEd2aQZomWdBJLg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eCP24PjKEeCmc6EQPl3F9g" name="scheduledDateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_UECE0PjLEeCmc6EQPl3F9g" annotatedElement="_eCP24PjKEeCmc6EQPl3F9g">
            <body>&quot;The date/time the filler scheduled an observation, when applicable (e.g., action code in OBR-11-specimen action code = &quot;S&quot;).  This is a result of a request to schedule a particular test and provides a way to inform the placer of the date/time a study is scheduled (result only).&quot; - HL7 Version 2.8, OBR.36</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kq8pMPjKEeCmc6EQPl3F9g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kq8pMfjKEeCmc6EQPl3F9g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_F_ljMAcwEeGfLeiV6Brugg" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_F_ljMQcwEeGfLeiV6Brugg" annotatedElement="_F_ljMAcwEeGfLeiV6Brugg">
            <body>&quot;Contains the status of results for this order.&quot; - HL7 Version 2.8, OBR-25</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F_ljMwcwEeGfLeiV6Brugg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F_ljMgcwEeGfLeiV6Brugg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_O7_KQJNwEeCyufOLCDZkFA" name="statusChangeDateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_FBMKoAmIEeGe4v7RnpTDUQ" annotatedElement="_O7_KQJNwEeCyufOLCDZkFA">
            <body>&quot;Specifies the date/time when the results were reported or status changed.  This conditional field is required whenever [Report Status] is valued.  This field is used to indicate the date and time that the results are composed into a report and released, or that [Healthcare Order status] is entered or changed.&quot; - HL7 Version 2.8, OBR-22.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_s5PJgOOaEd-8X4J7aT-aiQ" name="statusModifier" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_6fLA0LslEeGZTLDYkoM_Sw" annotatedElement="_s5PJgOOaEd-8X4J7aT-aiQ">
            <body>&quot;This field is a modifier or refiner of the ORC-5-Order status field. This field may be used to provide additional levels of specificity or additional information for the defined order status codes.&quot; - HL7 Version 2.8, ORC-25</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_s5PJguOaEd-8X4J7aT-aiQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_s5PJgeOaEd-8X4J7aT-aiQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_vfNoANzCEeWL2f9XaFHwGQ" name="precautionProtocolInvoked" visibility="public" type="_rZKqsNs4EeW2RplReLPV6w" association="_vfMZ4NzCEeWL2f9XaFHwGQ">
          <ownedComment xmi:id="_0xE4UNzEEeWL2f9XaFHwGQ" annotatedElement="_vfNoANzCEeWL2f9XaFHwGQ">
            <body>Pointer to a list of zero-to-many procedures that is invoked as a precaution to prevent harm to the patient, guests, or healthcare workers in response to a known situation where a potential danger may exist.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vfOPENzCEeWL2f9XaFHwGQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vfO2INzCEeWL2f9XaFHwGQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6420BCF080009" name="OrderAction">
        <eAnnotations xmi:id="_NHmQtOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NHTVxOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420BCF080009">
          <body>A record of action has been taken on an order, including the signature and verification required to release to the service.</body>
        </ownedComment>
        <generalization xmi:id="_qFv_UMg5EeSfy4Nv5qDtdw" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_420A62FD03B64228C5C400FC" name="actionCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NHTVyuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64228C5C400FC">
            <body>Indicates the action that was ordered (e.g., New, Hold, Discontinue, etc)</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_njwJ0OO3EeCbbuWBGGTBrA" name="advanceBeneficiaryNoticeCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_fdRtQAcqEeGfLeiV6Brugg" annotatedElement="_njwJ0OO3EeCbbuWBGGTBrA">
            <body>&quot;This field indicates the status of the patient's or the patient's representative's consent for responsibility to pay for potentially uninsured services. This element is introduced to satisfy CMS Medical Necessity requirements for outpatient services. This element indicates (a) whether the associated diagnosis codes for the service are subject to medical necessity procedures, (b) whether, for this type of service, the patient has been informed that they may be responsible for payment for the service, and (c) whether the patient agrees to be billed for this service&quot; - HL7 Version 2.8, ORC-20</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rHU-QOO3EeCbbuWBGGTBrA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rHYBkOO3EeCbbuWBGGTBrA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_n64CAMSjEeG325TcQ8YAGA" name="advanceBeneficiaryNoticeDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_u0V0MMSjEeG325TcQ8YAGA" annotatedElement="_n64CAMSjEeG325TcQ8YAGA">
            <body>&quot;Contains the date the patient gave consent to pay for potentially uninsured services or the date that the Advanced Beneficiary Notice Code was collected.&quot; - HL7 Version 2.8, ORC-32.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rrRxgMSjEeG325TcQ8YAGA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rrS_oMSjEeG325TcQ8YAGA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WKyoAOO5EeCbbuWBGGTBrA" name="advanceBeneficiaryNoticeOverrideReason" visibility="public">
          <ownedComment xmi:id="_WKyoAeO5EeCbbuWBGGTBrA" annotatedElement="_WKyoAOO5EeCbbuWBGGTBrA">
            <body>&quot;This field contains the reason why the patient did not sign an Advanced Beneficiary Notice.&quot; - HL7 Version 2.8, ORC-26</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WKyoA-O5EeCbbuWBGGTBrA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WKyoAuO5EeCbbuWBGGTBrA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_EXhTEP82EeCDQancQavJ_w" name="comment" visibility="public">
          <ownedComment xmi:id="_4xvBQBCEEeGYNskcagX10g" annotatedElement="_EXhTEP82EeCDQancQavJ_w">
            <body>Contains any remarks about the Order Action</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642407F67011A" name="effectiveDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NHTVx-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642407F67011A">
            <body>&quot;Contains the date/time that the changes to the request took effect or are supposed to take effect....&quot; - HL7 Version 2.8, ORC-15</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6420BCF1700FB" name="orderActionDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NHdGweLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420BCF1700FB">
            <body>&quot;Contains the date and time of the event that initiated the current transaction as reflected in ORC-1 Order Control Code.&quot; - HL7 Version 2.8, ORC-9</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6420BCFE600DA" name="reasonForAction" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NHdGx-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420BCFE600DA">
            <body>&quot;This field contains a coded explanation of the reason for the order event described by the order control code &quot; - HL7 Version 2.8, ORC-16</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KmSxcOO2EeCbbuWBGGTBrA" name="reasonForActionNarrative" visibility="public">
          <ownedComment xmi:id="_bOJ24AcpEeGfLeiV6Brugg" annotatedElement="_KmSxcOO2EeCbbuWBGGTBrA">
            <body>&quot;This field contains the explanation (in text form) of the reason for the order event described by the order control code&quot; - HL7 Version 2.8, ORC-16</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6420BD2220295" name="releaseStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NHdGyuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420BD2220295">
            <body>This field tracks the status of the order action. This is different from the order status. Valid values are Unreleased, Pre-release, Rejected, or Discontinued due to Edit.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_h0XBARUuEeGk2cucW4LtoA" name="chartReview" visibility="public" type="_d4VQUBUuEeGk2cucW4LtoA" association="_h0XBABUuEeGk2cucW4LtoA">
          <ownedComment xmi:id="_dJUjUBUwEeGk2cucW4LtoA" annotatedElement="_h0XBARUuEeGk2cucW4LtoA">
            <body>Identifies a chart review that was performed on this Order Action.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_h0XBAhUuEeGk2cucW4LtoA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_h0XBAxUuEeGk2cucW4LtoA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Ap_mgP84EeCDQancQavJ_w" name="detectedIssueEvent" visibility="public" type="_420A62FD03B6420BD5E80118" association="_Ap-YYP84EeCDQancQavJ_w">
          <ownedComment xmi:id="_wisLwBUwEeGk2cucW4LtoA" annotatedElement="_Ap_mgP84EeCDQancQavJ_w">
            <body>Identifies any issues that were detected (aka Order Checks) during the creation of the Order Action.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ap_mgf84EeCDQancQavJ_w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AqANkP84EeCDQancQavJ_w" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KUK0weO4EeCbbuWBGGTBrA" name="orderingFacility" visibility="public" type="_420A62FD03B64242CAB30303" association="_KUK0wOO4EeCbbuWBGGTBrA">
          <ownedComment xmi:id="_j8r3cBCkEeGYNskcagX10g" annotatedElement="_KUK0weO4EeCbbuWBGGTBrA">
            <body>&quot;This field contains the name of the facility placing the order.&quot; - HL7 Version 2.8, ORC-21&#xD;
&quot;This field contains the address of the facility placing the order.&quot; - HL7 Version 2.8, ORC-22&#xD;
&quot;This field contains the telephone number of the facility placing the order.&quot; - HL7 Version 2.8, ORC-23</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KUN4EOO4EeCbbuWBGGTBrA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KUN4EeO4EeCbbuWBGGTBrA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Sn_XAOO2EeCbbuWBGGTBrA" name="orderingLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_Sn8TsOO2EeCbbuWBGGTBrA">
          <ownedComment xmi:id="_0iQ04AcoEeGfLeiV6Brugg" annotatedElement="_Sn_XAOO2EeCbbuWBGGTBrA">
            <body>&quot;This field identifies the organization that the enterer belonged to at the time he/she enters/maintains the order, such as medical group or department.&quot; - HL7 V2 ORC 17</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Sn_XAeO2EeCbbuWBGGTBrA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Sn_XAuO2EeCbbuWBGGTBrA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VXOQ0Ky1EeCBdbmGd0l2eA" name="releaseAct" visibility="public" type="_TgxskKy1EeCBdbmGd0l2eA" association="_VXLNgKy1EeCBdbmGd0l2eA">
          <ownedComment xmi:id="_sHRKsBCNEeGYNskcagX10g" annotatedElement="_VXOQ0Ky1EeCBdbmGd0l2eA">
            <body>&quot;To allow to be known, issued, done, or exhibited: to release an article for publication.&quot; - Dictionary.com.  Represents the release of an Order Action such that it is now visible to and actionable by other persons.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VXOQ0ay1EeCBdbmGd0l2eA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VXOQ0qy1EeCBdbmGd0l2eA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642446E970374" name="trigger" visibility="public" type="_420A62FD03B642309DCD0072" isUnique="false" association="_420A62FD03B642446E960098">
          <ownedComment xmi:id="_NL6wDeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642446E970374">
            <body>A patient-related event that automatically triggers an order action.  For example, if the patient is scheduled for surgery, an particular Order Action might be placed on hold (i.e., &quot;held&quot;) four hours before surgery.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NL6wD-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NL6wEOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_sSThgMXxEeGsb4KXw2Babg" name="enteringLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_sR9jQMXxEeGsb4KXw2Babg">
          <ownedComment xmi:id="_X8jT4MXyEeGsb4KXw2Babg" annotatedElement="_sSThgMXxEeGsb4KXw2Babg">
            <body>&quot;Specifies the location (e.g., nurse station, ancillary service location, clinic, floor) where the person who entered the request was physically located when the order was entered. &quot; - HL7 Version 2.8, ORC-13</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sSdSgMXxEeGsb4KXw2Babg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sSd5kMXxEeGsb4KXw2Babg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6420BD5E80118" name="DetectedIssueEvent">
        <eAnnotations xmi:id="_NHwBtOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NHmQt-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420BD5E80118">
          <body>&quot;An observation identifying a potential adverse outcome as a result of an Act or combination of Acts.  Examples: Detection of a drug-drug interaction; Identification of a late-submission for an invoice; Requesting discharge for a patient who does not meet hospital-defined discharge criteria.  Discussion: This class is commonly used for identifying 'business rule' or 'process' problems that may result in a refusal to carry out a particular request. In some circumstances it may be possible to 'bypass' a problem by modifying the request to acknowledge the issue and/or by providing some form of mitigation.  Constraints: the Act or Acts that may cause the the adverse outcome are the target of a subject ActRelationship. The subbtypes of this concept indicate the type of problem being detected (e.g. drug-drug interaction) while the Observation.value is used to repesent a specific problem code (e.g. specific drug-drug interaction id).&quot; - HL7 Version 3</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6422DFB88019D" name="dangerLevel" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NHmQuuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6422DFB88019D">
            <body>This is the clinical danger level associated with this detected issue. Those having a High danger level will require a justification for override and release. Valid values are High, Moderate, or Low.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6420BD61E0238" name="detectedIssue" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NHmQveLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420BD61E0238">
            <body>Indicates the issue that was detected (also called an &quot;order check&quot;).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6420BD8510255" name="text" visibility="public">
          <ownedComment xmi:id="_NHwBsuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420BD8510255">
            <body>Contains the actual text of the detected issue.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BvIpoP84EeCDQancQavJ_w" name="detectedIssueOverride" visibility="public" type="_420A62FD03B6420BD7420292" association="_BvG0cP84EeCDQancQavJ_w">
          <ownedComment xmi:id="_Sio2sBCJEeGYNskcagX10g" annotatedElement="_BvIpoP84EeCDQancQavJ_w">
            <body>Provides a record that the Detected Issue (or &quot;Order Check&quot;) was acknowledged and was disregarded.  For example, perhaps a warning was displayed indicating that the patient has a mild allergy to an antibiotic that the clinician wishes to order.  If the antibiotic is the only one that could possibly save the patient's life, the clinician would likely choose to order the antibiotic anyway.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BvJ3wP84EeCDQancQavJ_w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BvJ3wf84EeCDQancQavJ_w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Uu-3cP87EeCDQancQavJ_w" name="detectedIssueOrderRevision" visibility="public" type="_OmE_gP87EeCDQancQavJ_w" association="_Uu8bMP87EeCDQancQavJ_w">
          <ownedComment xmi:id="_Q9cagBCJEeGYNskcagX10g" annotatedElement="_Uu-3cP87EeCDQancQavJ_w">
            <body>Provides a record of a revision to the originally proposed Order Action - the resulting revision reflecting a decision to change the Order Action based on information presented by the Detected Issue (aka Order Check).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Uu_egP87EeCDQancQavJ_w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UvAFkP87EeCDQancQavJ_w" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6420BD7420292" name="DetectedIssueOverride">
        <eAnnotations xmi:id="_NHwBvOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NHwBt-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420BD7420292">
          <body>Provides a record that the Detected Issue (or &quot;Order Check&quot;) was acknowledged and was disregarded.  For example, perhaps a warning was displayed indicating that the patient has a mild allergy to an antibiotic that the clinician wishes to order.  If the antibiotic is the only one that could possibly save the patient's life, the clinician would likely choose to order the antibiotic anyway.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6420BD74C02AA" name="overrideReason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NHwBuuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6420BD74C02AA">
            <body>Contains a justification for overriding the Detected Issue and releasing the Order Action.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Xn2TwYYJEd-2psOxABAOvw" name="overrideAuthor" visibility="public" type="_hXa7cAq6Ed-426xscrxYmQ" association="_Xn2TwIYJEd-2psOxABAOvw">
          <ownedComment xmi:id="_cOBW4BCJEeGYNskcagX10g" annotatedElement="_Xn2TwYYJEd-2psOxABAOvw">
            <body>The person who overrode the Detected Issue (aka Order Check).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Xn2TwoYJEd-2psOxABAOvw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Xn2Tw4YJEd-2psOxABAOvw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6422F6679007E" name="ObservationRequest" isAbstract="true">
        <eAnnotations xmi:id="_NIpZleLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NIfoneLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6422F6679007E">
          <body>This class contains informatin associated with the record of a request that certain observation(s) be performed.  This class can be used for Vital Signs, Laboratory, Radiology, or other types of observations.</body>
        </ownedComment>
        <generalization xmi:id="_mtxH8IlUEd-pqcFAwb-XNw" general="_420A62FD03B64589572B02E8"/>
        <ownedAttribute xmi:id="_420A62FD03B64239ED0800B5" name="frequency" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_NIpZk-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64239ED0800B5">
            <body>An administration schedule for how often the requested observation should be performed.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6426689BE0213" name="orderedObservation" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NIyjj-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6426689BE0213">
            <body>Identifies a kind of observation that can be, is, or has been requested as part of an order.  In other words, this is the service ordered.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642309DCD0072" name="OrderPatientEvent">
        <eAnnotations xmi:id="_NIpZneLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NIpZmOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642309DCD0072">
          <body>A patient-related event that automatically triggers an Order Action.  For example, if the patient is scheduled for surgery, an particular Order Action might be placed on hold (i.e., &quot;held&quot;) four hours before surgery.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6423A146101DB" name="patientRelatedEventCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NIpZm-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6423A146101DB">
            <body>Identifies the patient-related event that automatically triggers an order action.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_IXQCwS1mEeCa156qmneW2Q" name="author" visibility="public" type="_hXa7cAq6Ed-426xscrxYmQ" association="_IXQCwC1mEeCa156qmneW2Q">
          <ownedComment xmi:id="_aHUc0BUuEeGk2cucW4LtoA" annotatedElement="_IXQCwS1mEeCa156qmneW2Q">
            <body>Identifies the clinician who recorded that the Patient Event occurred.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IXQCwi1mEeCa156qmneW2Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IXQCwy1mEeCa156qmneW2Q" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642446E960098" name="orderAction_trigger" memberEnd="_420A62FD03B642446E970374 _420A62FD03B642446E97039D">
        <ownedEnd xmi:id="_420A62FD03B642446E97039D" name="" visibility="public" type="_420A62FD03B6420BCF080009" isUnique="false" association="_420A62FD03B642446E960098"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Xn2TwIYJEd-2psOxABAOvw" name="detectedIssueManagement_overrideAuthor" memberEnd="_Xn2TwYYJEd-2psOxABAOvw _Xn2TxIYJEd-2psOxABAOvw">
        <ownedEnd xmi:id="_Xn2TxIYJEd-2psOxABAOvw" name="" visibility="public" type="_420A62FD03B6420BD7420292" association="_Xn2TwIYJEd-2psOxABAOvw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_TN9LgPDqEd-lSvs7gQOGZw" name="SetOfOrders">
        <ownedComment xmi:id="_qIXjIBCPEeGYNskcagX10g" annotatedElement="_TN9LgPDqEd-lSvs7gQOGZw">
          <body>An aggregation of Orders that are assembled so that they might be managed as a group.  The member Orders will generally be for a single Patient, and commonly issued by a single Provider, but otherwise these orders will have no other inherent relationships between themselves.  This concept is different from an Order Set, Panel, or Battery, in that the SetOfOrders is composed after the orders have been created; wheras the latter concepts are defined before the order is created.</body>
        </ownedComment>
        <generalization xmi:id="_FC2UUMK3EeCnJaPxQitB6A" general="_420A62FD03B64589572B02E8"/>
        <ownedAttribute xmi:id="_cPyYYPDqEd-lSvs7gQOGZw" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_cPyYYfDqEd-lSvs7gQOGZw" annotatedElement="_cPyYYPDqEd-lSvs7gQOGZw">
            <body>&quot;Contains a unique identifier for the Placer Group as referenced by the Placer application, the Filler application, or both.&quot; - HL7 Version 2.8, ORC-4</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cPyYY_DqEd-lSvs7gQOGZw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cPyYYvDqEd-lSvs7gQOGZw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_q6MXUfDqEd-lSvs7gQOGZw" name="healthcareOrder" visibility="public" type="_420A62FD03B64589572B02E8" aggregation="shared" association="_q6MXUPDqEd-lSvs7gQOGZw">
          <ownedComment xmi:id="_F9a-cBCQEeGYNskcagX10g" annotatedElement="_q6MXUfDqEd-lSvs7gQOGZw">
            <body>An Order that is a member of a Set of Orders.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_q6MXUvDqEd-lSvs7gQOGZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_q6MXU_DqEd-lSvs7gQOGZw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0T3yYMKyEeCnJaPxQitB6A" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_0T3yYcKyEeCnJaPxQitB6A" annotatedElement="_0T3yYMKyEeCnJaPxQitB6A">
            <body>A code specifying the status of the SetOfOrders.  Valid status codes should reflect the HL7 state machine, e.g., Active, Held, Canceled, Aborted, New, Nullified, Obsolete).  Note that operationally, this status will likely represent the aggregate statuses of the member Orders.  For example, in a set of five Orders, if four orders are &quot;Completed&quot; and one is &quot;Active&quot;, this status would likely be &quot;Active&quot;.  When all five Orders are &quot;Completed&quot;, this status might change to &quot;Completed&quot;.  Note that the model does not dictate how this status should be computed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0T3yY8KyEeCnJaPxQitB6A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0T3yYsKyEeCnJaPxQitB6A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_85MpcMKyEeCnJaPxQitB6A" name="priority" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_85MpccKyEeCnJaPxQitB6A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_85MpcsKyEeCnJaPxQitB6A" annotatedElement="_85MpcMKyEeCnJaPxQitB6A">
            <body>A code (e.g., routine, emergency), specifying the urgency under which the SetOfOrders is requested to happen.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_85MpdMKyEeCnJaPxQitB6A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_85Mpc8KyEeCnJaPxQitB6A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_q6MXUPDqEd-lSvs7gQOGZw" name="setOfOrders_healthcareOrder" memberEnd="_q6MXUfDqEd-lSvs7gQOGZw _q6MXVPDqEd-lSvs7gQOGZw">
        <ownedEnd xmi:id="_q6MXVPDqEd-lSvs7gQOGZw" name="" visibility="public" type="_TN9LgPDqEd-lSvs7gQOGZw" association="_q6MXUPDqEd-lSvs7gQOGZw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_q6MXVfDqEd-lSvs7gQOGZw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_q6MXVvDqEd-lSvs7gQOGZw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_IXQCwC1mEeCa156qmneW2Q" name="orderPatientEvent_author" memberEnd="_IXQCwS1mEeCa156qmneW2Q _IXZzwC1mEeCa156qmneW2Q">
        <ownedEnd xmi:id="_IXZzwC1mEeCa156qmneW2Q" name="" visibility="public" type="_420A62FD03B642309DCD0072" association="_IXQCwC1mEeCa156qmneW2Q">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IXZzwS1mEeCa156qmneW2Q" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IXZzwi1mEeCa156qmneW2Q" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_TgxskKy1EeCBdbmGd0l2eA" name="ReleaseAct">
        <ownedComment xmi:id="_rPdY8BCNEeGYNskcagX10g" annotatedElement="_TgxskKy1EeCBdbmGd0l2eA">
          <body>&quot;To allow to be known, issued, done, or exhibited: to release an article for publication.&quot; - Dictionary.com.  Represents the release of an Order Action such that it is now visible to and actionable by other persons.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_Y7GnQay1EeCBdbmGd0l2eA" name="author" visibility="public" type="_420A62FD03B6418A6B760063" association="_Y7GnQKy1EeCBdbmGd0l2eA">
          <ownedComment xmi:id="_2-snQBCNEeGYNskcagX10g" annotatedElement="_Y7GnQay1EeCBdbmGd0l2eA">
            <body>Identifies the provider who released the Order Action for further action by other persons.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Y7JqkKy1EeCBdbmGd0l2eA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Y7Jqkay1EeCBdbmGd0l2eA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gcQEgKy1EeCBdbmGd0l2eA" name="dateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_gcQEgay1EeCBdbmGd0l2eA" annotatedElement="_gcQEgKy1EeCBdbmGd0l2eA">
            <body>The date/time that the Order Action was released for further action by other providers.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_VXLNgKy1EeCBdbmGd0l2eA" name="orderAction_releaseAct" memberEnd="_VXOQ0Ky1EeCBdbmGd0l2eA _VXRUIKy1EeCBdbmGd0l2eA">
        <ownedEnd xmi:id="_VXRUIKy1EeCBdbmGd0l2eA" name="" visibility="public" type="_420A62FD03B6420BCF080009" association="_VXLNgKy1EeCBdbmGd0l2eA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VXRUIay1EeCBdbmGd0l2eA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VXRUIqy1EeCBdbmGd0l2eA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Y7GnQKy1EeCBdbmGd0l2eA" name="releaseAct_author" memberEnd="_Y7GnQay1EeCBdbmGd0l2eA _Y7Jqkqy1EeCBdbmGd0l2eA">
        <ownedEnd xmi:id="_Y7Jqkqy1EeCBdbmGd0l2eA" name="" visibility="public" type="_TgxskKy1EeCBdbmGd0l2eA" association="_Y7GnQKy1EeCBdbmGd0l2eA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Y7Jqk6y1EeCBdbmGd0l2eA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Y7Mt4Ky1EeCBdbmGd0l2eA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Sn8TsOO2EeCbbuWBGGTBrA" name="orderAction_orderingLocation" memberEnd="_Sn_XAOO2EeCbbuWBGGTBrA _SoCaUOO2EeCbbuWBGGTBrA">
        <ownedEnd xmi:id="_SoCaUOO2EeCbbuWBGGTBrA" name="" visibility="public" type="_420A62FD03B6420BCF080009" association="_Sn8TsOO2EeCbbuWBGGTBrA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SoCaUeO2EeCbbuWBGGTBrA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SoCaUuO2EeCbbuWBGGTBrA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_KUK0wOO4EeCbbuWBGGTBrA" name="orderAction_orderingFacility" memberEnd="_KUK0weO4EeCbbuWBGGTBrA _KUN4EuO4EeCbbuWBGGTBrA">
        <ownedEnd xmi:id="_KUN4EuO4EeCbbuWBGGTBrA" name="" visibility="public" type="_420A62FD03B6420BCF080009" association="_KUK0wOO4EeCbbuWBGGTBrA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KUQ7YOO4EeCbbuWBGGTBrA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KUQ7YeO4EeCbbuWBGGTBrA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Ap-YYP84EeCDQancQavJ_w" name="orderAction_detectedIssueEvent" memberEnd="_Ap_mgP84EeCDQancQavJ_w _AqA0oP84EeCDQancQavJ_w">
        <ownedEnd xmi:id="_AqA0oP84EeCDQancQavJ_w" name="" visibility="public" type="_420A62FD03B6420BCF080009" association="_Ap-YYP84EeCDQancQavJ_w"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_BvG0cP84EeCDQancQavJ_w" name="detectedIssueEvent_dectectedIssueOverride" memberEnd="_BvIpoP84EeCDQancQavJ_w _BvLs8P84EeCDQancQavJ_w">
        <ownedEnd xmi:id="_BvLs8P84EeCDQancQavJ_w" name="" visibility="public" type="_420A62FD03B6420BD5E80118" association="_BvG0cP84EeCDQancQavJ_w"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_OmE_gP87EeCDQancQavJ_w" name="DetectedIssueOrderRevision">
        <ownedComment xmi:id="_P2ARUBCJEeGYNskcagX10g" annotatedElement="_OmE_gP87EeCDQancQavJ_w">
          <body>Provides a record of a revision to the originally proposed Order Action - the resulting revision reflecting a decision to change the Order Action based on information presented by the Detected Issue (aka Order Check).</body>
        </ownedComment>
        <ownedAttribute xmi:id="_VGyTcP87EeCDQancQavJ_w" name="resultingOrderAction" visibility="public" type="_420A62FD03B6420BCF080009" association="_VGweQP87EeCDQancQavJ_w">
          <ownedComment xmi:id="_Iw-WEBCOEeGYNskcagX10g" annotatedElement="_VGyTcP87EeCDQancQavJ_w">
            <body>Identifies a new Order Action record that was created as a revision to a previously proposed Order Action due to information presented by a Detected Issue (aka Order Check).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VGzhkP87EeCDQancQavJ_w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VG0IoP87EeCDQancQavJ_w" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Uu8bMP87EeCDQancQavJ_w" name="detectedIssueEvent_detectedIssueOrderRevision" memberEnd="_Uu-3cP87EeCDQancQavJ_w _UvBTsP87EeCDQancQavJ_w">
        <ownedEnd xmi:id="_UvBTsP87EeCDQancQavJ_w" name="" visibility="public" type="_420A62FD03B6420BD5E80118" association="_Uu8bMP87EeCDQancQavJ_w"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_VGweQP87EeCDQancQavJ_w" name="detectedIssueOrderRevision_orderAction" memberEnd="_VGyTcP87EeCDQancQavJ_w _VG3L8P87EeCDQancQavJ_w">
        <ownedEnd xmi:id="_VG3L8P87EeCDQancQavJ_w" name="" visibility="public" type="_OmE_gP87EeCDQancQavJ_w" association="_VGweQP87EeCDQancQavJ_w"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_sQdYQOOxEeCbbuWBGGTBrA" name="healthcareOrder_orderAction" memberEnd="_sQmiMOOxEeCbbuWBGGTBrA _sQmiM-OxEeCbbuWBGGTBrA">
        <ownedEnd xmi:id="_sQmiM-OxEeCbbuWBGGTBrA" name="" visibility="public" type="_420A62FD03B64589572B02E8" association="_sQdYQOOxEeCbbuWBGGTBrA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sQmiNOOxEeCbbuWBGGTBrA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sQmiNeOxEeCbbuWBGGTBrA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_iDCu8Ik4Ed-pqcFAwb-XNw" name="healthcareOrder_patient" memberEnd="_iDCu8Yk4Ed-pqcFAwb-XNw _iDCu9Ik4Ed-pqcFAwb-XNw">
        <ownedEnd xmi:id="_iDCu9Ik4Ed-pqcFAwb-XNw" name="" visibility="public" type="_420A62FD03B64589572B02E8" association="_iDCu8Ik4Ed-pqcFAwb-XNw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Q98HIAcwEeGfLeiV6Brugg" name="healthcareOrder_resultCopiesTo" memberEnd="_Q98HIQcwEeGfLeiV6Brugg _Q-F4IAcwEeGfLeiV6Brugg">
        <ownedEnd xmi:id="_Q-F4IAcwEeGfLeiV6Brugg" name="" visibility="public" type="_420A62FD03B64589572B02E8" association="_Q98HIAcwEeGfLeiV6Brugg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_fmOGMIlDEd-pqcFAwb-XNw" name="healthcareOrder_patientLocation" memberEnd="_fmX3MIlDEd-pqcFAwb-XNw _fmX3M4lDEd-pqcFAwb-XNw">
        <ownedEnd xmi:id="_fmX3M4lDEd-pqcFAwb-XNw" name="" visibility="public" type="_420A62FD03B64589572B02E8" association="_fmOGMIlDEd-pqcFAwb-XNw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Sb22UJNjEeCyufOLCDZkFA" name="healthcareOrder_encounter" memberEnd="_ScDqoJNjEeCyufOLCDZkFA _ScGt8JNjEeCyufOLCDZkFA">
        <ownedEnd xmi:id="_ScGt8JNjEeCyufOLCDZkFA" name="" visibility="public" type="_420A62FD03B64589572B02E8" association="_Sb22UJNjEeCyufOLCDZkFA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ScHVAJNjEeCyufOLCDZkFA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ScH8EJNjEeCyufOLCDZkFA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_JtxPYJNkEeCyufOLCDZkFA" name="healthcareOrder_setOfOrders" memberEnd="_JtydgJNkEeCyufOLCDZkFA _Jt0SsJNkEeCyufOLCDZkFA">
        <ownedEnd xmi:id="_Jt0SsJNkEeCyufOLCDZkFA" name="" visibility="public" type="_420A62FD03B64589572B02E8" association="_JtxPYJNkEeCyufOLCDZkFA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Jt05wJNkEeCyufOLCDZkFA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Jt05wZNkEeCyufOLCDZkFA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ep2kgJkGEeCFEfqQZ7sMZg" name="healthcareOrder_diagnosisList" memberEnd="_ep2kgZkGEeCFEfqQZ7sMZg _ep2khJkGEeCFEfqQZ7sMZg">
        <ownedEnd xmi:id="_ep2khJkGEeCFEfqQZ7sMZg" name="" visibility="public" type="_420A62FD03B64589572B02E8" association="_ep2kgJkGEeCFEfqQZ7sMZg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ep2khZkGEeCFEfqQZ7sMZg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ep2khpkGEeCFEfqQZ7sMZg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_vW0NYBRSEeGQfutgOfQGQw" name="StandingOrder">
        <ownedComment xmi:id="_GWy0cBU1EeGk2cucW4LtoA" annotatedElement="_vW0NYBRSEeGQfutgOfQGQw">
          <body>An order that is created by policy, and which is not tied to a single patient, but which is generated for a patient when certain conditions are met.  For example, a policy might exist that persons deploying to a particular region must have a particular vaccination administered beforehand.    Note that this class is a placeholder for such Standing Orders.  It exists so that a Healthcare Order might be able to reference the Standing Order that caused the Healthcare Order to be created.  However, details regarding what information makes up a well-formed Standing Order, or the circumstances under which a Standing Order is created, managed, invoked, or retired are not in scope for this iteration and will be fleshed out in a future interation.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_-UBzkBRSEeGQfutgOfQGQw" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_JKENUBU1EeGk2cucW4LtoA" annotatedElement="_-UBzkBRSEeGQfutgOfQGQw">
            <body>A unique identifier for the Standing Order.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ETzksBRTEeGQfutgOfQGQw" name="text" visibility="public">
          <ownedComment xmi:id="_QMGssBU1EeGk2cucW4LtoA" annotatedElement="_ETzksBRTEeGQfutgOfQGQw">
            <body>Contains a textual representation of the Standing Order.  Note that this will be fleshed out in a future iteration.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_w9KgIBRSEeGQfutgOfQGQw" name="healthcareOrder_standingOrder" memberEnd="_w9NjcBRSEeGQfutgOfQGQw _w9TDABRSEeGQfutgOfQGQw">
        <ownedEnd xmi:id="_w9TDABRSEeGQfutgOfQGQw" name="" visibility="public" type="_420A62FD03B64589572B02E8" association="_w9KgIBRSEeGQfutgOfQGQw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_d4VQUBUuEeGk2cucW4LtoA" name="ChartReview">
        <ownedComment xmi:id="_XAj1UBUwEeGk2cucW4LtoA" annotatedElement="_d4VQUBUuEeGk2cucW4LtoA">
          <body>A chart review is the examination of a representative sample of medical charts and ledgers to identify patterns of errors or areas where quality may be improved.  This class identifies who reviewed the medical record and when.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_dXm28BUwEeGk2cucW4LtoA" name="author" visibility="public" type="_hXa7cAq6Ed-426xscrxYmQ" association="_dXdF8BUwEeGk2cucW4LtoA">
          <ownedComment xmi:id="_hDtVQBUwEeGk2cucW4LtoA" annotatedElement="_dXm28BUwEeGk2cucW4LtoA">
            <body>Identifies the practitioner who performed the chart review.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dXm28RUwEeGk2cucW4LtoA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dXm28hUwEeGk2cucW4LtoA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_h0XBABUuEeGk2cucW4LtoA" name="orderAction_chartReview" memberEnd="_h0XBARUuEeGk2cucW4LtoA _h0XBBBUuEeGk2cucW4LtoA">
        <ownedEnd xmi:id="_h0XBBBUuEeGk2cucW4LtoA" name="" visibility="public" type="_420A62FD03B6420BCF080009" association="_h0XBABUuEeGk2cucW4LtoA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_dXdF8BUwEeGk2cucW4LtoA" name="chartReview_author" memberEnd="_dXm28BUwEeGk2cucW4LtoA _dXm28xUwEeGk2cucW4LtoA">
        <ownedEnd xmi:id="_dXm28xUwEeGk2cucW4LtoA" name="" visibility="public" type="_d4VQUBUuEeGk2cucW4LtoA" association="_dXdF8BUwEeGk2cucW4LtoA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ahxAUBUyEeGk2cucW4LtoA" name="healthcareOrder_cosigner" memberEnd="_ahxAURUyEeGk2cucW4LtoA _ah6KQBUyEeGk2cucW4LtoA">
        <ownedEnd xmi:id="_ah6KQBUyEeGk2cucW4LtoA" name="" visibility="public" type="_420A62FD03B64589572B02E8" association="_ahxAUBUyEeGk2cucW4LtoA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_lmjWIKwREeG4dfTp_XT2yg" name="healthcarePromise_healthcareOrder" memberEnd="_lmmZcKwREeG4dfTp_XT2yg _lmqD0KwREeG4dfTp_XT2yg">
        <ownedEnd xmi:id="_lmqD0KwREeG4dfTp_XT2yg" name="" visibility="public" type="_3r94oOO5EeCbbuWBGGTBrA" association="_lmjWIKwREeG4dfTp_XT2yg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_sR9jQMXxEeGsb4KXw2Babg" name="orderAction_enteringLocation" memberEnd="_sSThgMXxEeGsb4KXw2Babg _sSiyEMXxEeGsb4KXw2Babg">
        <ownedEnd xmi:id="_sSiyEMXxEeGsb4KXw2Babg" name="" visibility="public" type="_420A62FD03B6420BCF080009" association="_sR9jQMXxEeGsb4KXw2Babg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_SsqRIMX-EeGsb4KXw2Babg" name="BillingInformation">
        <ownedComment xmi:id="_nCTCoMYAEeGsb4KXw2Babg" annotatedElement="_SsqRIMX-EeGsb4KXw2Babg">
          <body>&quot;Used to provide billing information, on the ordered service, to the filling application.&quot; - HL7 Version 2.8, BLG Segment.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_tNOJQMX_EeGsb4KXw2Babg" name="accountId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_1U6pIMX_EeGsb4KXw2Babg" annotatedElement="_tNOJQMX_EeGsb4KXw2Babg">
            <body>&quot;Identifies the account to be billed.&quot; - HL7 Version 2.8, BLG-3.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_y4XuMMX_EeGsb4KXw2Babg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_y4YVQMX_EeGsb4KXw2Babg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_X4xUMMX_EeGsb4KXw2Babg" name="chargeCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ceBoEMX_EeGsb4KXw2Babg" annotatedElement="_X4xUMMX_EeGsb4KXw2Babg">
            <body>&quot;Identifies someone or something other than the patient to be billed for this service.&quot; - HL7 Version 2.8, BLG-2.  Possible values include (from HL7 Table 122): Charge; Contract; Credit; Department; Grant; No Charge; Professional; Research.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zQ9NUMX_EeGsb4KXw2Babg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zQ90YMX_EeGsb4KXw2Babg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DuGVMMYAEeGsb4KXw2Babg" name="chargeCategoryReason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_DuGVMcYAEeGsb4KXw2Babg" annotatedElement="_DuGVMMYAEeGsb4KXw2Babg">
            <body>&quot;Explains the choice of and provides the clinical rationale for the selected charge type in [chargeCategory]&quot; - HL7 Version 2.8, BLG-4.  Possible values include (from HL7 Table 475): Allergy; Intolerance; Treatment Failure; Patient Request; No Exception.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DuGVM8YAEeGsb4KXw2Babg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DuGVMsYAEeGsb4KXw2Babg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xBGgAMX-EeGsb4KXw2Babg" name="whenToCharge" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_6iCqwMX-EeGsb4KXw2Babg" annotatedElement="_xBGgAMX-EeGsb4KXw2Babg">
            <body>&quot;Specifies when to charge for the ordered service.&quot; - HL7 Version 2.8, BLG-1.  Possible values include (from HL7 Table 100): On discharge; On receipt of order; At time service is completed; At time service is started; At a designated date/time.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0JjpQMX_EeGsb4KXw2Babg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0JkQUMX_EeGsb4KXw2Babg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Uw9rMMX-EeGsb4KXw2Babg" name="healthcareOrder_billingInformation" memberEnd="_UxCjsMX-EeGsb4KXw2Babg _UxE_8MX-EeGsb4KXw2Babg">
        <ownedEnd xmi:id="_UxE_8MX-EeGsb4KXw2Babg" name="" visibility="public" type="_420A62FD03B64589572B02E8" association="_Uw9rMMX-EeGsb4KXw2Babg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_192yEMqAEeC9Pb3leltpqQ" name="subject_entity" memberEnd="_192yEcqAEeC9Pb3leltpqQ _19_8AMqAEeC9Pb3leltpqQ">
        <ownedEnd xmi:id="_19_8AMqAEeC9Pb3leltpqQ" name="" visibility="public" type="_61ai4MTBEd-6Z_53K--WsA" association="_192yEMqAEeC9Pb3leltpqQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_19_8AcqAEeC9Pb3leltpqQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_19_8AsqAEeC9Pb3leltpqQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_VgjScLxMEeCjnsq0FtkmeA" name="subject_relatedSubject" memberEnd="_VgmVwLxMEeCjnsq0FtkmeA _VgpZELxMEeCjnsq0FtkmeA">
        <ownedEnd xmi:id="_VgpZELxMEeCjnsq0FtkmeA" name="" visibility="public" type="_61ai4MTBEd-6Z_53K--WsA" association="_VgjScLxMEeCjnsq0FtkmeA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VgpZEbxMEeCjnsq0FtkmeA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VgpZErxMEeCjnsq0FtkmeA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_WD7sULxMEeCjnsq0FtkmeA" name="relatedSubject_subject" memberEnd="_WD-voLxMEeCjnsq0FtkmeA _WEBy8LxMEeCjnsq0FtkmeA">
        <ownedEnd xmi:id="_WEBy8LxMEeCjnsq0FtkmeA" name="" visibility="public" type="_Q13E8LxMEeCjnsq0FtkmeA" association="_WD7sULxMEeCjnsq0FtkmeA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WEBy8bxMEeCjnsq0FtkmeA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WEBy8rxMEeCjnsq0FtkmeA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Vy_ZsMoAEeGas4Yp_oUthg" name="healthcareOrder_subject" memberEnd="_VzizUMoAEeGas4Yp_oUthg _VzqvIMoAEeGas4Yp_oUthg">
        <ownedEnd xmi:id="_VzqvIMoAEeGas4Yp_oUthg" name="" visibility="public" type="_420A62FD03B64589572B02E8" association="_Vy_ZsMoAEeGas4Yp_oUthg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_v4ePoMoSEeGas4Yp_oUthg" name="healthcareOrder_healthcarePromise" memberEnd="_v4ihEMoSEeGas4Yp_oUthg _v4oAoMoSEeGas4Yp_oUthg">
        <ownedEnd xmi:id="_v4oAoMoSEeGas4Yp_oUthg" name="" visibility="public" type="_420A62FD03B64589572B02E8" association="_v4ePoMoSEeGas4Yp_oUthg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_lnGYUPHkEeGWjrqT5CRABg" name="CounselingRequest">
        <ownedComment xmi:id="_9iW3kPHkEeGWjrqT5CRABg" annotatedElement="_lnGYUPHkEeGWjrqT5CRABg">
          <body>A request to provide guidance in order to help a person resolve social or personal problems.  This class serves as a placeholder, anticipating the need for such a request, to be further elaborated in a future iteration.</body>
        </ownedComment>
        <generalization xmi:id="_y5nXQPHkEeGWjrqT5CRABg" general="_420A62FD03B64589572B02E8"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_rZKqsNs4EeW2RplReLPV6w" name="PrecautionProtocol">
        <ownedComment xmi:id="_-t_QkNzIEeWL2f9XaFHwGQ" annotatedElement="_rZKqsNs4EeW2RplReLPV6w">
          <body>Identifies a set of pre-defined procedures that is invoked as a precaution to prevent harm to the patient, guests, or healthcare workers in response to a known situation where a potential danger may exist. Such set of procedures, or protocol, may be defined by jurisdictional authorities (such as the Centers for Disease Control, or a local health department), or may be defined by the healthcare provider organization. In either case, it is anticipated that such a protocol would be identified by an Id rather than a Code, as it is intended that this class will identify a specific protocol invoked as opposed to a classification of protocols.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_8H1cwNy_EeWL2f9XaFHwGQ" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_8H1cwdy_EeWL2f9XaFHwGQ" annotatedElement="_8H1cwNy_EeWL2f9XaFHwGQ">
            <body>A unique identifier for the Precaution Protocol.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8H1cw9y_EeWL2f9XaFHwGQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8H1cwty_EeWL2f9XaFHwGQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_u5cBcNzCEeWL2f9XaFHwGQ" name="healthcareOrder_precautionProtocolInvoked" memberEnd="_u5hhANzCEeWL2f9XaFHwGQ _u5lLYNzCEeWL2f9XaFHwGQ">
        <ownedEnd xmi:id="_u5lLYNzCEeWL2f9XaFHwGQ" name="" visibility="public" type="_420A62FD03B64589572B02E8" association="_u5cBcNzCEeWL2f9XaFHwGQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_vfMZ4NzCEeWL2f9XaFHwGQ" name="healthcarePromise_precautionProtocolInvoked" memberEnd="_vfNoANzCEeWL2f9XaFHwGQ _vfPdMNzCEeWL2f9XaFHwGQ">
        <ownedEnd xmi:id="_vfPdMNzCEeWL2f9XaFHwGQ" name="" visibility="public" type="_3r94oOO5EeCbbuWBGGTBrA" association="_vfMZ4NzCEeWL2f9XaFHwGQ"/>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B6436137790312" name="PatientEducation">
      <eAnnotations xmi:id="_NOwBm-LiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_NOwBoOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64397A927008C" name="LevelOfUnderstanding">
        <eAnnotations xmi:id="_MBtmseLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MBkcx-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64397A927008C">
          <body>This class captures information about patient's level of understanding after education is given to the patient.   </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6437B922A02A4" name="levelOfUnderstanding" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MBkcyuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6437B922A02A4">
            <body>Impression of how well the patient understood the education received.  Example values include: Poor, Fair, Good, Group - no assessment, Refused, etc.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6437B871C002E" name="PatientEducation">
        <eAnnotations xmi:id="_MBkcxOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MBarw-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6437B871C002E">
          <body>This class captures information about counselling or education provided to the Patient or to the Patient's representative and provides a means to note how well the Patient understood the information provided.  Patient Education may be in the form of written instructions – either pre-defined materials, or personalized instructions – as well as oral counseling.  In the case of pre-defined written materials, the predefinedMaterial property may be used to identify the kind of material provided rather than reproducing the text of that material in this class.  When personalized written instructions are provided, the text of such instructions can be placed in the textProvided property.  The textProvided property may also be used to store a summary of an oral conversation with the Patient.</body>
        </ownedComment>
        <generalization xmi:id="_Qc6kcM5OEeSoLYfuQMb72Q" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_420A62FD03B6437B8C8F01A7" name="comment" visibility="public">
          <eAnnotations xmi:id="_MBaryOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_MBarxuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6437B8C8F01A7">
            <body>Comment related to the patient's education.     </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ettWV-LjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ettWWOLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DXOrMDfsEeKnE98EkGeXFQ" name="duration" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_N0IH4DfsEeKnE98EkGeXFQ" annotatedElement="_DXOrMDfsEeKnE98EkGeXFQ">
            <body>The period of time in which the education ocurred.  Note that this property is a TimeInterval, which contains both a begin and end date/time.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6438F19450125" name="educationTopic" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MBary-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6438F19450125">
            <body>This property categorizes the subject or topic that was discussed with the Patient.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gPcCEDfrEeKnE98EkGeXFQ" name="predefinedMaterial" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_y_mqgM5QEeSoLYfuQMb72Q" annotatedElement="_gPcCEDfrEeKnE98EkGeXFQ">
            <body>This property identifies any pre-defined written materials provided to the Patient.  In many cases, Patient Education is accomplished by the provision of standardized materials produced based on the Patient's condition or based on a Procedure that the Patient has undergone.  For example, there is a standardized Discharge Instructions for Diverticulitis.  Use this property to identify any pre-printed materials provided to the patient.  Use the textProvided property to identify any other personalized instructions.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gPcCEzfrEeKnE98EkGeXFQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gPcCEjfrEeKnE98EkGeXFQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FN1kQM5LEeSoLYfuQMb72Q" name="textProvided" visibility="public">
          <ownedComment xmi:id="_O-HykM5LEeSoLYfuQMb72Q" annotatedElement="_FN1kQM5LEeSoLYfuQMb72Q">
            <body>This property contains the contents of any written materials (usually personalized materials) provided to the Patient.  This property may also be used to summarize an oral communication with the Patient.  Note that the identification of pre-defined materials should be accomplished using the predefinedMaterial property rather than reproducing the content of such materials here.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pLycgM5PEeSoLYfuQMb72Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pLzDkM5PEeSoLYfuQMb72Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643A30C84030C" name="location" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B643A30C7803E1">
          <ownedComment xmi:id="_NOdGseLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643A30C84030C">
            <body>The location at which the patient education or counseling was provided.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NOm3oeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NOm3ouLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_THW1UVPbEd-2nJ7UL4QBeg" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_THW1UFPbEd-2nJ7UL4QBeg">
          <ownedComment xmi:id="_3ZWAIBHaEeCBuOUrBnIXmQ" annotatedElement="_THW1UVPbEd-2nJ7UL4QBeg">
            <body>The person to whom the education or counseling was provided.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_THW1UlPbEd-2nJ7UL4QBeg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_THW1U1PbEd-2nJ7UL4QBeg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643BA7E990386" name="service" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B643BA7E9803CB">
          <ownedComment xmi:id="_NOm3puLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643BA7E990386">
            <body>The service department at which the patient education or counseling was provided.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NOm3qOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NOm3qeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64397A9B101A3" name="levelOfUnderstanding" visibility="public" type="_420A62FD03B64397A927008C" isUnique="false" association="_420A62FD03B64397A9B002BA">
          <ownedComment xmi:id="_MFJVN-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64397A9B101A3">
            <body>Impression of how well the patient understood the education or counseling received.      </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MFJVOeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MFJVOuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Zp0M8U1dEd-ZC8uuCl8MVA" name="visit" visibility="public" type="_420A62FD03B64213F5B40316" association="_Zp0M8E1dEd-ZC8uuCl8MVA">
          <ownedComment xmi:id="_62n_UBHaEeCBuOUrBnIXmQ" annotatedElement="_Zp0M8U1dEd-ZC8uuCl8MVA">
            <body>The visit during which the education or counseling was provided.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Zp0M8k1dEd-ZC8uuCl8MVA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Zp0M801dEd-ZC8uuCl8MVA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YX5BkDfsEeKnE98EkGeXFQ" name="performer" visibility="public" type="_7NSfgH_lEd-Ure_vzgD_TA" association="_YXy68DfsEeKnE98EkGeXFQ">
          <ownedComment xmi:id="_ciUaoDfsEeKnE98EkGeXFQ" annotatedElement="_YX5BkDfsEeKnE98EkGeXFQ">
            <body>Identifies the clinician who provided the patient education.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YX62wDfsEeKnE98EkGeXFQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YX7d0DfsEeKnE98EkGeXFQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643A30C7803E1" name="patientEducation_location" memberEnd="_420A62FD03B643A30C84030C _420A62FD03B643A30C840334">
        <eAnnotations xmi:id="_KoY1IE1dEd-ZC8uuCl8MVA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_420A62FD03B643A30C840334" name="" visibility="public" type="_420A62FD03B6437B871C002E" isUnique="false" association="_420A62FD03B643A30C7803E1"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643BA7E9803CB" name="patientEducation_service" memberEnd="_420A62FD03B643BA7E990386 _420A62FD03B643BA7E990388">
        <eAnnotations xmi:id="_OxCFgE1dEd-ZC8uuCl8MVA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_420A62FD03B643BA7E990388" name="" visibility="public" type="_420A62FD03B6437B871C002E" isUnique="false" association="_420A62FD03B643BA7E9803CB"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64397A9B002BA" name="patientEducation_levelOfUnderstanding" memberEnd="_420A62FD03B64397A9B101A3 _420A62FD03B64397A9B101AD">
        <ownedEnd xmi:id="_420A62FD03B64397A9B101AD" name="" visibility="public" type="_420A62FD03B6437B871C002E" isUnique="false" association="_420A62FD03B64397A9B002BA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MFJVPOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MFJVPeLiEduGJrQyRGTO1A" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_THW1UFPbEd-2nJ7UL4QBeg" name="patientEducation_patient" memberEnd="_THW1UVPbEd-2nJ7UL4QBeg _THW1VFPbEd-2nJ7UL4QBeg">
        <ownedEnd xmi:id="_THW1VFPbEd-2nJ7UL4QBeg" name="" visibility="public" type="_420A62FD03B6437B871C002E" association="_THW1UFPbEd-2nJ7UL4QBeg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Zp0M8E1dEd-ZC8uuCl8MVA" name="patientEducation_visit" memberEnd="_Zp0M8U1dEd-ZC8uuCl8MVA _Zp9W4E1dEd-ZC8uuCl8MVA">
        <ownedEnd xmi:id="_Zp9W4E1dEd-ZC8uuCl8MVA" name="" visibility="public" type="_420A62FD03B6437B871C002E" association="_Zp0M8E1dEd-ZC8uuCl8MVA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_YXy68DfsEeKnE98EkGeXFQ" name="patientEducation_performer" memberEnd="_YX5BkDfsEeKnE98EkGeXFQ _YX_IMDfsEeKnE98EkGeXFQ">
        <ownedEnd xmi:id="_YX_IMDfsEeKnE98EkGeXFQ" name="" visibility="public" type="_420A62FD03B6437B871C002E" association="_YXy68DfsEeKnE98EkGeXFQ"/>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B6418FEF4E01D8" name="Pharmacy">
      <eAnnotations xmi:id="_NjUjdOLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_NjwoQOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_Y8yIAF7yEeCcBvMgXNMeOQ">
        <body>XOr</body>
      </ownedComment>
      <ownedComment xmi:id="_3uG54MduEeCVr54V6VtSNQ">
        <body>XOr</body>
      </ownedComment>
      <ownedComment xmi:id="_xJnYwNNlEeGRnPi2MLPE0g">
        <body>Please see the Orders domain for more details on the generic Order and Promise class properties</body>
      </ownedComment>
      <ownedComment xmi:id="_90aQYNNlEeGRnPi2MLPE0g">
        <body>Important!  Much more detail is available on Medications in the Common Product package (a separate package within the Common domain).   OrderablePharmacyItem and DispensedDrug both point to other constructs in that package.  Please see the Common Product package for more details.</body>
      </ownedComment>
      <ownedComment xmi:id="_mxgaAE5sEeSkCZQ0odaC4w" annotatedElement="_420A62FD03B641928F4302E4">
        <body>Note: May need to add intended quantities from Telecom Claim segment (i.e., might not be able to assume they're the same as quanity ordered</body>
      </ownedComment>
      <ownedComment xmi:id="_-1p_APVXEeWSF-Rwv3QnNw">
        <body>Notice: The use of any code system referenced in the FHIM model is governed by the license requirements of the specific code system noted. Please refer to the code system authority for use restrictions.</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_yrve8FlfEeCyw5g2lQh-Ug" name="TelcomPatient">
        <ownedComment xmi:id="_4WoP0CVREeO_iaEYDPvTaA" annotatedElement="_yrve8FlfEeCyw5g2lQh-Ug">
          <body>This class contains patient information that is unique to the NCPDP Telecommunication standard.  This class is modeled as a separate sub-type of Patient in order to illustrate the differences between different standards.</body>
        </ownedComment>
        <generalization xmi:id="_hrmvIJdiEeCiab3ndHzX4g" general="_l0XegO_4Ed6OG-vjYTopTQ"/>
        <ownedAttribute xmi:id="_0-LboFlfEeCyw5g2lQh-Ug" name="isPregnant" visibility="public">
          <ownedComment xmi:id="_9WM9oCVQEeO_iaEYDPvTaA" annotatedElement="_0-LboFlfEeCyw5g2lQh-Ug">
            <body>&quot;Code indicating the patient as pregnant or non-pregnant.&quot; - NCPDP Telecommunication (Field 335-2C, Data Dictionary 201104).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6sfCQFlfEeCyw5g2lQh-Ug" name="isSmoker" visibility="public">
          <ownedComment xmi:id="_1Uz6ECVQEeO_iaEYDPvTaA" annotatedElement="_6sfCQFlfEeCyw5g2lQh-Ug">
            <body>&quot;Code indicating the patient as a smoker or non-smoker.&quot; - NCPDP Telecommunication (Field 334-1C, Data Dictionary 201104).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oOfAcFlgEeCyw5g2lQh-Ug" name="residenceType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_t4KlwFlgEeCyw5g2lQh-Ug" annotatedElement="_oOfAcFlgEeCyw5g2lQh-Ug">
            <body>&quot;Code identifying the patient’s place of residence.&quot; - NCPDP Telecommunication (Field 384-4X, Data Dictionary 201104).  Possible values include: Home; Skilled Nursing Facility; Nursing Facility; Assisted Living Facility; Custodial Care Facility; Group Home; Inpatient Psychiatric Facility; Psychiatric Facility – Partial Hospitalization; Intermediate Care Facility/Mentally Retarded; Residential Substance Abuse Treatment Facility; Hospice; Psychiatric Residential Treatment Facility; Comprehensive Inpatient Rehabilitation Facility; Homeless Shelter; Correctional Institution.</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_6tCnwPXvEeW1BuvtDtBQzQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(PatientResidence)</body>
          </defaultValue>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B641928F4302E4" name="PharmacyDispense" isAbstract="true">
        <eAnnotations xmi:id="_NYSYF-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NYJOKOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641928F4302E4">
          <body>This class contains information about the provision of a medication to a patient or care provider under the authority of the owning Pharmacy Promise.  This class includes medications placed in a medication cart for a caregiver (usually a nurse) to administer to the patient during scheduled rounds, as well as other inpatient settings, outpatient, retail and even mail-order settings.&#xD;
&quot;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.&quot; - HL7 FHIR, MedicationDispense</body>
        </ownedComment>
        <ownedAttribute xmi:id="_1MBPsNOQEeGputPQx0HXoA" name="actualStrength" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_ItYWgNOREeGputPQx0HXoA" annotatedElement="_1MBPsNOQEeGputPQx0HXoA">
            <body>&quot;Use when [DispensedDrug] does not specify the strength.  This is the numeric part of the strength, of a single dosage unit of the dispensed product&quot; - HL7 Version 2.8, RXD-16.&#xD;
&quot;Use when [DispensedDrug] does not specify the strength.  This is the unit of the strength, of a single dosage unit of the dispensed product&quot; - HL7 Version 2.8, RXD-17.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6446E0D6303E4" name="dateTimeDispensed" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_d_bxEEcPEeKfi9U1UyJHLg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NYSYEuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6446E0D6303E4">
            <body>Indicates when the pharmaceutical/treatment left the control of the pharmacy.  This may be when the medication was picked up or mailed (outpatient), or delivered to a ward (inpatient).  Note that this differs from the &quot;fill date/time&quot; in that the fill date is when the pharmaceutical/treatment was removed from inventory (e.g., when the pharmacist filled a bottle with tablets from inventory); once filled, the medication may remain in the pharmacy awaiting pick-up.  Once delivered to the patient or another caregiver, the medication is then considered &quot;dispensed.&quot;&#xD;
Dispense = &quot;to make up and distribute (medicine), esp. on prescription.&quot; - Random House Unabridged Dictionary.&#xD;
&quot;Indicates when the pharmaceutical/treatment is dispensed from the pharmacy or treatment supplier.&quot; - HL7 Version 2.8, RXD-3.&#xD;
&quot;The time the dispensed product was provided to the patient or their representative.&quot; - HL7 FHIR, MedicationDispense.whenHandedOver</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_aTl6YPUiEdyqkvQ4FycnSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_aTl6YfUiEdyqkvQ4FycnSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2KrlEEtEEdyGhN1DL5AQjA" name="dateTimeFilled" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_2KrlEUtEEdyGhN1DL5AQjA" annotatedElement="_2KrlEEtEEdyGhN1DL5AQjA">
            <body>Indicates when the pharmaceutical/treatment was removed from inventory and prepared for delivery to the patient.  Note that this differs from the &quot;dispense date/time&quot; in that the fill date is when the pharmaceutical/treatment was removed from inventory (e.g., when the pharmacist filled a bottle with tablets from inventory); once filled, the medication may remain in the pharmacy awaiting pick-up, where as the dispense date/time is when the mediation leaves the control of the pharmacy.  Once delivered to the patient or another caregiver, the medication is then considered &quot;dispensed.&quot;&#xD;
&quot;The time when the dispensed product was packaged and reviewed.&quot; - HL7 FHIR, MedicationDispense.whenPrepared</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bGjoYPUiEdyqkvQ4FycnSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bGjoYfUiEdyqkvQ4FycnSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6419901DD0065" name="daysSupply" visibility="public">
          <ownedComment xmi:id="_NbkVmeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6419901DD0065">
            <body>The length of time in days that the quantity dispensed will last if consumed at the rate prescribed.  For example if the patient is instructed to take 2 pills a day, 60 pills will last 30 days.&#xD;
&quot;Estimated number of days the prescription will last.&quot; - NCPDP Telecommunication (Field 405-D5, Data Dictionary 201104).&#xD;
&quot;The amount of medication expressed as a timing amount.&quot; - HL7 FHIR, MedicationDispense.daysSupply</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Mf0qsPUxEdyqkvQ4FycnSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Mf0qsfUxEdyqkvQ4FycnSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3X-dkNQXEeG6j-OawvA6JA" name="dispenseCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PHBs0NQYEeG6j-OawvA6JA" annotatedElement="_3X-dkNQXEeG6j-OawvA6JA">
            <body>&quot;This is the type of dispensing event that occurred.&quot; - HL7 Version 2.8, RXA-26 and RXO-27.  Valid values (from HL7 Table 0484) include: Trial Quantity Balance; Compassionate Fill; New/Renew - Full Fill; New/Renew - Part Fill; Refill - Part Fill; Refill - Full Fill; Manufacturer Sample; Trial Quantity; Non-Prescription Fill.&#xD;
&quot;Code indicating the quantity dispensed is a partial fill or the completion of a partial fill. Used only in situations where inventory shortages do not allow the full quantity to be dispensed.&quot; - NCPDP Telecommunication (Field 343-HD, Data Dictionary 201104).  Possible values include: Partial Fill; Completion of Partial Fill.&#xD;
&quot;Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.&quot; - HL7 FHIR, MedicationDispense.type</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_-PhBUPUxEeW9y7MYMG87Xg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(DispenseType)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0pIdsNOTEeGputPQx0HXoA" name="dispenseMethod" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_7YHeMNOTEeGputPQx0HXoA" annotatedElement="_0pIdsNOTEeGputPQx0HXoA">
            <body>&quot;Contains the method by which treatment is dispensed.&quot; - HL7 Version 2.8, RXD-24.  Possible values (from HL7 Table 321) include: Traditional; Unit Dose; Floor Stock; Automatic Dispensing.</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_D3TwQPUyEeW9y7MYMG87Xg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(DispenseMethod)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="__AhaMEuNEdyGhN1DL5AQjA" name="dispenseNotes" visibility="public">
          <ownedComment xmi:id="_1bv1cL-vEd2cYoIY7XWEQw" annotatedElement="__AhaMEuNEdyGhN1DL5AQjA">
            <body>&quot;Contains free text notes to the person dispensing the medication/treatment (may include the ordering provider's original notes, as well as any notes from the formulary or the pharmacy or treatment supplier).  This may contain free text describing a custom IV, mixture, or salve for example.&quot; - HL7 Version 2.8, RXD-9.&#xD;
&quot;Extra information about the dispense that could not be conveyed in the other attributes.&quot; - HL7 FHIR, MedicationDispense.note</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oGy4QE-TEd6jZ6Xjdfhi0A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oG8pQE-TEd6jZ6Xjdfhi0A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pW4VENONEeGputPQx0HXoA" name="dispensingInstructions" visibility="public">
          <ownedComment xmi:id="_pW4VEdONEeGputPQx0HXoA" annotatedElement="_pW4VENONEeGputPQx0HXoA">
            <body>&quot;Contains pharmacy or treatment supplier-generated special instructions to the provider dispensing/administering the order.&quot; - HL7 Version 2.8, RXD-15.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pW4VE9ONEeGputPQx0HXoA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pW4VEtONEeGputPQx0HXoA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wbEHcF7eEeCcBvMgXNMeOQ" name="fillSequenceNumber" visibility="public">
          <ownedComment xmi:id="_Zwf_4BIbEeGplcxjJOwMxw" annotatedElement="_wbEHcF7eEeCcBvMgXNMeOQ">
            <body>&quot;This field starts with 1 the first time that medication/treatment is delivered/dispensed for this order.  Increments by one with each additional issuance.&quot; - HL7 Version 2.8, RXD-1.&#xD;
&quot;The code indicating whether the prescription is an original or a refill.&quot; - NCPDP Telecommunication (Field 403-D3, Data Dictionary 201104).  Note that while the NCPDP Telecommunication structure treats this field as a code, it contains a number from 0-99, where zero is the original fill, and 1-99 are refills.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NWgcYDubEeCQ7Mi7IS1BrQ" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_dxavoDubEeCQ7Mi7IS1BrQ" annotatedElement="_NWgcYDubEeCQ7Mi7IS1BrQ">
            <body>The unique identifier for this dispense, also known as a &quot;Fill Id&quot;.&#xD;
&quot;Identifier assigned by the dispensing facility - this is an identifier assigned outside FHIR.&quot; - HL7 FHIR, MedicationDispense.identifier</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_n_hlkCaxEeOyp-Ce3y08Wg" name="isCompound" visibility="public" isDerived="true">
          <ownedComment xmi:id="_AuFKACayEeOyp-Ce3y08Wg" annotatedElement="_n_hlkCaxEeOyp-Ce3y08Wg">
            <body>&quot;Code indicating whether or not the prescription is a compound.&quot; - NCPDP Telecommunication (Field 406-D6, Data Dictionary 201104).  Note that the NCPDP Telecommunication structure treats this as a code, but the values are essentially Yes (Compound), No (Not a compound), and Not Specified.  Note also that this property could be derived from the medication dispensed.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_L8abINONEeGputPQx0HXoA" name="needsHumanReview" visibility="public">
          <ownedComment xmi:id="_L8abIdONEeGputPQx0HXoA" annotatedElement="_L8abINONEeGputPQx0HXoA">
            <body>Indicates whether &quot;the application receiving the dispense order needs to warn the person dispensing/administering the drug or treatment to pay attention to the text in [Dispensing Instructions].&quot; - HL7 Version 2.8, RXD-14.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_L8abI9ONEeGputPQx0HXoA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_L8abItONEeGputPQx0HXoA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Tln68Ca2EeOyp-Ce3y08Wg" name="productSelectionCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_W_OUACa2EeOyp-Ce3y08Wg" annotatedElement="_Tln68Ca2EeOyp-Ce3y08Wg">
            <body>&quot;Code indicating whether or not the prescriber’s instructions regarding generic substitution were followed.&quot; - NCPDP Telecommunication (Field 408-D8, Data Dictionary 201104).  Possible values include: Substitution Not Allowed by Prescriber; Substitution Not Allowed-Brand Drug Mandated by Law; Substitution Allowed-Patient Requested Product Dispensed; Substitution Allowed-Pharmacist Selected Product Dispensed; Substitution Allowed-Generic Drug Not in Stock; Substitution Allowed-Brand Drug Dispensed as a Generic; Substitution Allowed-Generic Drug Not Available in Marketplace; Substitution Allowed By Prescriber but Plan Requests Brand; Override; No Product Selection Indicated.</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_PWlJgPXuEeW1BuvtDtBQzQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ProductSubstitutionStatus)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B641991130035F" name="quantityDispensed" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_NYJOK-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641991130035F">
            <body>The quanitity of the medication dispensed to this patient in fulfillment of a request.&#xD;
&quot;Quantity dispensed expressed in metric decimal units.&quot; - NCPDP Telecommunication (Field 442-E7, Data Dictionary 201104).&#xD;
&quot;The amount of medication that has been dispensed. Includes unit of measure.&quot; - HL7 FHIR, MedicationDispense.quantity</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_O_pXEEuTEdyGhN1DL5AQjA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_O_pXEUuTEdyGhN1DL5AQjA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_La7GUGYVEeC_U5wVHbS9Yw" name="specialPackaging" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ZypPICa8EeOyp-Ce3y08Wg" annotatedElement="_La7GUGYVEeC_U5wVHbS9Yw">
            <body>&quot;Code indicating the type of dispensing dose.&quot; - NCPDP Telecommunication (Field 429-DT, Data Dictionary 201104).  Possible values include: Not Unit Dose; Manufacturer Unit Dose; Pharmacy Unit Dose; Pharmacy Unit Dose Patient Compliance Packaging; Pharmacy Multi-drug Patient Compliance Packaging; Remote Device Unit Dose; Remote Device Multi- drug Compliance; Manufacturer Unit of Use Package (not unit dose); Not Specified.</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_ILhXcPUyEeW9y7MYMG87Xg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(SpecialPackagingIndicator)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rlbiMNOLEeGputPQx0HXoA" name="totalDailyDose" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_2qCfINOLEeGputPQx0HXoA" annotatedElement="_rlbiMNOLEeGputPQx0HXoA">
            <body>&quot;Contains the total daily dose being dispensed as expressed in terms of the actual dispense units.&quot; - HL7 Version 2.8, RXD-12.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oPb9YHpeEd-44ra0dfiJCw" name="attender" visibility="public" type="_E0a_kAq7Ed-426xscrxYmQ" association="_oPSzcHpeEd-44ra0dfiJCw">
          <ownedComment xmi:id="_pbV_gE5rEeSkCZQ0odaC4w" annotatedElement="_oPb9YHpeEd-44ra0dfiJCw">
            <body>Indicates the current Attending Physician assigned to the Patient.  This information is needed because the physician attending the patient may be different from the clinician who ordered the medication.  This is especially true in long-term care settings.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oPb9YXpeEd-44ra0dfiJCw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oPb9YnpeEd-44ra0dfiJCw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zfDvkNKIEeGtfrdPU3R3yA" name="dispensedDrug" visibility="public" type="_aN6pMGRXEeCsvJrE4KlOMA" association="_ze1tINKIEeGtfrdPU3R3yA">
          <ownedComment xmi:id="_GNtnENKJEeGtfrdPU3R3yA" annotatedElement="_zfDvkNKIEeGtfrdPU3R3yA">
            <body>&quot;Identifies the medical substance or treatment ordered to be given to the patient; it is equivalent to [the Ordered Item].&quot; - HL7 Version 2.8, RXD-2.&#xD;
&quot;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.&quot; - HL7 FHIR, MedicationDispense.medication[x]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zfFkwNKIEeGtfrdPU3R3yA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zfFkwdKIEeGtfrdPU3R3yA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YUyHoGnZEeCyXraDASYTcQ" name="dispenseRecipient" visibility="public" type="_0KbgMGnWEeCyXraDASYTcQ" association="_YUsBAGnZEeCyXraDASYTcQ">
          <ownedComment xmi:id="_0Mp5gCagEeOyp-Ce3y08Wg" annotatedElement="_YUyHoGnZEeCyXraDASYTcQ">
            <body>Pointer to the person who picked up (i.e., took custody of) the dispensed medication.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YU1K8GnZEeCyXraDASYTcQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YU1K8WnZEeCyXraDASYTcQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_U_A5gNOMEeGputPQx0HXoA" name="dispenseToLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_U-mp0NOMEeGputPQx0HXoA">
          <ownedComment xmi:id="_rpl0ANOMEeGputPQx0HXoA" annotatedElement="_U_A5gNOMEeGputPQx0HXoA">
            <body>&quot;Contains the inpatient or outpatient location where the drug or treatment was dispensed (if applicable).  The default (null) value is the current census location for the patient.&quot; - HL7 Version 2.8, RXD-13.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_U_DVwNOMEeGputPQx0HXoA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_U_D80NOMEeGputPQx0HXoA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dBBoIC2IEeGWR8bvqgjcQA" name="dispensingDevice" visibility="public" type="_420A62FD03B6425C004E004C" association="_dA3QEC2IEeGWR8bvqgjcQA">
          <ownedComment xmi:id="_3ZMIgE5tEeSkCZQ0odaC4w" annotatedElement="_dBBoIC2IEeGWR8bvqgjcQA">
            <body>Pointer to information about the automated equipment which was used to fill the prescription.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dBCPMC2IEeGWR8bvqgjcQA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dBCPMS2IEeGWR8bvqgjcQA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XxPmAC2HEeGWR8bvqgjcQA" name="dispenser" visibility="public" type="_420A62FD03B6418A6B760063" association="_XxFN8C2HEeGWR8bvqgjcQA">
          <ownedComment xmi:id="_5nf8UNNrEeGRnPi2MLPE0g" annotatedElement="_XxPmAC2HEeGWR8bvqgjcQA">
            <body>Pointer to the person who dispensed the prescription.  The dispenser is the person who facilitated the release of the medication from the pharmacy's control, as opposed to the filler who is the person who measured out and packaged the medication.  For example, the person who counted out the pills and put them in the bottle is the filler, the person who gave the bottle of pills to the patient is the dispenser.  The person playing the filler role and the person playing the dispenser role may be the same person.&#xD;
&quot;Contains the provider ID of the person dispensing the pharmaceutical.&quot; - HL7 Version 2.8, RXD-10.&#xD;
&quot;The individual responsible for dispensing the medication.&quot; - HL7 FHIR, MedicationDispense.dispenser</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XxQNEC2HEeGWR8bvqgjcQA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XxQNES2HEeGWR8bvqgjcQA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ISVA8C2HEeGWR8bvqgjcQA" name="filler" visibility="public" type="_420A62FD03B6418A6B760063" association="_ISJawC2HEeGWR8bvqgjcQA">
          <ownedComment xmi:id="_dDApgE5uEeSkCZQ0odaC4w" annotatedElement="_ISVA8C2HEeGWR8bvqgjcQA">
            <body>Pointer to the person who filled the prescription.  The filler is the person who measured out and packaged the medication, as opposed to the dispenser who is the person who facilitated the release of the medication from the pharmacy's control.  For example, the person who counted out the pills and put them in the bottle is the filler, the person who gave the bottle of pills to the patient is the dispenser.  The person playing the filler role and the person playing the dispenser role may be the same person.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ISW2IC2HEeGWR8bvqgjcQA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ISXdMC2HEeGWR8bvqgjcQA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FefsYNNUEeGRnPi2MLPE0g" name="pharmacy" visibility="public" type="_420A62FD03B64575B75903D9" association="_Fed3MNNUEeGRnPi2MLPE0g">
          <ownedComment xmi:id="_EjJwUNQWEeG6j-OawvA6JA" annotatedElement="_FefsYNNUEeGRnPi2MLPE0g">
            <body>&quot;Specifies the pharmacy that will dispense or has dispensed the prescription.&quot; - HL7 Version 2.8, RXD-30.&#xD;
&quot;Specifies the address of the dispensing facility or the patient's location where the dispensing will occur.&quot; - HL7 Version 2.8, RXD-31.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FefsYdNUEeGRnPi2MLPE0g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FegTcNNUEeGRnPi2MLPE0g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nBRPMXpgEd-44ra0dfiJCw" name="pharmacist" visibility="public" type="_420A62FD03B6418A6B760063" association="_nBRPMHpgEd-44ra0dfiJCw">
          <ownedComment xmi:id="_rjZWkHpgEd-44ra0dfiJCw" annotatedElement="_nBRPMXpgEd-44ra0dfiJCw">
            <body>The pharmacist responsible for filling the medication for this outpatient order.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nBRPMnpgEd-44ra0dfiJCw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nBRPM3pgEd-44ra0dfiJCw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nV7GQPXoEeW1BuvtDtBQzQ" name="pharmacyPromise" visibility="public" type="_420A62FD03B641B4BDD30213" association="_nV4qAPXoEeW1BuvtDtBQzQ">
          <ownedComment xmi:id="_IslI8PXpEeW1BuvtDtBQzQ" annotatedElement="_nV7GQPXoEeW1BuvtDtBQzQ">
            <body>Pointer to the Pharmacy Promise under which this Dispense event was authorized. Through Pharmacy Promise the Dispense also has visibility of the original Request, or prescription.&#xD;
&quot;Indicates the medication order that is being dispensed against.&quot; - HL7 FHIR, MedicationDispense.authorizingPrescription</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nV7GQfXoEeW1BuvtDtBQzQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nV7GQvXoEeW1BuvtDtBQzQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B641B4BDD30213" name="PharmacyPromise">
        <eAnnotations xmi:id="_NY41B-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_YyMfwJX0EeCD7vwmJe8BlA" key="EntryPoint"/>
        </eAnnotations>
        <ownedComment xmi:id="_NYl6HeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641B4BDD30213">
          <body>This class contains information about a Pharmacy Order, commonly referred to as a prescription.  This class represents the prescription from the perspective of the filling system (i.e., the pharmacy) whereas the Pharmacy Request represents the prescription from the ordering system (i.e., the prescriber).  This class is a subtype of the more general Healthcare Promise, which describes properties common to all types or Orders from the filling system perspective– this class adds those properties which are specific to medication orders.  This class is called Pharmacy Promise rather than Pharmacy Order following the HL7 V3 convention to use the term Promise to indicate that it is from the filling system’s perspective.  There are many properties which are identical to the Order; this is because the pharmacy may change the order, within prescribed limits, for example substituting a generic drug for a brand-named one.</body>
        </ownedComment>
        <generalization xmi:id="_ofF0EKwSEeG4dfTp_XT2yg" general="_3r94oOO5EeCbbuWBGGTBrA"/>
        <ownedAttribute xmi:id="_420A62FD03B64592C9DB00DB" name="appointmentTime" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_NZLv8eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NZB-_eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592C9DB00DB">
            <body>Date and time of the appointment for this clinic location.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evgGGOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evgGGeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592C60B0338" name="discontinueDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NZLv9OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592C60B0338">
            <body>This is the date the order was discontinued.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B641990EA80281" name="expirationDate" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_NZob5uLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NZob5OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641990EA80281">
            <body>The date after which the order may no longer be filled.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evgGHOLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evgGHeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592CA620331" name="isHospitalSuppliedSelfAdministered" visibility="public">
          <ownedComment xmi:id="_NB8t4L-0Ed2cYoIY7XWEQw" annotatedElement="_420A62FD03B64592CA620331">
            <body>A flag indicating that the medication given to the patient is to be self administered and is to be supplied by the hospitals pharmacy while they are an inpatient. </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_A60BMC14EeCcBZN8gPxxdg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_A60oQC14EeCcBZN8gPxxdg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592CA5101FC" name="isSelfAdministered" visibility="public">
          <ownedComment xmi:id="_QbqbsL-0Ed2cYoIY7XWEQw" annotatedElement="_420A62FD03B64592CA5101FC">
            <body>A flag indicating that the medication given to the patient is to be self administered.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__--EAC13EeCcBZN8gPxxdg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__--EAS13EeCcBZN8gPxxdg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B641A2638F029A" name="lastDispenseDate" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_NZyM4eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NZob8eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641A2638F029A">
            <body>The most recent date the order was filled.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evgGIOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evgGIeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592C3F8032F" name="medicationType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NZLv_eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592C3F8032F">
            <body>This identifies the type of medication ordered: A=Admixture, C=Chemotherapy, P=Piggy Back, T=TPN, U=Unit Dose.    Note: this might correspond to Administration Unit Code?  Verify.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6419908A90067" name="numberOfRefillsRemaining" visibility="public">
          <ownedComment xmi:id="_NZyM5OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6419908A90067">
            <body>Indicates the number of times the order may be filled without additional authorization.&#xD;
&quot;This field is conditional because it is required when a prescription is dispensed to an outpatient. It is not relevant to inpatient treatment orders.&quot; - HL7 Version 2.8, RXD-8.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Tq7mgPUxEdyqkvQ4FycnSQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Tq7mgfUxEdyqkvQ4FycnSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592C90801F1" name="orderModality" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NZVg8uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592C90801F1">
            <body>This is the method the provider used to communicate to the user to enter (or take any other action) on the order.  Examples include: Written, Telephoned, Verbal, Electronically Entered, Policy, Service Correction, Duplicate, etc.&#xD;
&quot;Code indicating the origin of the prescription.&quot; - NCPDP Telecommunication (Field 419-DJ, Data Dictionary 201104).  Possible values include: Written; Telephone; Electronic; Facsimile; Pharmacy; Not Known.</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_vgS38PXuEeW1BuvtDtBQzQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(OrderModality)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B641A342230296" name="requestedAdministrationTime" visibility="public" type="_420A62FD03B642387187004E" isOrdered="true" isUnique="false">
          <eAnnotations xmi:id="_NZB--uLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NZB--OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641A342230296">
            <body>Specifies when the service is to be performed and how frequently.  Note that this is a complex data type that may indicate specific times or intervals (e.g., 10:00 AM, MWF, etc).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evgGFuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evgGF-LjEdutr_MT9HkPyQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592C9C9009F" name="requestedDuration" visibility="public" type="_420A62FD03B64239FAA800D9">
          <ownedComment xmi:id="_NZVg-OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592C9C9009F">
            <body>The duration of an order as requested by the ordering clinician.  The duration would be expressed as a number of days, weeks, hours, etc.  Note that this length of time might be determined by a business rule of the facilty.  For example, most facilties will have a limit of 7 days for antibiotics, and 3 days for schedule 1 drugs.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PGIJAC17EeCcBZN8gPxxdg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PGIwEC17EeCcBZN8gPxxdg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592CA80029C" name="scheduleType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NdXFUuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592CA80029C">
            <body>&quot;This describes the type of schedule for the dispensing of the medication(s) that make up the order.  PRE-OP orders are usually considered to be ON-CALL orders, and orders dispensed as MULTI-DOSE CONTAINERS are usually considered to be FILL ON REQUEST orders. C=Continuous, O=One Time, P=PRN, R=Fill On Request, OC=On Call.&quot; (VistA)  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ibh-0C14EeCcBZN8gPxxdg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ibh-0S14EeCcBZN8gPxxdg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586FA280229" name="dispense" visibility="public" type="_420A62FD03B641928F4302E4" isUnique="false" association="_420A62FD03B64586FA270029">
          <ownedComment xmi:id="_NhFHsOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64586FA280229">
            <body>Pointer to information about the provision of a medication to a patient or care provider under the authority of the owning Pharmacy Promise.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NhFHsuLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NhFHs-LiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zbjZ4XpFEd-44ra0dfiJCw" name="finisher" visibility="public" type="_420A62FD03B6418A6B760063" association="_zbjZ4HpFEd-44ra0dfiJCw">
          <ownedComment xmi:id="_6Q0okHpFEd-44ra0dfiJCw" annotatedElement="_zbjZ4XpFEd-44ra0dfiJCw">
            <body>The party who completed the Outpatient Pharmacy order.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zbjZ4npFEd-44ra0dfiJCw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zbjZ43pFEd-44ra0dfiJCw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592BE3A0349" name="patientReportedMedication" visibility="public" type="_420A62FD03B641B4BE0F00E3" isUnique="false" association="_420A62FD03B64592BE390136">
          <ownedComment xmi:id="_NhYCruLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592BE3A0349">
            <body>Contains information about a medication which the patient has received or is receiving, as reported by the patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NhhzoeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NhhzouLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BN3fMPaeEeCbn6MPgQ_rxg" name="pharmacyInferredDiagnosis" visibility="public" type="_e4dl4AgVEd6eWYJXJewDdQ" association="_BN1C8PaeEeCbn6MPgQ_rxg">
          <ownedComment xmi:id="_PWBtYE50EeSkCZQ0odaC4w" annotatedElement="_BN3fMPaeEeCbn6MPgQ_rxg">
            <body>Many claims require a diagnosis in order to be adjudicated, especially in workers compensation situations or where multiple payers are involved.  In those cases and where the pharmacy does not have a diagnosis supplied by the prescriber, the pharmacy may infer a diagnosis based on the medication or services ordered.  See field 6813 of the NCPDP SCRIPT DRU segment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BN4GQPaeEeCbn6MPgQ_rxg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BN4tUPaeEeCbn6MPgQ_rxg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HwvEccd5EeCVr54V6VtSNQ" name="return" visibility="public" type="_wwMFEKDYEeC1WJi4dBiHRA" association="_HwvEcMd5EeCVr54V6VtSNQ">
          <ownedComment xmi:id="_WSeeEEqCEeSqlerh7YvyAA" annotatedElement="_HwvEccd5EeCVr54V6VtSNQ">
            <body>Pointer to information about the reversal of a provision of a medication to a patient or care provider under the authority of the owning Pharmacy Promise.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HwvEcsd5EeCVr54V6VtSNQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HwvEc8d5EeCVr54V6VtSNQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_afl3UXpgEd-44ra0dfiJCw" name="pharmacy" visibility="public" type="_420A62FD03B64575B75903D9" association="_afl3UHpgEd-44ra0dfiJCw">
          <ownedComment xmi:id="_e7T0sHpgEd-44ra0dfiJCw" annotatedElement="_afl3UXpgEd-44ra0dfiJCw">
            <body>&quot;Specifies the pharmacy that will dispense or has dispensed the prescription.&quot; - HL7 Version 2.8, RXO-32.&#xD;
&quot;Specifies the address of the dispensing facility.&quot; - HL7 Version 2.8, RXO-33.&#xD;
&quot;Contains the telecommunication contact information for the pharmacy.&quot; - HL7 Version 2.8, RXO-36.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_afl3UnpgEd-44ra0dfiJCw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_afl3U3pgEd-44ra0dfiJCw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_UxG2oNNbEeGRnPi2MLPE0g" name="pharmacyGeneratedOrderModification" visibility="public" type="_CtWV8PaTEeCbn6MPgQ_rxg" association="_UxDMQNNbEeGRnPi2MLPE0g">
          <ownedComment xmi:id="_yOL74E5wEeSkCZQ0odaC4w" annotatedElement="_UxG2oNNbEeGRnPi2MLPE0g">
            <body>Pointer to information concerning any changes made to the original order by the pharmacist.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UxHdsNNbEeGRnPi2MLPE0g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UxIEwNNbEeGRnPi2MLPE0g" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B641B4BE0F00E3" name="PatientReportedMedication">
        <eAnnotations xmi:id="_NZB-8eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NY41CuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641B4BE0F00E3">
          <body>Contains information about a medication which the patient has received or is receiving, as reported by the patient.    </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64592C5ED0136" name="discontinueDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NY41DeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592C5ED0136">
            <body>This is the date the patient stopped taking the patient reported Medication.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592AB8302C8" name="dosage" visibility="public" type="_420A62FD03B641886F63021A">
          <ownedComment xmi:id="_NY41EOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592AB8302C8">
            <body>The amount of the described medication to be administered to the patient in a single point in time.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hL7Q8cdvEeCVr54V6VtSNQ" name="orderablePharmacyItem" visibility="public" type="_420A62FD03B6426545CB0072" association="_hL7Q8MdvEeCVr54V6VtSNQ">
          <ownedComment xmi:id="_tYJRwEqFEeSqlerh7YvyAA" annotatedElement="_hL7Q8cdvEeCVr54V6VtSNQ">
            <body>Pointer to the medicinal product that the patient reported that he/she is taking.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hL7Q8sdvEeCVr54V6VtSNQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hL7Q88dvEeCVr54V6VtSNQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64476CF8400B2" name="OutpatientMedicationDispense">
        <eAnnotations xmi:id="_Nb3QgeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NbkVleLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64476CF8400B2">
          <body>This class contains information about the provision of a medication to a patient or care provider under the authority of the owning Pharmacy Promise in an outpatient or retail setting.</body>
        </ownedComment>
        <generalization xmi:id="_420A62FD03B64476CFD202A8" general="_420A62FD03B641928F4302E4"/>
        <ownedAttribute xmi:id="_m1cBwJXYEeCD7vwmJe8BlA" name="dateTimeReleased" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_m1cBwZXYEeCD7vwmJe8BlA" annotatedElement="_m1cBwJXYEeCD7vwmJe8BlA">
            <body>The date and time that the medication was dispensed.  Dispense = &quot;to make up and distribute (medicine), esp. on prescription.&quot;  (Random House Unabridged Dictionary)  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_m1cBw5XYEeCD7vwmJe8BlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_m1cBwpXYEeCD7vwmJe8BlA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447DA30D007B" name="deliveryModality" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NbuGl-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447DA30D007B">
            <body>Indicates whether the medication dispensed will be mailed to the patient, or the patient will pick up the medication at the pharmacy window, or home delivery.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NDvQEPUxEdyqkvQ4FycnSQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NDvQEfUxEdyqkvQ4FycnSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592C2530300" name="levelOfUnderstanding" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_NbuGlOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NbuGkuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592C2530300">
            <body>Impression of how well the patient understood the education received.  Example values include: Poor, Fair, Good, Group - no assessment, Refused, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evgGLOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evgGLeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CeAR4LTbEd2sMvQnSCqOzA" name="numberOfRefillsRemaining" visibility="public">
          <ownedComment xmi:id="_eL1q4LTbEd2sMvQnSCqOzA" annotatedElement="_CeAR4LTbEd2sMvQnSCqOzA">
            <body>Represents the calculated value of number of refills. CHDR sends number of refills but not enough information such as numberofrefillsauthorized to properly calculate the value.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_INKrQNNzEd2LKtFhp7NOvA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_INKrQdNzEd2LKtFhp7NOvA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CvTogGuQEeCZQ_Ui4wPHHw" name="partialFillStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_axtcoE5rEeSkCZQ0odaC4w" annotatedElement="_CvTogGuQEeCZQ_Ui4wPHHw">
            <body>Indicates that the pharmacist provided a quantity less than authorized to the patient, and provides a reason why this occured.  Typically this occurs when the pharmacy does not have sufficient quantity on hand to meet demand, and it is then expected that the pharmacy will fill the remaining quantity after supplies have been replenished.  In NCPDP SCRIPT, this information is conveyed in a Response Segment in response to a Prescription Fill Status request.&#xD;
&quot;Code indicating the quantity dispensed is a partial fill or the completion of a partial fill. Used only in situations where inventory shortages do not allow the full quantity to be dispensed.&quot; - NCPDP Telecommunication (Field 343-HD, Data Dictionary 201104).</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_voJIQPUxEeW9y7MYMG87Xg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(DispensingStatus)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Jh2PIGuXEeCZQ_Ui4wPHHw" name="paymentType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_dSL4gE5vEeSkCZQ0odaC4w" annotatedElement="_Jh2PIGuXEeCZQ_Ui4wPHHw">
            <body>&quot;The type of prescription benefit plan that adjudicated and paid for the prescription.&quot; - NCPDP Telecommunication (Field A29-ZS, Data Dictionary 201104).</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_1iFXIPUxEeW9y7MYMG87Xg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ReportedPaymentType)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_sera4GuWEeCZQ_Ui4wPHHw" name="salesTransactionId" visibility="public">
          <ownedComment xmi:id="_uB1kICbvEeOyp-Ce3y08Wg" annotatedElement="_sera4GuWEeCZQ_Ui4wPHHw">
            <body>&quot;A reference identifier assigned to the sale transaction as assigned by the merchant.&quot; - NCPDP Telecommunication (Field 681-ZF, Data Dictionary 201104).</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5vsbQPaOEeCbn6MPgQ_rxg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5vsbQfaOEeCbn6MPgQ_rxg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645786888034C" name="salesTransactionTime" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_NbuGnOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NbuGmuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B645786888034C">
            <body>The actual date and time the medication was released for inventory purposes and copay billing if applicable. (VistA)    In the commercial world, &quot;release date&quot; typically corresponds to the date/time that the patient took possession of the medication.  Need to verifiy the VistA usage.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evgGLuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evp3EOLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592C23201BE" name="wasPatientCounseled" visibility="public">
          <ownedComment xmi:id="_NbuGn-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592C23201BE">
            <body>Captures whether or not the patient received counseling regarding the dispensed medication.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Na-rYPUxEdyqkvQ4FycnSQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Na-rYfUxEdyqkvQ4FycnSQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_js9_wHpfEeCYy4DzyFpAzQ" name="couponRedemption" visibility="public" type="_B95dEHpfEeCYy4DzyFpAzQ" association="_js68cHpfEeCYy4DzyFpAzQ">
          <ownedComment xmi:id="_qwGSYCPVEeOWt_Gp5Q0GJA" annotatedElement="_js9_wHpfEeCYy4DzyFpAzQ">
            <body>Pointer to information about the patient's use of a manufacturers coupon to reduce the patient's out-of-pocket cost for the prescription.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_js9_wXpfEeCYy4DzyFpAzQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jtBDEHpfEeCYy4DzyFpAzQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64476CFDE0039" name="InpatientMedicationDispense">
        <eAnnotations xmi:id="_Nb3QiuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Nb3QhOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64476CFDE0039">
          <body>This class contains information about the provision of a medication to a patient or care provider under the authority of the owning Pharmacy Promise in an inpatient setting.  This class includes medications placed in a medication cart for a caregiver (usually a nurse) to administer to the patient during scheduled rounds.  Note that while this class does not currently contain any properties in addition to those defined in the Pharmacy Dispense supertype, it functions to make the class concrete, as the Pharmacy Dispense class is abstract.</body>
        </ownedComment>
        <generalization xmi:id="_420A62FD03B64476D01303A6" general="_420A62FD03B641928F4302E4"/>
        <ownedAttribute xmi:id="_420A62FD03B64592E9C201A6" name="ward" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B64592E9C2007D">
          <ownedComment xmi:id="_NiIQlOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592E9C201A6">
            <body>The Service Delivery Location at which the dispense took place (i.e., for dispenses from &quot;ward stock&quot;), or to which the medication was directed.&#xD;
&quot;Identification of the facility/location where the medication was shipped to, as part of the dispense event.&quot; - HL7 FHIR, MedicationDispense.destination</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NiIQluLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NiIQl-LiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64592AF50014B" name="PharmacyRequest">
        <eAnnotations xmi:id="_NdDjV-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_08nSwE75EeSJI4YBId-MmA" key="EntryPoint"/>
        </eAnnotations>
        <ownedComment xmi:id="_Nc6ZZeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592AF50014B">
          <body>This class contains information about a Pharmacy Order, commonly referred to as a prescription.  This class is a subtype of the more general Healthcare Order, which describes properties common to all types or Orders – this class adds those properties which are specific to medication orders.  It can be said that this represent the prescription from the perspective of the ordering system whereas the Pharmacy Promise represents the prescription from the filling system (i.e., the pharmacy).  This class is called Pharmacy Request rather than Pharmacy Order following the HL7 V3 convention to use the term Request instead of Order.</body>
        </ownedComment>
        <generalization xmi:id="_USnb0InDEd-_v4Q8joL6LQ" general="_420A62FD03B64589572B02E8"/>
        <ownedAttribute xmi:id="_420A62FD03B642370E6602A5" name="appointmentTime" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_NIMtoeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NIC8q-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642370E6602A5">
            <body>This is the appointment date/time for an outpatient order. It is entered when an inpatient medication is ordered for an outpatient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eu5pMuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eu5pM-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_n7qnMAP7EeGeisexxvNAWA" name="areRefillsAuthorizedAsNeeded" visibility="public">
          <ownedComment xmi:id="_NGzbUE75EeSJI4YBId-MmA" annotatedElement="_n7qnMAP7EeGeisexxvNAWA">
            <body>Indicates whether the prescriber has authorized additional fills of this order as needed.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6427039C90006" name="dispensingInstructions" visibility="public">
          <ownedComment xmi:id="_NIMtpOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6427039C90006">
            <body>&quot;Identifies the ordering provider's instructions to the pharmacy or the non-pharmacy treatment provider (e.g., respiratory therapy).&quot; - HL7 Version 2.8, RXO-6.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5fXokIkOEd-lPoUWU4L5Vw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5fhZkIkOEd-lPoUWU4L5Vw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6426E688E01CD" name="dosage" visibility="public" type="_420A62FD03B641886F63021A">
          <eAnnotations xmi:id="_cv1xcEcPEeKfi9U1UyJHLg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NIMtp-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6426E688E01CD">
            <body>&quot;The measured quantity of a therapeutic agent to be taken at one time.&quot; (MedlinePlus/Merriam-Webster).&#xD;
Note that this field is currently modeled as a Physical Quanity Interval, rather than calling out the low dosage and high dosage.&#xD;
&quot;This field is the ordered amount.  In a variable dose order, this is the minimum ordered amount.  In a non-varying dose order, this is the exact amount of the order.&quot; - HL7 Version 2.8, RXO-2.&#xD;
&quot;In a variable dose order, this is the maximum ordered amount.  In a non-varying dose order, this field is not used.&quot; - HL7 Version 2.8, RXO-3.&#xD;
&quot;Indicates the units for the give amount.&quot; - HL7 Version 2.8, RXO-4.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6426E688E0213" name="doseForm" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_wKP7sEcPEeKfi9U1UyJHLg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NIMtquLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6426E688E0213">
            <body>Form: &quot;The shape and structure of something as distinguished from its material&quot; (Webster's Medical Dictionary).&#xD;
Indicates the form of the material making up a single dose (as opposed to how the dose is packaged).  Possible values include Tablet, Drop, Lozenge, Cream, etc.&#xD;
&quot;Indicates the manner in which the treatment is aggregated for dispensing, e.g., tablets, capsules, suppositories.&quot; - HL7 Version 2.8, RXO-5.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vQpYYMrHEeG4_uv2Hb_AVQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vQp_cMrHEeG4_uv2Hb_AVQ" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_J9_3UPVWEeWPJ7Hu05SWlg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(StrengthForm)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6426E688E0231" name="doseQuantity" visibility="public" type="_420A62FD03B641886F63021A">
          <ownedComment xmi:id="_NIMtreLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6426E688E0231">
            <body>The amount of the described medication to be administered to the patient in a single point in time.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6426E688E0259" name="doseUnit" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NIV3kuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6426E688E0259">
            <body>&quot;This field indicates the units for the give amount.&quot; - HL7 Version 2.8, RXO-4  &quot;An amount of a biologically active agent (as a drug or antigen) required to produce a specific result under strictly controlled conditions.&quot; (Merriam-Webster)</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6427039C90038" name="expirationDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NIV3leLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6427039C90038">
            <body>The date after which the order may no longer be filled.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6426E688E02DB" name="frequency" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_NIV3m-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6426E688E02DB">
            <body>Specifies when the service is to be performed and how frequently.  Note that this is a complex data type that may indicate specific times or intervals (e.g., 10:00 AM, MWF, etc).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_AzUJkKMxEeSjK-UNpoDZuQ" name="frequencyCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_AzUJkaMxEeSjK-UNpoDZuQ" annotatedElement="_AzUJkKMxEeSjK-UNpoDZuQ">
            <body>Specifies when the service is to be performed and how frequently.  This optional property allows for the frequency to be expressed as a code (or possibly a string), in order to accomodate non-numeric expressions, such as every morning, or during the afternoon shift.  Added for Davita, 1/23/2015.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AzUJk6MxEeSjK-UNpoDZuQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AzUJkqMxEeSjK-UNpoDZuQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642703D310317" name="infusionRate" visibility="public" type="_420A62FD03B641886F63021C">
          <ownedComment xmi:id="_NI8UiOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642703D310317">
            <body>Infusion: &quot;Introduction of a solution into the body through a vein for therapeutic purposes.&quot;  (American Heritage Stedman's Medical Dictionary).  This is the rate at which the solution is introduced into the body.  Expressed as volume/time (e.g., 500 ml/hr) </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6427039C9006A" name="intendedDuration" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_NIfokuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6427039C9006A">
            <body>The period of time over which a medication order should be given.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_u85sMKMxEeSjK-UNpoDZuQ" name="intendedDurationCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_u85sMaMxEeSjK-UNpoDZuQ" annotatedElement="_u85sMKMxEeSjK-UNpoDZuQ">
            <body>Specifies the period of time over which a medication order should be given.  This optional property allows for the intended duration to be expressed as a code (or possibly a string), in order to accomodate non-numeric expressions.  Added for Davita, 1/23/2015.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_u85sM6MxEeSjK-UNpoDZuQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_u85sMqMxEeSjK-UNpoDZuQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DkRUQNUpEeGzd-o9XtejuA" name="neededNoLaterThan" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_jOBwQNUpEeGzd-o9XtejuA" annotatedElement="_DkRUQNUpEeGzd-o9XtejuA">
            <body>&quot;Conditional composite for the facility to relay to the long term care pharmacy the timeframe when medication is needed for delivery.  When a facility transmits either a new medication order (NEWRX) or request for the re-supply of a medication (RESUPP) to a pharmacy, it would optionally indicate the time by which the medication is needed. The facility could also provide a textual reason why the medication is needed by the time specified. The long term care pharmacy would then use this information to determine whether a special delivery is required, or whether the order could go out with the next scheduled delivery.&quot; - NCPDP Script (Field I006)</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_31ccMMuREeGZENvAz6pEGw" name="needsHumanReview" visibility="public">
          <ownedComment xmi:id="_-KaaMMuREeGZENvAz6pEGw" annotatedElement="_31ccMMuREeGZENvAz6pEGw">
            <body>Indicates whether &quot;the pharmacist or non-pharmacist treatment supplier filling the order needs to pay special attention to the text in the [Dispensing Instructions].  A warning is present.&quot; - HL7 Version 2.8, RXO-16.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7f2RYMuREeGZENvAz6pEGw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7f24cMuREeGZENvAz6pEGw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642703FB801D7" name="numberOfRefillsAuthorized" visibility="public">
          <ownedComment xmi:id="_NJGFg-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642703FB801D7">
            <body>&quot;Defines the number of times the requested dispense amount can be given to the patient, subject to local regulation.  Refers to outpatient only.&quot; - HL7 Version 2.8, RXO-13.&#xD;
&quot;Number of refills authorized by the prescriber.&quot; - NCPDP Telecommunication (Field 415-DF, Data Dictionary 201104).  Note that while the NCPDP Telecommunication structure treats this field as a code, it contains a number from 0-99, where zero means no refills authorized, and 1-98 are the number of refills authorized, and 99 means unlimited refills authorized.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Hi1NAMuQEeGZENvAz6pEGw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Hi3CMMuQEeGZENvAz6pEGw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_L9m8UCf-EeC-JKXSDMHR6A" name="patientInstructions" visibility="public">
          <eAnnotations xmi:id="_L9m8USf-EeC-JKXSDMHR6A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_L9m8Uif-EeC-JKXSDMHR6A" annotatedElement="_L9m8UCf-EeC-JKXSDMHR6A">
            <body>The complete textual representation of the &quot;sig&quot; (from the Latin &quot;signare&quot; meaning &quot;to sign or mark&quot;), for the prescription.  Contains all relevant information about the dosage instructions for the medication prescribed. For example, the sig might say &quot;take twice daily with food&quot;.&#xD;
&#xD;
&quot;Identifies the ordering provider's instructions to the patient or to the provider administering the drug or treatment.&quot; - HL7 Version 2.8, RXO-7.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_L9m8VCf-EeC-JKXSDMHR6A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_L9m8Uyf-EeC-JKXSDMHR6A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Yz7RYL2aEeG_PZtvUC92nw" name="pharmacyOrderCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_5RK_0L2aEeG_PZtvUC92nw" annotatedElement="_Yz7RYL2aEeG_PZtvUC92nw">
            <body>&quot;Defines the general category of pharmacy order which may be used to determine the processing path the order will take....  This field may also be used for grouping of related orders for processing and/or reports.  For example, Medication Administration Records often group large volume solutions, medications and small volume solutions differently based upon site-specific workflow.&quot; - HL7 Version 2.8, RXA-26, RXD-32, and RXO-27.  Valid values (from HL7 Table 0480) include: Medication; IV Large Volume Solutions; Other solution as medication orders.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_d1BzwL2aEeG_PZtvUC92nw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_d1E3EL2aEeG_PZtvUC92nw" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_e4O1kPVWEeWPJ7Hu05SWlg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(PharmacyOrder)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gwmVUGYTEeC_U5wVHbS9Yw" name="quanityOrdered" visibility="public" type="_420A62FD03B641886F63021A">
          <ownedComment xmi:id="_gwmVUWYTEeC_U5wVHbS9Yw" annotatedElement="_gwmVUGYTEeC_U5wVHbS9Yw">
            <body>&quot;This field is the ordered amount.  In a variable dose order, this is the minimum ordered amount.  In a non-varying dose order, this is the exact amount of the order.&quot; - HL7 Version 2.8, RXO-2.&#xD;
&quot;In a variable dose order, this is the maximum ordered amount.  In a non-varying dose order, this field is not used.&quot; - HL7 Version 2.8, RXO-3.&#xD;
This property carries both the low (aka minimum), and high (aka maximum) amounts.  For example, given the order &quot;Acetaminophen 300 mg / codeine 30 mg (Tylenol 3).  Take 2-3 tablets every 4-6 hours as needed for pain for 7 days&quot;, this property would contain 2 (low) and 3 (high).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592BCD10203" name="route" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_AjkTgEcQEeKfi9U1UyJHLg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_Nc6ZaOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592BCD10203">
            <body>&quot;This field is the route of administration.&quot; - HL7 Version 2.8, RXR-1&#xD;
&quot;The method of introducing the therapeutic material into or onto the subject.&quot; - HL7 Version 3</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592D00701B8" name="schedule" visibility="public">
          <ownedComment xmi:id="_NdDjVeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592D00701B8">
            <body>This is the number of Units (tablets, capsules, etc.) to be dispensed as a dose for this order. String type used to handle VistA data with dose quantity and units in same field.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642703BCC03E6" name="sig" visibility="public">
          <eAnnotations xmi:id="_BEKfIEcQEeKfi9U1UyJHLg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NIfomOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642703BCC03E6">
            <body>&quot;Signa -- used to introduce the signature in writing a prescription.&quot; (MedlinePlus/Merriam-Webster) Note: this attribute is a placeholder for a concept which will be modeled in a future iteration. </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6431E057801C3" name="startDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Nc6Za-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6431E057801C3">
            <body>The date on which the patient is to begin (or began, if historical) consuming the ordered medication.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6431E057801F6" name="stopDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NdDjUuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6431E057801F6">
            <body>The date on which the Patient is to discontinue consuming (or did discontinue consumption of) the ordered medication.&#xD;
&quot;The date (and perhaps time) when the prescription was stopped.&quot; - HL7 FHIR, MedicationOrder.dateEnded</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592B03A00C6" name="deliverToLocation" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B64592B0390162">
          <ownedComment xmi:id="_NhYCp-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592B03A00C6">
            <body>&quot;Specifies the location of the patient to whom the pharmaceutical substance is to be delivered.&quot; - HL7 Version 2.8, RXO-34.&#xD;
&quot;Specifies the address, either mailing or physical, to which the prescription should be mailed or delivered.&quot; - HL7 Version 2.8, RXO-35.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NhYCqeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NhYCquLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NgioUCf2EeC-JKXSDMHR6A" name="drugCoverageStatus" visibility="public" type="_L_H44Cf2EeC-JKXSDMHR6A" association="_NggMECf2EeC-JKXSDMHR6A">
          <ownedComment xmi:id="_NOQwoE5pEeSkCZQ0odaC4w" annotatedElement="_NgioUCf2EeC-JKXSDMHR6A">
            <body>Pointer to a set of (zero to many) coverage statuses for the prescribed drug.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NgkdgCf2EeC-JKXSDMHR6A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NgkdgSf2EeC-JKXSDMHR6A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3LduYBd7EeC9Abp3tFVARg" name="drugUseEvaluation" visibility="public" type="_ItpdgAMJEeC6TLUcQZx_GQ" association="_3LbSIBd7EeC9Abp3tFVARg">
          <ownedComment xmi:id="__xk6UE5uEeSkCZQ0odaC4w" annotatedElement="_3LduYBd7EeC9Abp3tFVARg">
            <body>Pointer to the results of a Drug Use Evaluation (DUE) or a Drug Utilization Review (DUR).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3LeVcBd7EeC9Abp3tFVARg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3Le8gBd7EeC9Abp3tFVARg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_otOpYYnEEd-_v4Q8joL6LQ" name="orderedItem" visibility="public" type="_420A62FD03B6426545CB0072" association="_otOpYInEEd-_v4Q8joL6LQ">
          <ownedComment xmi:id="_8rxoIMrEEeG4_uv2Hb_AVQ" annotatedElement="_otOpYYnEEd-_v4Q8joL6LQ">
            <body>&quot;Identifies the treatment product or treatment ordered to be given to the patient.... Examples ... include medications and certain devices or supplies, e.g., inhaler spacers, blood glucose monitors, syringes, infusion sets, which might require prescription.&quot; - HL7 Version 2.8, RXO-1.&#xD;
&quot;This field accommodates the identification of any codes that might be associated with the pharmaceutical substance. Common codes include: the Generic Product Identifier (GPI), Generic Code Number_Sequence Number (GCN_SEQNO), National Drug Code (NDC).&quot; - HL7 Version 2.8, RXO-24.&#xD;
&quot;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.&quot; - HL7 FHIR, MedicationOrder.medication[x]</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_otOpYonEEd-_v4Q8joL6LQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_otOpY4nEEd-_v4Q8joL6LQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1DEQgASNEeCTBOHqmJ3gaQ" name="prescriberAgent" visibility="public" type="_bYKKMP2KEd-vp-CAyKeWfQ" association="_1C7GkASNEeCTBOHqmJ3gaQ">
          <ownedComment xmi:id="_oYtHsE50EeSkCZQ0odaC4w" annotatedElement="_1DEQgASNEeCTBOHqmJ3gaQ">
            <body>A person who has been designated to act on behalf of the prescriber.  For example, a physician's assistant may be authorized to telephonically authorize refill requests for the prescriber.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1DEQgQSNEeCTBOHqmJ3gaQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1DEQggSNEeCTBOHqmJ3gaQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6Q1WIBd2EeC9Abp3tFVARg" name="priorAuthorization" visibility="public" type="_07EAwBd1EeC9Abp3tFVARg" association="_6Qy54Bd2EeC9Abp3tFVARg">
          <ownedComment xmi:id="_5ZzS8E79EeSJI4YBId-MmA" annotatedElement="_6Q1WIBd2EeC9Abp3tFVARg">
            <body>Pointer to information concerning a prior authorization already issued by a payer.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6Q2kQBd2EeC9Abp3tFVARg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6Q3LUBd2EeC9Abp3tFVARg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_X4HvYAb1EeCPt5ncw6lSpA" name="supervisor" visibility="public" type="_420A62FD03B6418A6B760063" association="_X4EsEAb1EeCPt5ncw6lSpA">
          <ownedComment xmi:id="_8uofAE50EeSkCZQ0odaC4w" annotatedElement="_X4HvYAb1EeCPt5ncw6lSpA">
            <body>Pointer to the person who is managerially responsible for the prescriber.  Usually used in long-term care settings.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_X4HvYQb1EeCPt5ncw6lSpA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_X4HvYgb1EeCPt5ncw6lSpA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TcfcMNEuEeG6d5ozG3gSdw" name="indication" visibility="public" type="_r6v0YIsdEeGv9r5ZNThaOw" association="_TcDXUNEuEeG6d5ozG3gSdw">
          <ownedComment xmi:id="_UkowANEuEeG6d5ozG3gSdw" annotatedElement="_TcfcMNEuEeG6d5ozG3gSdw">
            <body>&quot;Identifies the condition or problem for which the drug/treatment was prescribed.&quot; - HL7 Version 2.8, RXO-20.&#xD;
&quot;Contains the identifier of the condition or problem for which the drug/treatment was prescribed.  May repeat if multiple indications are relevant.&quot; - HL7 Version 2.8, RXD-21.&#xD;
&quot;Can be the reason or the indication for writing the prescription.&quot; - HL7 FHIR, MedicationOrder.reasonCode</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TcjGkNEuEeG6d5ozG3gSdw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TcjtoNEuEeG6d5ozG3gSdw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BcvVQNEyEeG6d5ozG3gSdw" name="pharmacy" visibility="public" type="_420A62FD03B64575B75903D9" association="_Bcs5ANEyEeG6d5ozG3gSdw">
          <ownedComment xmi:id="_EOXvYNEyEeG6d5ozG3gSdw" annotatedElement="_BcvVQNEyEeG6d5ozG3gSdw">
            <body>&quot;Specifies the pharmacy that will dispense or has dispensed the prescription.&quot; - HL7 Version 2.8, RXO-32.&#xD;
&quot;Specifies the address of the dispensing facility.&quot; - HL7 Version 2.8, RXO-33.&#xD;
&quot;Contains the telecommunication contact information for the pharmacy.&quot; - HL7 Version 2.8, RXO-36.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Bcv8UNEyEeG6d5ozG3gSdw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Bcv8UdEyEeG6d5ozG3gSdw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ssDgoPagEeCbn6MPgQ_rxg" name="substitutionCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_RDeGcNOLEeGputPQx0HXoA" annotatedElement="_ssDgoPagEeCbn6MPgQ_rxg">
            <body>If the Pharmacist has changed the kind of medication to be dispensed to the patient from the one originally ordered by the prescriber, this field provides a categorization of the kind of substitution that was made.&#xD;
&quot;Refer to HL7 Table 0167 - Substitution Status in Chapter 2C for suggested values.&quot; - HL7 Version 2.8, RXD-11.&#xD;
&quot;Product/Service Substitution, coded&quot; - NCPDP Script (Field 4457, Data Dictionary 201104)&#xD;
&quot;Code indicating whether or not the prescriber’s instructions regarding generic substitution were followed.&quot; - NCPDP Telecommunication (Field 408-D8, Data Dictionary 201104).&#xD;
&#xD;
-----&#xD;
Possible values include (from HL7 Table 167): &#xD;
No substitute was dispensed.  This is equivalent to the default (null) value; &#xD;
A generic substitution was dispensed; &#xD;
A therapeutic substitution was dispensed; &#xD;
No product selection indicated; &#xD;
Substitution not allowed by prescriber; &#xD;
Substitution allowed - patient requested product dispensed; &#xD;
Substitution allowed - pharmacist selected product dispensed; &#xD;
Substitution allowed - generic drug not in stock; &#xD;
Substitution allowed - brand drug dispensed as a generic; &#xD;
Substitution not allowed - brand drug mandated by law; &#xD;
Substitution allowed - generic drug not available in marketplace.&#xD;
-----&#xD;
Possible values include (From NCPDP ECL):&#xD;
No Product Selection Indicated&#xD;
Substitution Not Allowed by Prescriber&#xD;
Substitution Allowed - Patient Requested Product Dispensed&#xD;
Substitution Allowed - Pharmacist Selected Product Dispensed&#xD;
Substitution Allowed - Generic Drug Not in Stock&#xD;
Substitution Allowed - Brand Drug Dispensed as a Generic Override&#xD;
Substitution Not Allowed - Brand Drug Mandated by Law&#xD;
Substitution Allowed - Generic Drug Not Available in Marketplace&#xD;
Substitution Allowed By Prescriber but Plan Requests Brand - Patient's Plan Requested Brand Product To Be Dispensed</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_764o4M2fEeSo7MqZXqyeFA" name="deliverTo" visibility="public" type="_aW26cBsbEd--ZY2-pbJ-Pw" association="_760XcM2fEeSo7MqZXqyeFA">
          <ownedComment xmi:id="_OH7BEM2gEeSo7MqZXqyeFA" annotatedElement="_764o4M2fEeSo7MqZXqyeFA">
            <body>Pointer to the clinical provider or agency to which the mediction will be delivered.  Added 3/18/2015 to handle the designation in the order of a specialty drug of the provider which should receive for example.  For example, an IV medication would not be sent to the patient's home but to the home infusion agency that will administer the medication.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7653AM2fEeSo7MqZXqyeFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_766eEM2fEeSo7MqZXqyeFA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64592CB8B0303" name="InfusionPromise">
        <eAnnotations xmi:id="_NdqAR-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NdXFV-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592CB8B0303">
          <body>An inpatient request for intravenous medication to be administered for this patient.</body>
        </ownedComment>
        <generalization xmi:id="_nVglgC14EeCcBZN8gPxxdg" general="_420A62FD03B641B4BDD30213"/>
        <ownedAttribute xmi:id="_420A62FD03B641A343D1026D" name="infusionRate" visibility="public" type="_420A62FD03B641886F63021C">
          <ownedComment xmi:id="_NdgPQuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B641A343D1026D">
            <body>Infusion: &quot;Introduction of a solution into the body through a vein for therapeutic purposes.&quot;  (American Heritage Stedman's Medical Dictionary).  This is the rate at which the solution is introduced into the body.  Expressed as volume/time (e.g., 500 ml/hr)</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_yfwsYDh5EeC17O99ZX8o-w" name="infusionSite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_jnHAoDh6EeC17O99ZX8o-w" annotatedElement="_yfwsYDh5EeC17O99ZX8o-w">
            <body>The site of the patient's body at which the infusion takes place.  Note that there is a question, in cases where the patient is receiving multiple infusions simultaneously, whether this code should include something about the specific line, or whether there needs to be another attribtue.</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_irHRIPUxEeW9y7MYMG87Xg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(InfusionSite)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592CC40037D" name="infusionVelocity" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NdgPReLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592CC40037D">
            <body>Indicates whether the infusion is Continuous or Intermittant. (or Bolus?)    Another possible name is infustionPersistance?    (May need a better name)</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_oFvGwPUxEeW9y7MYMG87Xg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(InfusionVelocity)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592CBD9029B" name="ivType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NdgPSOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592CBD9029B">
            <body>Categorizes the intravenous infusion to occur.  Possible values include Admixture, Piggyback, or Syringe.    (May need a better name)</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592CD2B0251" name="requestedIvLimitation" visibility="public">
          <ownedComment xmi:id="_NdqAQuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592CD2B0251">
            <body>This is the maximum length of time or the maximum volume to administer, for IV fluid orders. The value may be in milliliters, liters, hours, or days.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64586FA270029" name="pharmacyPromise_dispense" memberEnd="_420A62FD03B64586FA280229 _420A62FD03B64586FA28022B">
        <ownedEnd xmi:id="_420A62FD03B64586FA28022B" name="" visibility="public" type="_420A62FD03B641B4BDD30213" isUnique="false" association="_420A62FD03B64586FA270029"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64592B0390162" name="pharmacyRequest_orderLocation" memberEnd="_420A62FD03B64592B03A00C6 _420A62FD03B64592B03A00D6">
        <ownedEnd xmi:id="_420A62FD03B64592B03A00D6" name="" visibility="public" type="_420A62FD03B64592AF50014B" isUnique="false" association="_420A62FD03B64592B0390162"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64592BE390136" name="pharmacyPromise_patientReportedMedication" memberEnd="_420A62FD03B64592BE3A0349 _420A62FD03B64592BE3A0359">
        <ownedEnd xmi:id="_420A62FD03B64592BE3A0359" name="" visibility="public" type="_420A62FD03B641B4BDD30213" isUnique="false" association="_420A62FD03B64592BE390136"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64592E9C2007D" name="inpatientMedicationDispense_ward" memberEnd="_420A62FD03B64592E9C201A6 _420A62FD03B64592E9C201B6">
        <ownedEnd xmi:id="_420A62FD03B64592E9C201B6" name="" visibility="public" type="_420A62FD03B64476CFDE0039" isUnique="false" association="_420A62FD03B64592E9C2007D"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_zbjZ4HpFEd-44ra0dfiJCw" name="pharmacyPromise_finisher" memberEnd="_zbjZ4XpFEd-44ra0dfiJCw _zbtK4HpFEd-44ra0dfiJCw">
        <ownedEnd xmi:id="_zbtK4HpFEd-44ra0dfiJCw" name="" visibility="public" type="_420A62FD03B641B4BDD30213" association="_zbjZ4HpFEd-44ra0dfiJCw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_oPSzcHpeEd-44ra0dfiJCw" name="pharmacyDispense_attender" memberEnd="_oPb9YHpeEd-44ra0dfiJCw _oPb9Y3peEd-44ra0dfiJCw">
        <ownedEnd xmi:id="_oPb9Y3peEd-44ra0dfiJCw" name="" visibility="public" type="_420A62FD03B641928F4302E4" association="_oPSzcHpeEd-44ra0dfiJCw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_afl3UHpgEd-44ra0dfiJCw" name="pharmacyPromise_pharmacy" memberEnd="_afl3UXpgEd-44ra0dfiJCw _afl3VHpgEd-44ra0dfiJCw">
        <ownedEnd xmi:id="_afl3VHpgEd-44ra0dfiJCw" name="" visibility="public" type="_420A62FD03B641B4BDD30213" association="_afl3UHpgEd-44ra0dfiJCw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_nBRPMHpgEd-44ra0dfiJCw" name="pharmacyDispense_pharmacist" memberEnd="_nBRPMXpgEd-44ra0dfiJCw _nBRPNHpgEd-44ra0dfiJCw">
        <ownedEnd xmi:id="_nBRPNHpgEd-44ra0dfiJCw" name="" visibility="public" type="_420A62FD03B641928F4302E4" association="_nBRPMHpgEd-44ra0dfiJCw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_otOpYInEEd-_v4Q8joL6LQ" name="pharmacyRequest_orderedItem" memberEnd="_otOpYYnEEd-_v4Q8joL6LQ _otYaYInEEd-_v4Q8joL6LQ">
        <ownedEnd xmi:id="_otYaYInEEd-_v4Q8joL6LQ" name="" visibility="public" type="_420A62FD03B64592AF50014B" association="_otOpYInEEd-_v4Q8joL6LQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_ItpdgAMJEeC6TLUcQZx_GQ" name="DrugUseEvaluation">
        <ownedComment xmi:id="_VBt3MAMJEeC6TLUcQZx_GQ" annotatedElement="_ItpdgAMJEeC6TLUcQZx_GQ">
          <body>This class represents the results of a Drug Use Evaluation (DUE) or a Drug Utilization Review (DUR).  If a prescriber or pharmacy has determined that the patient is on another medication that can interact with the drug associated with the current order, this class can communicate what the problem is and what the co-agent(s) are.  A DUR tends to be after the fact, while DUE tends to be before the fact, but basically the processes and the information captured are similar.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_PwhtsBd-EeC9Abp3tFVARg" name="dateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_QrEoIEprEeSqlerh7YvyAA" annotatedElement="_PwhtsBd-EeC9Abp3tFVARg">
            <body>The date (and optionally time) upon which the Drug Use Evaluation was performed.&#xD;
Note that neither NCPDP SCRIPT nor NCPDP Telecom contain this information directly in their Drug Use segments, but this date may correspond to the Service Date (SCRIPT I006, Telecommunication 457-EP).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="__MPY0Bd5EeC9Abp3tFVARg" name="professionalServiceCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PilYcCT1EeGLU77N-kQBww" annotatedElement="__MPY0Bd5EeC9Abp3tFVARg">
            <body>Categorizes the action taken by a pharmacist or prescriber in response to a conflict or the result of a pharmacist's professional service.&#xD;
&quot;Code identifying pharmacist intervention when a conflict code has been identified or service has been rendered.&quot; - NCPDP Telecommunication (Field 440-E5, Data Dictionary 201104).  Possible values include: Patient assessment; Coordination of care; Dosing evaluation/determination; Dosage evaluated; Formulary enforcement; Generic product selection; Prescriber consulted; Medication administration; Overriding benefit; Medication review; Previous patient tolerance; Patient education/instruction; Patient medication history; Patient monitoring; Patient consulted; Perform laboratory test; Pharmacist consulted other source; Recommend laboratory test; Self-care consultation; Literature search/review; Therapeutic product interchange; Other Acknowledgement; No intervention.&#xD;
&quot;Action taken in response to a conflict.&quot; - NCPDP Script (Field 7881, Data Dictionary 201104)</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_Oc3PIPUxEeW9y7MYMG87Xg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(DueProfessionalService)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_o-n8kBd4EeC9Abp3tFVARg" name="reasonForService" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_jXrwECT0EeGLU77N-kQBww" annotatedElement="_o-n8kBd4EeC9Abp3tFVARg">
            <body>Categorizes the type of drug utilization conflict detected by the prescriber or the pharmacist or the reason for the pharmacist's professional service.  Examples include: Drug-Drug Interaction, Dose Range Conflict, Ingredient Duplication, etc.&#xD;
&quot;Code identifying the type of utilization conflict detected by the prescriber or the pharmacist or the reason for the pharmacist s professional service.&quot; - NCPDP Telecommunication (Field 439-E4, Data Dictionary 201104).&#xD;
&quot;For further explanation, conflict, or clarification of services related to drug use evaluation.... Code identifying the type of conflict detected.  When this composite is used, DUE Reason For Service Code is mandatory.&quot; - NCPDP Script (Field 7880, Data Dictionary 201104).</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_WM2ZoPUxEeW9y7MYMG87Xg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(DueReasonForService)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LZFJIBd6EeC9Abp3tFVARg" name="serviceResultCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NK8LoCT1EeGLU77N-kQBww" annotatedElement="_LZFJIBd6EeC9Abp3tFVARg">
            <body>&quot;Action taken by a pharmacist or prescriber in response to a conflict or the result of a pharmacist’s professional service.&quot; - NCPDP Telecommunication (Field 441-E6, Data Dictionary 201104).&#xD;
&quot;Action taken in response to a conflict.&quot; - NCPDP Script (Field 7882, Data Dictionary 201104)</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_bCvKgPUxEeW9y7MYMG87Xg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(DueResultOfService)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_l0BaEBd-EeC9Abp3tFVARg" name="author" visibility="public" type="_hXa7cAq6Ed-426xscrxYmQ" association="_lz-90Bd-EeC9Abp3tFVARg">
          <ownedComment xmi:id="_DyNC0EpsEeSqlerh7YvyAA" annotatedElement="_l0BaEBd-EeC9Abp3tFVARg">
            <body>Pointer to the medical professional who performed the Drug Use Evaluation.&#xD;
Note that neither NCPDP SCRIPT nor NCPDP Telecom contain this information directly in their Drug Use segments, but this data may correspond to the Provider (SCRIPT 4705, Telecommunication 444-E9) in the respective Provider segments.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_l0CoMBd-EeC9Abp3tFVARg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_l0CoMRd-EeC9Abp3tFVARg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_EvfJgBd7EeC9Abp3tFVARg" name="coAgent" visibility="public" type="_qZnzkBd7EeC9Abp3tFVARg" association="_Evd7YBd7EeC9Abp3tFVARg">
          <ownedComment xmi:id="_Kg9nQC19EeGWR8bvqgjcQA" annotatedElement="_EvfJgBd7EeC9Abp3tFVARg">
            <body>&quot;Identifies the co-existing agent contributing to the DUR event (drug or disease conflicting with the prescribed drug or prompting pharmacist professional service).&quot; - NCPDP Telecommunication (Field 476-H6, Data Dictionary 201104).&#xD;
&quot;Identifies the co-existing agent contributing to the DUR event (drug or disease) conflicting with the prescribed drug.&quot; - NCPDP Script (Field 7883, Data Dictionary 201104)</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EvfwkBd7EeC9Abp3tFVARg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EvfwkRd7EeC9Abp3tFVARg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_1C7GkASNEeCTBOHqmJ3gaQ" name="pharmacyRequest_prescriberAgent" memberEnd="_1DEQgASNEeCTBOHqmJ3gaQ _1DEQgwSNEeCTBOHqmJ3gaQ">
        <ownedEnd xmi:id="_1DEQgwSNEeCTBOHqmJ3gaQ" name="" visibility="public" type="_420A62FD03B64592AF50014B" association="_1C7GkASNEeCTBOHqmJ3gaQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1DEQhASNEeCTBOHqmJ3gaQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1DEQhQSNEeCTBOHqmJ3gaQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_X4EsEAb1EeCPt5ncw6lSpA" name="pharmacyRequest_supervisor" memberEnd="_X4HvYAb1EeCPt5ncw6lSpA _X4KysAb1EeCPt5ncw6lSpA">
        <ownedEnd xmi:id="_X4KysAb1EeCPt5ncw6lSpA" name="" visibility="public" type="_420A62FD03B64592AF50014B" association="_X4EsEAb1EeCPt5ncw6lSpA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_X4KysQb1EeCPt5ncw6lSpA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_X4Kysgb1EeCPt5ncw6lSpA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_6Qy54Bd2EeC9Abp3tFVARg" name="pharmacyRequest_priorAuthorization" memberEnd="_6Q1WIBd2EeC9Abp3tFVARg _6Q5AgBd2EeC9Abp3tFVARg">
        <ownedEnd xmi:id="_6Q5AgBd2EeC9Abp3tFVARg" name="" visibility="public" type="_420A62FD03B64592AF50014B" association="_6Qy54Bd2EeC9Abp3tFVARg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6Q6OoBd2EeC9Abp3tFVARg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6Q6OoRd2EeC9Abp3tFVARg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Evd7YBd7EeC9Abp3tFVARg" name="drugUseEvaluation_coAgent" memberEnd="_EvfJgBd7EeC9Abp3tFVARg _Evg-sBd7EeC9Abp3tFVARg">
        <ownedEnd xmi:id="_Evg-sBd7EeC9Abp3tFVARg" name="" visibility="public" type="_ItpdgAMJEeC6TLUcQZx_GQ" association="_Evd7YBd7EeC9Abp3tFVARg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Evg-sRd7EeC9Abp3tFVARg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EvhlwBd7EeC9Abp3tFVARg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_qZnzkBd7EeC9Abp3tFVARg" name="CoAgent">
        <ownedComment xmi:id="_JJ_NQC19EeGWR8bvqgjcQA" annotatedElement="_qZnzkBd7EeC9Abp3tFVARg">
          <body>&quot;Identifies the co-existing agent contributing to the DUR event (drug or disease conflicting with the prescribed drug or prompting pharmacist professional service).&quot; - NCPDP Telecommunication (Field 476-H6, Data Dictionary 201104).&#xD;
&quot;Identifies the co-existing agent contributing to the DUR event (drug or disease) conflicting with the prescribed drug.&quot; - NCPDP Script (Field 7883, Data Dictionary 201104)</body>
        </ownedComment>
        <ownedAttribute xmi:id="_uzKVACf1EeC-JKXSDMHR6A" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_J7T8gC19EeGWR8bvqgjcQA" annotatedElement="_uzKVACf1EeC-JKXSDMHR6A">
            <body>&quot;Identifies the co-existing agent contributing to the DUR event (drug or disease conflicting with the prescribed drug or prompting pharmacist professional service).&quot; - NCPDP Telecommunication (Field 476-H6, Data Dictionary 201104).&#xD;
&quot;Identifies the co-existing agent contributing to the DUR event (drug or disease) conflicting with the prescribed drug.&quot; - NCPDP Script (Field 7883, Data Dictionary 201104)</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_M6hMMPXtEeW1BuvtDtBQzQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(CoAgentKind)</body>
          </defaultValue>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_3LbSIBd7EeC9Abp3tFVARg" name="pharmacyRequest_drugUseEvaluation" memberEnd="_3LduYBd7EeC9Abp3tFVARg _3LgxsBd7EeC9Abp3tFVARg">
        <ownedEnd xmi:id="_3LgxsBd7EeC9Abp3tFVARg" name="" visibility="public" type="_420A62FD03B64592AF50014B" association="_3LbSIBd7EeC9Abp3tFVARg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3LhYwBd7EeC9Abp3tFVARg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3LhYwRd7EeC9Abp3tFVARg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_lz-90Bd-EeC9Abp3tFVARg" name="drugUseEvaluation_author" memberEnd="_l0BaEBd-EeC9Abp3tFVARg _l0EdYBd-EeC9Abp3tFVARg">
        <ownedEnd xmi:id="_l0EdYBd-EeC9Abp3tFVARg" name="" visibility="public" type="_ItpdgAMJEeC6TLUcQZx_GQ" association="_lz-90Bd-EeC9Abp3tFVARg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_l0FEcBd-EeC9Abp3tFVARg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_l0FrgBd-EeC9Abp3tFVARg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_L_H44Cf2EeC-JKXSDMHR6A" name="DrugCoverageStatus">
        <ownedComment xmi:id="_El4lkE5pEeSkCZQ0odaC4w" annotatedElement="_L_H44Cf2EeC-JKXSDMHR6A">
          <body>This class identifies the coverage status of the prescribed drug.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_TVjT4Cf2EeC-JKXSDMHR6A" name="drugCoverageCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_4pMKEE5oEeSkCZQ0odaC4w" annotatedElement="_TVjT4Cf2EeC-JKXSDMHR6A">
            <body>&quot;Code identifying the coverage status of the prescribed drug.&quot; - NCPDP Script (Field 7885, Data Dictionary 201104).  Possible values include: Approved, Differential Co-Pay, Non Formulary, Not Reimbursed, Preferred, Prior Authorization Required, Signed Prescription, Step Therapy Required, Unknown.</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_wZIPUPXsEeW1BuvtDtBQzQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(FormularyCoverage)</body>
          </defaultValue>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_NggMECf2EeC-JKXSDMHR6A" name="pharmacyRequest_drugCoverageStatus" memberEnd="_NgioUCf2EeC-JKXSDMHR6A _Ngm5wCf2EeC-JKXSDMHR6A">
        <ownedEnd xmi:id="_Ngm5wCf2EeC-JKXSDMHR6A" name="" visibility="public" type="_420A62FD03B64592AF50014B" association="_NggMECf2EeC-JKXSDMHR6A">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ngng0Cf2EeC-JKXSDMHR6A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NgoH4Cf2EeC-JKXSDMHR6A" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_b9CpcEj4EeCSVeZMaVcw1Q" name="MedicationList">
        <eAnnotations xmi:id="_yPlr0E75EeSJI4YBId-MmA" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_yPlr0U75EeSJI4YBId-MmA" key="EntryPoint"/>
        </eAnnotations>
        <ownedComment xmi:id="_1q46IEp8EeSqlerh7YvyAA" annotatedElement="_b9CpcEj4EeCSVeZMaVcw1Q">
          <body>This class represents a list of medications that the patient is taking.  This list may contain information from prescription data (Pharmacy Requests), pharmacy data (Pharmacy Promises) and/or Patient-Reported Medications.  Because the list may be an aggregation of data from multiple sources, duplicate information may potentially exist.  This class contains a reconciliation date which, when valued, indicates when a medical professional last validated the list of medications.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_WNYXsIerEeOX_brmw15GsQ" name="dateOfReconciliation" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_cgJ9UIerEeOX_brmw15GsQ" annotatedElement="_WNYXsIerEeOX_brmw15GsQ">
            <body>&quot;The date of the last active medication list reconciliation&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_e_BMsEj4EeCSVeZMaVcw1Q" name="patientReportedMedication" visibility="public" type="_420A62FD03B641B4BE0F00E3" aggregation="shared" association="_e-9iUEj4EeCSVeZMaVcw1Q">
          <ownedComment xmi:id="_BzPMAEp9EeSqlerh7YvyAA" annotatedElement="_e_BMsEj4EeCSVeZMaVcw1Q">
            <body>Pointer to information about medications which the patient has received or is receiving, as reported by the patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_e_DB4Ej4EeCSVeZMaVcw1Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_e_Do8Ej4EeCSVeZMaVcw1Q" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gQ3PEEj4EeCSVeZMaVcw1Q" name="pharmacyRequest" visibility="public" type="_420A62FD03B64592AF50014B" aggregation="shared" association="_gQ1Z4Ej4EeCSVeZMaVcw1Q">
          <ownedComment xmi:id="_SYuXkEp9EeSqlerh7YvyAA" annotatedElement="_gQ3PEEj4EeCSVeZMaVcw1Q">
            <body>Pointer to information about medications which the patient has received or is receiving, as reported by an ordering physician.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gQ4dMEj4EeCSVeZMaVcw1Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gQ5EQEj4EeCSVeZMaVcw1Q" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hKC50Ej4EeCSVeZMaVcw1Q" name="pharmacyPromise" visibility="public" type="_420A62FD03B641B4BDD30213" aggregation="shared" association="_hKBrsEj4EeCSVeZMaVcw1Q">
          <ownedComment xmi:id="_KDl4oEp9EeSqlerh7YvyAA" annotatedElement="_hKC50Ej4EeCSVeZMaVcw1Q">
            <body>Pointer to information about medications which the patient has received or is receiving, as reported by a pharmacy.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hKDg4Ej4EeCSVeZMaVcw1Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hKDg4Uj4EeCSVeZMaVcw1Q" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_e-9iUEj4EeCSVeZMaVcw1Q" name="medicationList_patientReportedMedication" memberEnd="_e_BMsEj4EeCSVeZMaVcw1Q _e_GsQEj4EeCSVeZMaVcw1Q">
        <ownedEnd xmi:id="_e_GsQEj4EeCSVeZMaVcw1Q" name="" visibility="public" type="_b9CpcEj4EeCSVeZMaVcw1Q" association="_e-9iUEj4EeCSVeZMaVcw1Q">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_e_HTUEj4EeCSVeZMaVcw1Q" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_e_HTUUj4EeCSVeZMaVcw1Q" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_gQ1Z4Ej4EeCSVeZMaVcw1Q" name="medicationList_pharmacyRequest" memberEnd="_gQ3PEEj4EeCSVeZMaVcw1Q _gQ6SYEj4EeCSVeZMaVcw1Q">
        <ownedEnd xmi:id="_gQ6SYEj4EeCSVeZMaVcw1Q" name="" visibility="public" type="_b9CpcEj4EeCSVeZMaVcw1Q" association="_gQ1Z4Ej4EeCSVeZMaVcw1Q">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gQ65cEj4EeCSVeZMaVcw1Q" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gQ65cUj4EeCSVeZMaVcw1Q" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_hKBrsEj4EeCSVeZMaVcw1Q" name="medicationList_pharmacyPromise" memberEnd="_hKC50Ej4EeCSVeZMaVcw1Q _hKEH8Ej4EeCSVeZMaVcw1Q">
        <ownedEnd xmi:id="_hKEH8Ej4EeCSVeZMaVcw1Q" name="" visibility="public" type="_b9CpcEj4EeCSVeZMaVcw1Q" association="_hKBrsEj4EeCSVeZMaVcw1Q">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hKEvAEj4EeCSVeZMaVcw1Q" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hKEvAUj4EeCSVeZMaVcw1Q" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_0KbgMGnWEeCyXraDASYTcQ" name="DispenseRecipient">
        <ownedComment xmi:id="_084ckCagEeOyp-Ce3y08Wg" annotatedElement="_0KbgMGnWEeCyXraDASYTcQ">
          <body>Identifies the Person who picked up (i.e., took custody of) the dispensed medication, if that person is someone other than the patient.&#xD;
&quot;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.&quot; - HL7 FHIR, MedicationDispense.receiver</body>
        </ownedComment>
        <ownedAttribute xmi:id="_W-nQ0GnXEeCyXraDASYTcQ" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_CUKmwCahEeOyp-Ce3y08Wg" annotatedElement="_W-nQ0GnXEeCyXraDASYTcQ">
            <body>A unique identifier for the person who picked up the dispensed medication, typically a drivers license number.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_AUH4EJXYEeCD7vwmJe8BlA" name="relationshipToPatient" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_K0RmoCahEeOyp-Ce3y08Wg" annotatedElement="_AUH4EJXYEeCD7vwmJe8BlA">
            <body>Indicates how the Person who picked up the medication is related to the intended recipient (i.e., the patient).</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_9rMzgPVWEeWPJ7Hu05SWlg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(PersonalRelationshipRoleType)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_X_G8IJXXEeCD7vwmJe8BlA" name="asPerson" visibility="public" type="_420A62FD03B6425125E800E0" association="_X_D40JXXEeCD7vwmJe8BlA">
          <ownedComment xmi:id="_2xZtsEplEeSqlerh7YvyAA" annotatedElement="_X_G8IJXXEeCD7vwmJe8BlA">
            <body>Pointer to the Person who is playing the Role of DispenseRecipient</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_X_J_cJXXEeCD7vwmJe8BlA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_X_J_cZXXEeCD7vwmJe8BlA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_YUsBAGnZEeCyXraDASYTcQ" name="pharmacyDispense_dispenseRecipient" memberEnd="_YUyHoGnZEeCyXraDASYTcQ _YU4OQGnZEeCyXraDASYTcQ">
        <ownedEnd xmi:id="_YU4OQGnZEeCyXraDASYTcQ" name="" visibility="public" type="_420A62FD03B641928F4302E4" association="_YUsBAGnZEeCyXraDASYTcQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YU4OQWnZEeCyXraDASYTcQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YU4OQmnZEeCyXraDASYTcQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_js68cHpfEeCYy4DzyFpAzQ" memberEnd="_js9_wHpfEeCYy4DzyFpAzQ _jtBDEXpfEeCYy4DzyFpAzQ">
        <ownedEnd xmi:id="_jtBDEXpfEeCYy4DzyFpAzQ" name="" visibility="public" type="_420A62FD03B64476CF8400B2" association="_js68cHpfEeCYy4DzyFpAzQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jtBDEnpfEeCYy4DzyFpAzQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jtBDE3pfEeCYy4DzyFpAzQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_X_D40JXXEeCD7vwmJe8BlA" name="dispenseRecipient_asPerson" memberEnd="_X_G8IJXXEeCD7vwmJe8BlA _X_J_cpXXEeCD7vwmJe8BlA">
        <ownedEnd xmi:id="_X_J_cpXXEeCD7vwmJe8BlA" name="" visibility="public" type="_0KbgMGnWEeCyXraDASYTcQ" association="_X_D40JXXEeCD7vwmJe8BlA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_X_NCwJXXEeCD7vwmJe8BlA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_X_NCwZXXEeCD7vwmJe8BlA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_pyJDcJXYEeCD7vwmJe8BlA" name="MailOrderDispense">
        <ownedComment xmi:id="_Ln6jYEqDEeSqlerh7YvyAA" annotatedElement="_pyJDcJXYEeCD7vwmJe8BlA">
          <body>This class contains information about the provision of a medication to a patient or care provider under the authority of the owning Pharmacy Promise in an mail-order setting.  This class adds shipping information to the properties defined in the parent Outpatient Medication Dispense class.</body>
        </ownedComment>
        <generalization xmi:id="_rR4-8JXYEeCD7vwmJe8BlA" general="_420A62FD03B64476CF8400B2"/>
        <ownedAttribute xmi:id="_1EndQJXYEeCD7vwmJe8BlA" name="carrier" visibility="public">
          <ownedComment xmi:id="_AO3LAEqEEeSqlerh7YvyAA" annotatedElement="_1EndQJXYEeCD7vwmJe8BlA">
            <body>A carrier is “an individual or company, as a railroad or steamship line, engaged in transporting passengers or goods for profit” (dictionary.com).  This property identifies the shipping organization that took custody of the medication in order to deliver it to the patient.  This property is currently modeled as a string although it is conceivable that it could be modeled as a code or an id if one wanted to have a controlled list of carriers.  Since such a list is not readily available, and because there are many smaller carriers, we chose to leave this as a string.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_vM2YoJXYEeCD7vwmJe8BlA" name="dateTimeMailed" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_vM2YoZXYEeCD7vwmJe8BlA" annotatedElement="_vM2YoJXYEeCD7vwmJe8BlA">
            <body>The date and time that a shipping organization took custody of the medication in order to deliver it to the patient.  This date/time effectively becomes the dispense date/time as this is when the medication leaves the control of the pharmacy.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vM2Yo5XYEeCD7vwmJe8BlA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vM2YopXYEeCD7vwmJe8BlA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8uupQJXYEeCD7vwmJe8BlA" name="dateTimeReceived" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_8uupQZXYEeCD7vwmJe8BlA" annotatedElement="_8uupQJXYEeCD7vwmJe8BlA">
            <body>The date and time that the shipping organization delivered the medication to the patient, as reported by the shipping organization.  This property is optional, as not all deliveries require delivery confirmation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8uupQ5XYEeCD7vwmJe8BlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8uupQpXYEeCD7vwmJe8BlA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xW0V0JXYEeCD7vwmJe8BlA" name="trackingId" visibility="public">
          <ownedComment xmi:id="_cUHwEEqFEeSqlerh7YvyAA" annotatedElement="_xW0V0JXYEeCD7vwmJe8BlA">
            <body>An identifier issued by the shipping organization used to determine the shipment as it progresses through the various steps of the delivery process.  It is used primarily for the patient or mail order pharmacy to inquire on the status of the delivery.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5xgDIJXYEeCD7vwmJe8BlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5xgDIZXYEeCD7vwmJe8BlA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_qw_REJtZEeClAtaO_zSM7g" name="ScriptDue">
        <ownedComment xmi:id="_s2Il4NUcEeGzd-o9XtejuA" annotatedElement="_qw_REJtZEeClAtaO_zSM7g">
          <body>This class represents two properties that the DUE composite in the NCPDP SCRIPT standard has that the NCPDP Telecommunication standard does not.  In practice, this class' two properties, along with the one property that the Telecommunication standard uniquely contains would likely be moved to the DUE superclass, and we could have modeled it that way, but we've chosen to separate the subclasses in order to visually depict the differences between the two standards.</body>
        </ownedComment>
        <generalization xmi:id="_vLY_0JtZEeClAtaO_zSM7g" general="_ItpdgAMJEeC6TLUcQZx_GQ"/>
        <ownedAttribute xmi:id="_VM0CIBd8EeC9Abp3tFVARg" name="acknowledgementReason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_EqbB0NUaEeGzd-o9XtejuA" annotatedElement="_VM0CIBd8EeC9Abp3tFVARg">
            <body>&quot;Additional textual information regarding intervention and/or acknowledgment associated with a DUE conflict.&quot; - NCPDP Script (Field 7998, Data Dictionary 201104)</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MFfRQBd8EeC9Abp3tFVARg" name="clinicalSignifanceCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_3y-OQNUZEeGzd-o9XtejuA" annotatedElement="_MFfRQBd8EeC9Abp3tFVARg">
            <body>&quot;Code identifying the significance or severity level of a clinical event as contained in the originating database.Code identifying the significance or severity level of a clinical event as contained in the originating database.&quot; - NCPDP Script (Field 7997, Data Dictionary 201104)</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_mFz2kPVWEeWPJ7Hu05SWlg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ClinicalSignificance)</body>
          </defaultValue>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_t0ZXsJtZEeClAtaO_zSM7g" name="TelecomDue">
        <ownedComment xmi:id="_BBhhINUdEeGzd-o9XtejuA" annotatedElement="_t0ZXsJtZEeClAtaO_zSM7g">
          <body>This class represents the one property that the NCPDP Telecommunications DUE segment defines that the NCPDP SCRIPT standard does not.  In practice, this class' one property, along with the two properties that the SCRIPT standard uniquely contains would likely be moved to the DUE superclass, and we could have modeled it that way, but we've chosen to separate the subclasses in order to visually depict the differences between the two standards.</body>
        </ownedComment>
        <generalization xmi:id="_v64jEJtZEeClAtaO_zSM7g" general="_ItpdgAMJEeC6TLUcQZx_GQ"/>
        <ownedAttribute xmi:id="__VSbkJtZEeClAtaO_zSM7g" name="levelOfEffort" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_jLvhANUYEeGzd-o9XtejuA" annotatedElement="__VSbkJtZEeClAtaO_zSM7g">
            <body>&quot;Code indicating the level of effort as determined by the complexity of decision-making or resources utilized by a pharmacist to perform a professional service.&quot; - NCPDP Telecommunication (Field 474-8E, Data Dictionary 201104).</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_uEOeoPVWEeWPJ7Hu05SWlg" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(DurPpsLevelOfEffort)</body>
          </defaultValue>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_wwMFEKDYEeC1WJi4dBiHRA" name="Return">
        <ownedComment xmi:id="_ULHwAEqCEeSqlerh7YvyAA" annotatedElement="_wwMFEKDYEeC1WJi4dBiHRA">
          <body>This class contains information about the reversal of a provision of a medication to a patient or care provider under the authority of the owning Pharmacy Promise.  In inpatient settings, returns often occur when an as-needed (PRN) medication is dispensed to a medication cart and the patient does not need the medication, or a medication order is changed after the cart was prepared; in either casethe cart is returned to the pharmacy at the end of the shift and remaining medication is returned to stock.  In outpatient settings, returns rarely occur after control of the medication has left the pharmacy, however, if the patient never picks up the medication, it will be returned to stock after some set period of time.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_-a9n4Md4EeCVr54V6VtSNQ" name="dateReturned" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_oTSQME74EeSJI4YBId-MmA" annotatedElement="_-a9n4Md4EeCVr54V6VtSNQ">
            <body>The date (and optionally, time) that the pharmaceutical products were returned to stock.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CJmc0Md5EeCVr54V6VtSNQ" name="quantityReturned" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_zq7d4E74EeSJI4YBId-MmA" annotatedElement="_CJmc0Md5EeCVr54V6VtSNQ">
            <body>The amount of the pharmaceutical product that was returned to stock.  For example, 3 tablets.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_hL7Q8MdvEeCVr54V6VtSNQ" name="patientReportedMedication_orderablePharmacyItem" memberEnd="_hL7Q8cdvEeCVr54V6VtSNQ _hL7Q9MdvEeCVr54V6VtSNQ">
        <ownedEnd xmi:id="_hL7Q9MdvEeCVr54V6VtSNQ" name="" visibility="public" type="_420A62FD03B641B4BE0F00E3" association="_hL7Q8MdvEeCVr54V6VtSNQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hMFB8MdvEeCVr54V6VtSNQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hMFB8cdvEeCVr54V6VtSNQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_HwvEcMd5EeCVr54V6VtSNQ" name="pharmacyPromise_return" memberEnd="_HwvEccd5EeCVr54V6VtSNQ _HwvEdMd5EeCVr54V6VtSNQ">
        <ownedEnd xmi:id="_HwvEdMd5EeCVr54V6VtSNQ" name="" visibility="public" type="_420A62FD03B641B4BDD30213" association="_HwvEcMd5EeCVr54V6VtSNQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Hw41cMd5EeCVr54V6VtSNQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Hw41ccd5EeCVr54V6VtSNQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_CtWV8PaTEeCbn6MPgQ_rxg" name="PharmacyGeneratedOrderModification">
        <ownedComment xmi:id="_njyOsE5wEeSkCZQ0odaC4w" annotatedElement="_CtWV8PaTEeCbn6MPgQ_rxg">
          <body>The pharmacist has the authority to make certain changes to the clinician’s order without having to seek a replacement order from the prescriber.  This class contains information concerning any such changes.  For example, if the prescriber cited a brand name drug, but also indicated that a generic drug could be substituted for it, this class will point to a new copy of the order with the generic drug instead of the brand-name drug.  Another potential change might be where the prescriber indicated 20mg tablets, but the pharmacy only has 10 mg tablets.  In this case, the sig may need to be changed from “take 1 tablet…” to “take 2 tablets…” to reflect that the tablets are now half the strength as originally prescribed.  Again, this class is used to hold this new information.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_OftBUPahEeCbn6MPgQ_rxg" name="reason" visibility="public">
          <ownedComment xmi:id="_Sa7eQE5zEeSkCZQ0odaC4w" annotatedElement="_OftBUPahEeCbn6MPgQ_rxg">
            <body>This property provides an optional textual description why the pharmacist changed the original prescriber's order.  In most cases, the substitution code will be sufficient, but in some cases the pharmacist may wish to document a more detailed reason.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_G2jcIE5zEeSkCZQ0odaC4w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_G2jcIU5zEeSkCZQ0odaC4w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3EhwUPagEeCbn6MPgQ_rxg" name="revisedSig" visibility="public">
          <ownedComment xmi:id="_JbTRoAP6EeGeisexxvNAWA" annotatedElement="_3EhwUPagEeCbn6MPgQ_rxg">
            <body>If the pharmacist has changed the instructions to the patient (i.e., the &quot;sig&quot;) from the one originally ordered by the prescriber, this field contains the new instructions.  For example, if the prescriber indicated 20mg tablets, but the pharmacy only has 10 mg tablets, the sig may need to be changed from “take 1 tablet…” to “take 2 tablets…” to reflect that the tablets are now half the strength as originally prescribed.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BuHlMPahEeCbn6MPgQ_rxg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BuIMQPahEeCbn6MPgQ_rxg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592C435034B" name="revisedAdministrationInstructions" visibility="public">
          <ownedComment xmi:id="_NZVg--LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592C435034B">
            <body>If the pharmacist has changed the instructions to the person administering the medication (usually a nurse in an inpatient situation) from the one originally ordered by the prescriber, this field contains the new instructions.  For example, if the prescriber indicated 20mg tablets, but the pharmacy only has 10 mg tablets, the sig may need to be changed from “give 1 tablet…” to “give 2 tablets…” to reflect that the tablets are now half the strength as originally prescribed.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IicWME5zEeSkCZQ0odaC4w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IicWMU5zEeSkCZQ0odaC4w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64592D1F703C9" name="revisedPatientInstructions" visibility="public">
          <eAnnotations xmi:id="_NZ7W0eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NZyM7OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64592D1F703C9">
            <body>If the pharmacist has changed any &quot;additional instructions&quot; to the patient from the one originally ordered by the prescriber, this field contains the new instructions.  For example, if the prescriber indicated that the medication should be taken with milk, but the pharmacist made a therapeutic substitution to different medication the new instructions may now say &quot;take on an empty stomach&quot; to reflect the characteristics of the new medication.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evgGJOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evgGJeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VmltINNbEeGRnPi2MLPE0g" name="pharmacyPromise" visibility="public" type="_420A62FD03B641B4BDD30213" association="_Vmj38NNbEeGRnPi2MLPE0g">
          <ownedComment xmi:id="_-_nnAE5wEeSkCZQ0odaC4w" annotatedElement="_VmltINNbEeGRnPi2MLPE0g">
            <body>Pointer to a new Pharmacy Promise record created as a result of a change made to the original order by the pharmacist.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VmmUMNNbEeGRnPi2MLPE0g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VmmUMdNbEeGRnPi2MLPE0g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_BN1C8PaeEeCbn6MPgQ_rxg" name="pharmacyPromise_pharmacyInferredDiagnosis" memberEnd="_BN3fMPaeEeCbn6MPgQ_rxg _BN57cPaeEeCbn6MPgQ_rxg">
        <ownedEnd xmi:id="_BN57cPaeEeCbn6MPgQ_rxg" name="" visibility="public" type="_420A62FD03B641B4BDD30213" association="_BN1C8PaeEeCbn6MPgQ_rxg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ISJawC2HEeGWR8bvqgjcQA" name="pharmacyDispense_filler" memberEnd="_ISVA8C2HEeGWR8bvqgjcQA _ISh1QC2HEeGWR8bvqgjcQA">
        <ownedEnd xmi:id="_ISh1QC2HEeGWR8bvqgjcQA" name="" visibility="public" type="_420A62FD03B641928F4302E4" association="_ISJawC2HEeGWR8bvqgjcQA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_XxFN8C2HEeGWR8bvqgjcQA" name="pharmacyDispense_dispenser" memberEnd="_XxPmAC2HEeGWR8bvqgjcQA _XxZ-EC2HEeGWR8bvqgjcQA">
        <ownedEnd xmi:id="_XxZ-EC2HEeGWR8bvqgjcQA" name="" visibility="public" type="_420A62FD03B641928F4302E4" association="_XxFN8C2HEeGWR8bvqgjcQA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_dA3QEC2IEeGWR8bvqgjcQA" name="pharmacyDispense_dispensingDevice" memberEnd="_dBBoIC2IEeGWR8bvqgjcQA _dBLZIC2IEeGWR8bvqgjcQA">
        <ownedEnd xmi:id="_dBLZIC2IEeGWR8bvqgjcQA" name="" visibility="public" type="_420A62FD03B641928F4302E4" association="_dA3QEC2IEeGWR8bvqgjcQA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_TcDXUNEuEeG6d5ozG3gSdw" name="pharmacyRequest_indication" memberEnd="_TcfcMNEuEeG6d5ozG3gSdw _TcomINEuEeG6d5ozG3gSdw">
        <ownedEnd xmi:id="_TcomINEuEeG6d5ozG3gSdw" name="" visibility="public" type="_420A62FD03B64592AF50014B" association="_TcDXUNEuEeG6d5ozG3gSdw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Bcs5ANEyEeG6d5ozG3gSdw" name="pharmacyRequest_pharmacy" memberEnd="_BcvVQNEyEeG6d5ozG3gSdw _BcyYkNEyEeG6d5ozG3gSdw">
        <ownedEnd xmi:id="_BcyYkNEyEeG6d5ozG3gSdw" name="" visibility="public" type="_420A62FD03B64592AF50014B" association="_Bcs5ANEyEeG6d5ozG3gSdw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ze1tINKIEeGtfrdPU3R3yA" name="pharmacyDispense_dispensedDrug" memberEnd="_zfDvkNKIEeGtfrdPU3R3yA _zfPVwNKIEeGtfrdPU3R3yA">
        <ownedEnd xmi:id="_zfPVwNKIEeGtfrdPU3R3yA" name="" visibility="public" type="_420A62FD03B641928F4302E4" association="_ze1tINKIEeGtfrdPU3R3yA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Fed3MNNUEeGRnPi2MLPE0g" name="pharmacyDispense_pharmacy" memberEnd="_FefsYNNUEeGRnPi2MLPE0g _FehhkNNUEeGRnPi2MLPE0g">
        <ownedEnd xmi:id="_FehhkNNUEeGRnPi2MLPE0g" name="" visibility="public" type="_420A62FD03B641928F4302E4" association="_Fed3MNNUEeGRnPi2MLPE0g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_UxDMQNNbEeGRnPi2MLPE0g" name="pharmacyPromise_pharmacyGeneratedOrderModification" memberEnd="_UxG2oNNbEeGRnPi2MLPE0g _UxLIENNbEeGRnPi2MLPE0g">
        <ownedEnd xmi:id="_UxLIENNbEeGRnPi2MLPE0g" name="" visibility="public" type="_420A62FD03B641B4BDD30213" association="_UxDMQNNbEeGRnPi2MLPE0g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Vmj38NNbEeGRnPi2MLPE0g" name="pharmacyGeneratedOrderModification_pharmacyPromise" memberEnd="_VmltINNbEeGRnPi2MLPE0g _VmniUNNbEeGRnPi2MLPE0g">
        <ownedEnd xmi:id="_VmniUNNbEeGRnPi2MLPE0g" name="" visibility="public" type="_CtWV8PaTEeCbn6MPgQ_rxg" association="_Vmj38NNbEeGRnPi2MLPE0g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_U-mp0NOMEeGputPQx0HXoA" memberEnd="_U_A5gNOMEeGputPQx0HXoA _U_I1UNOMEeGputPQx0HXoA">
        <ownedEnd xmi:id="_U_I1UNOMEeGputPQx0HXoA" name="" visibility="public" type="_420A62FD03B641928F4302E4" association="_U-mp0NOMEeGputPQx0HXoA"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_760XcM2fEeSo7MqZXqyeFA" memberEnd="_764o4M2fEeSo7MqZXqyeFA _767FIM2fEeSo7MqZXqyeFA">
        <ownedEnd xmi:id="_767FIM2fEeSo7MqZXqyeFA" name="" visibility="public" type="_420A62FD03B64592AF50014B" association="_760XcM2fEeSo7MqZXqyeFA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_jitLMPVXEeWSF-Rwv3QnNw" client="_0KbgMGnWEeCyXraDASYTcQ">
        <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_XyDLQKRMEeGZ6ueex_Me0w"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_zKZ40PVXEeWSF-Rwv3QnNw" client="_ItpdgAMJEeC6TLUcQZx_GQ">
        <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_2uNAEPTxEeWvwZaMZtWyqQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_0z0tsPVXEeWSF-Rwv3QnNw" client="_ItpdgAMJEeC6TLUcQZx_GQ">
        <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_gmLuIPTzEeWvwZaMZtWyqQ"/>
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    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B6420A57D1024D" name="HealthConcern">
      <eAnnotations xmi:id="_NlQdFOLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_NlQdGeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_CziCALa2Ed-Y0_knsxZjWg" annotatedElement="_420A62FD03B6420A57D1024D">
        <body>Problem&amp;amp;amp;nbsp;List</body>
      </ownedComment>
      <ownedComment xmi:id="_8Vkx4LZ8EeGWl-7OlqBMDw">
        <body>Note: we still need to model such concepts as &quot;rule-out&quot;.</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_W61_oLO_EeS3iYN4R_wsuw" name="HealthRisk">
        <ownedComment xmi:id="_RWyo0MQ0EeSThJ7NwJgY1w" annotatedElement="_W61_oLO_EeS3iYN4R_wsuw">
          <body>&quot;Risks may represent clinically significant potential concerns to the patient’s health.  They are captured in order to monitor and mitigate the manifestation of a future concern. Risks may be raised based on clinical evidences or they may capture a provider’s judgment.&quot; - HL7 Care Plan Domain Analysis Model.</body>
        </ownedComment>
        <generalization xmi:id="_UWZdYHm2EeW-j_oLISFbOQ" general="_420A62FD03B6421F8AD00244"/>
        <ownedAttribute xmi:id="_R3GgkMQ0EeSThJ7NwJgY1w" name="description" visibility="public">
          <ownedComment xmi:id="_YPOgQMQ0EeSThJ7NwJgY1w" annotatedElement="_R3GgkMQ0EeSThJ7NwJgY1w">
            <body>&quot;Names or describes the risk&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jXHasMQ0EeSThJ7NwJgY1w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jXIBwMQ0EeSThJ7NwJgY1w" value="1"/>
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        <ownedAttribute xmi:id="_qmi10MQ0EeSThJ7NwJgY1w" name="effectiveTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_qmi10cQ0EeSThJ7NwJgY1w" annotatedElement="_qmi10MQ0EeSThJ7NwJgY1w">
            <body>&quot;Date/time at which the risk is identified.&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_26GSIMQ0EeSThJ7NwJgY1w" name="levelOfRisk" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_26GSIcQ0EeSThJ7NwJgY1w" annotatedElement="_26GSIMQ0EeSThJ7NwJgY1w">
            <body>&quot;A risk is clinically significant but the level may be low, medium or high depending on care team judgment.&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YchJ8OU9EeWlUtxA-8RVeQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YchJ8eU9EeWlUtxA-8RVeQ" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_XemJIOU9EeWlUtxA-8RVeQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(risk-probability)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="__VUK8MQ0EeSThJ7NwJgY1w" name="resolvedTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="__VUK8cQ0EeSThJ7NwJgY1w" annotatedElement="__VUK8MQ0EeSThJ7NwJgY1w">
            <body>&quot;The date the risk is no longer a threat to the health of the patient. &quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_0VIZcMLFEeGVnuEDZNmvgw" name="ConcernStatusChangeEvent">
        <ownedComment xmi:id="_0VIZccLFEeGVnuEDZNmvgw" annotatedElement="_0VIZcMLFEeGVnuEDZNmvgw">
          <body>This class contains a history of updates to the Health Concern record, and relates the Health Concern record to various encounters over time.</body>
        </ownedComment>
        <generalization xmi:id="_qdxAEOCKEeS8tqKBj1EYvQ" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_Ge1XgMLLEeGVnuEDZNmvgw" name="comment" visibility="public">
          <ownedComment xmi:id="_Ng3osJpxEeOswd2lHBTpDQ" annotatedElement="_Ge1XgMLLEeGVnuEDZNmvgw">
            <body>Remarks concerning the status change.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KjSrcMLLEeGVnuEDZNmvgw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KjTSgMLLEeGVnuEDZNmvgw" value="1"/>
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        <ownedAttribute xmi:id="_0VIZcsLFEeGVnuEDZNmvgw" name="entryDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_0VIZc8LFEeGVnuEDZNmvgw" annotatedElement="_0VIZcsLFEeGVnuEDZNmvgw">
            <body>The date and time that the Observation/Condition Log Entry record was created.&#xD;
&#xD;
&quot;The date and time that this allergy was last statused by the [Intolerance Condition Log Entry Author] in the [Intolerance Condition Log Entry Service Delivery Location]&quot; - HL7 Version 2.8, IAM-20.&#xD;
&quot;The date and time that this allergy was inactivated by the [Intolerance Condition Log Entry Author].&quot; - HL7 Version 2.8, IAM-22.&#xD;
&quot;The date and time that this allergy entry was created by the [Intolerance Condition Log Entry Author].&quot; - HL7 Version 2.8, IAM-24.&#xD;
&quot;The date and time that this allergy was modified by the [Intolerance Condition Log Entry Author]&quot; - HL7 Version 2.8, IAM-26.</body>
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        </ownedAttribute>
        <ownedAttribute xmi:id="_WuRO4ByaEeOR-a0_xUg6BQ" name="fromStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_WuRO4RyaEeOR-a0_xUg6BQ" annotatedElement="_WuRO4ByaEeOR-a0_xUg6BQ">
            <body>Contains the previous status of the Observation/Condition before the change documented by the current instance.  This provides a history of status changes over time.</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_AuHB0Od_EeSlqtEJq7r6DQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <body>(ProblemStatus)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_OLEqcMLLEeGVnuEDZNmvgw" name="reason" visibility="public">
          <ownedComment xmi:id="_OLEqccLLEeGVnuEDZNmvgw" annotatedElement="_OLEqcMLLEeGVnuEDZNmvgw">
            <body>Indicates the reason why the status of the associated Observation/Condition record was changed.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QJamcMLLEeGVnuEDZNmvgw" value="1"/>
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          <ownedComment xmi:id="_0VIZdcLFEeGVnuEDZNmvgw" annotatedElement="_0VIZdMLFEeGVnuEDZNmvgw">
            <body>Contains the status of the Observation/Condition as of the entry date.  This provides a history of status changes over time.&#xD;
&quot;Contains the current status of the problem at this particular date/time (e.g., active, active-improving, active-stable, active-worsening, inactive, resolved, etc.).&quot; - HL7 Version 2.8, PRB-14.  Note that HL7does not provide any suggested values for this code.</body>
          </ownedComment>
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            <language></language>
            <body>(ProblemStatus)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0VIZgsLFEeGVnuEDZNmvgw" name="visit" visibility="public" type="_420A62FD03B64213F5B40316" association="_0V4AUsLFEeGVnuEDZNmvgw">
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            <body>&quot;Uniquely identifies the episode of care to which this problem applies.&quot; - HL7 Version 2.8, PRB-5</body>
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0VIZhMLFEeGVnuEDZNmvgw" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6421F8AD00244" name="HealthConcern">
        <eAnnotations xmi:id="_NkEKROLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NjwoReLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6421F8AD00244">
          <body>&quot;This class is used to track a patient's health concern observed by various providers at various points in time and locations. The name and nature of the concern is derived from the first health concern observation made, which could be an indication of a negative assertion for an health concern, if necessary (e.g. not a diabetic).&quot; - HL7 v3.  A &quot;health concern&quot; can be anything that a clinician wishes to track about the patient, including items which the patient might not consider to be a &quot;problem&quot;, such as the fact that the patient smokes.</body>
        </ownedComment>
        <generalization xmi:id="_hnvQAOCJEeS8tqKBj1EYvQ" general="_Wu4MgKMyEeSjK-UNpoDZuQ"/>
        <ownedAttribute xmi:id="_hrMwQPyzEd-ACpYDrl8Uqw" name="ageAtOnset" visibility="public" type="_420A62FD03B64239FAA800D9">
          <ownedComment xmi:id="_mGY7UAMYEeC6TLUcQZx_GQ" annotatedElement="_hrMwQPyzEd-ACpYDrl8Uqw">
            <body>The age of the patient or subject at onset of the Condition.  Note that this property could potentially be derived.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JmYFsN79EeSx5bpydj26Wg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JmYswN79EeSx5bpydj26Wg" value="1"/>
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        <ownedAttribute xmi:id="_-RwsQOZUEeGuIoEQ4Mvu0w" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_-RwsQeZUEeGuIoEQ4Mvu0w" annotatedElement="_-RwsQOZUEeGuIoEQ4Mvu0w">
            <body>This property provides a categorization of the Condition.  Because there are (currently) different generalizations (i.e., subtypes) of Concern, it is likely that the potential categorizations may differ from one subtype to another.  It is therefore likely that the subtypes may redefine this property to bind to specific value sets.  For now, this property is bound to the Problem Type value set.  For Health Concern, the possible values include: Symptom, Behavior (e.g., smoking), a diagnosed disease, a suspected disease, a disease to be ruled out, etc.&#xD;
&#xD;
&quot;A category assigned to the condition. E.g. complaint | symptom | finding | diagnosis.&quot; - HL7 FHIR, Condition resource.&#xD;
&quot;Indicates the kind of problem.  This field can be used to categorize problems so that they may be managed and viewed independently within different applications (e.g., admission, final, post-operative, pre-operative, outpatient, discharge, etc.).&quot; - HL7 Version 2.8, PRB-10.  Note that HL7does not provide any suggested values for this code.</body>
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          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_Fnp6MN-pEeSQwMSQTXiDlA" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ProblemType)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ASPk4JppEeOswd2lHBTpDQ" name="certainty" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ASPk4ZppEeOswd2lHBTpDQ" annotatedElement="_ASPk4JppEeOswd2lHBTpDQ">
            <body>&quot;The degree of confidence that this condition is correct.&quot; - HL7 FHIR, Condition resource.&#xD;
&quot;Contains a qualitative representation of the certainty of a problem&quot; (e.g., high, low, medium, etc.) - HL7 Version 2.8, PRB-19</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Bw2Q4JppEeOswd2lHBTpDQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Bw238JppEeOswd2lHBTpDQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6421FAEE100EC" name="chronicity" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NjwoSOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6421FAEE100EC">
            <body>&quot;Contains the perseverance of a problem (e.g., acute, chronic, etc.).&quot; - HL7 Version 2.8, PRB-12.  Note that HL7does not provide any suggested values for this code.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OGIzEBgfEeSGA92rpTJu_w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OGJaIBgfEeSGA92rpTJu_w" value="1"/>
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        <ownedAttribute xmi:id="_OgOOYBgcEeSfB8OsSP5QtQ" name="concernContext" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_qfShUBgcEeSfB8OsSP5QtQ" annotatedElement="_OgOOYBgcEeSfB8OsSP5QtQ">
            <body>Describes whether the condition exists or doesn't exist.  Other values are potentially possible including rule in / rule out.  Align with SNOMED situation with explicit context.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vsv9UBgfEeSGA92rpTJu_w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vswkYBgfEeSGA92rpTJu_w" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_6zr2wN-nEeSQwMSQTXiDlA" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ConcernContex)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_IZhS8N-rEeSQwMSQTXiDlA" name="conditionCourse" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IZhS89-rEeSQwMSQTXiDlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IZhS8t-rEeSQwMSQTXiDlA" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_PAZgUN-rEeSQwMSQTXiDlA" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ConditionCourse)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_L3L90JpgEeOswd2lHBTpDQ" name="conditionStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_L3L90ZpgEeOswd2lHBTpDQ" annotatedElement="_L3L90JpgEeOswd2lHBTpDQ">
            <body>&quot;The clinical status of the condition.&quot; - HL7 FHIR, Condition resource.  Possible values include: Provisional; Working; Confirmed; Refuted.&#xD;
&quot;Indicates the verification status for the allergy&quot; - HL7 Version 2.8, IAM-17.  HL7 Version 2 has the following suggested values (table 438): Unconfirmed; Pending; Suspect; Confirmed or verified; Confirmed but inactive; Erroneous; Doubt raised.&#xD;
&quot;Contains the verification status of a problem (e.g., confirmed, differential, provisional, rule-out, etc.).&quot; - HL7 Version 2.8, PRB-13.  Note that HL7does not provide any suggested values for this code.&#xD;
</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_oMZB8N-bEeSLwbHBnRFGvw" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ProblemStatus)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fJKhEHyhEeOHq5zPTCjDoQ" name="dateAbated" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_fJKhEXyhEeOHq5zPTCjDoQ" annotatedElement="_fJKhEHyhEeOHq5zPTCjDoQ">
            <body>Date upon which this particular Condition is no longer an active concern.&#xD;
&#xD;
&quot;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.&quot; - HL7 FHIR, Condition resource.&#xD;
&quot;Contains the date/time that the problem was actually resolved.&quot; - HL7 Version 2.8, PRB-9</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fJKhE3yhEeOHq5zPTCjDoQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fJKhEnyhEeOHq5zPTCjDoQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lygBwBF6EeKu1LfuaJwFHw" name="dateDiagnosed" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_iuP7sBF8EeKu1LfuaJwFHw" annotatedElement="_lygBwBF6EeKu1LfuaJwFHw">
            <body>Date and time the health problem was diagnosed.  Added for Public Health Reporting Initiative, 10/5/2012.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_V368wAWSEdy1j7oicBJA7Q" name="dateLastModified" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_xfYM0AMYEeC6TLUcQZx_GQ" annotatedElement="_V368wAWSEdy1j7oicBJA7Q">
            <body>The date and time that the Problem being described was last modified.  It is assumed that the status of the problem is valid as of the last modified date.  Note that this property could potentially be derived from the HealthConcernLifeCycle entries.&#xD;
&quot;Indicates the effective date/time of the current problem life cycle status.&quot; - HL7 Version 2.8, PRB-15</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hybbsEUXEeCUY8hq_icSiw" name="dateOfOnset" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_hybbsUUXEeCUY8hq_icSiw" annotatedElement="_hybbsEUXEeCUY8hq_icSiw">
            <body>Date when this particular Condition first manifested itself or was confirmed via testing if it had not yet manifested itself.  Note that this date may be inprecise (e.g., &quot;sometime in 2006&quot;).&#xD;
&#xD;
&quot;Contains the actual date of the first reaction.&quot; - HL7 Version 2.8, IAM-11&#xD;
&quot;Contains the date/time when the problem began.&quot; - HL7 Version 2.8, PRB-16.&#xD;
&quot;Estimated or actual date the condition began, in the opinion of the clinician.&quot; - HL7 FHIR, Condition resource.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hybbs0UXEeCUY8hq_icSiw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hybbskUXEeCUY8hq_icSiw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__0thkMIJEeGx0M-CyAbegA" name="dateOfOnsetText" visibility="public">
          <ownedComment xmi:id="__0thkcIJEeGx0M-CyAbegA" annotatedElement="__0thkMIJEeGx0M-CyAbegA">
            <body>Textual description of the time period when this particular Condition first manifested itself or was confirmed via testing if it had not yet manifested itself.&#xD;
&#xD;
&quot;Contains a text description of the time period of the first reaction when an exact date is not known (e.g., adolescence, childhood, spring 1990).&quot; - HL7 Version 2.8, IAM-12&#xD;
&quot;This field allows for a textual representation of the time when the problem began.&quot; - HL7 Version 2.8, PRB-17</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__0thk8IJEeGx0M-CyAbegA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__0thksIJEeGx0M-CyAbegA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_IsFqULZ3EeGWl-7OlqBMDw" name="familyPrognosisAwareness" visibility="public">
          <ownedComment xmi:id="_IsFqUbZ3EeGWl-7OlqBMDw" annotatedElement="_IsFqULZ3EeGWl-7OlqBMDw">
            <body>&quot;Indicates the individual's family or significant other's comprehension of the actual problem/prognosis.&quot; - HL7 Version 2.8, PRB-24&#xD;
Note that while the datatype for this concept should likely be a code, it is currently a string as we have insufficient requirements to warrant a closed value-set.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Lpea0MRUEeGhI5Xb1K4S5w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LpfB4MRUEeGhI5Xb1K4S5w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Zr0aUHiaEd-xd69YcOIcPA" name="healthConcern" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_hvLOAAMZEeC6TLUcQZx_GQ" annotatedElement="_Zr0aUHiaEd-xd69YcOIcPA">
            <body>Identifies the Health Concern or Problem being described.  This property is a code, which should come from an approved subset of SNOMED-CT, e.g., the &quot;VA-KP Problem List Subset.&quot;&#xD;
Note that there is a separate class for Family History Concerns, which is a generalization of the Health Concern class.  Therefore, this property should never contain a concept that has &quot;Family History Of&quot; built into it (i.e., a pre-coordinated concept), such as &quot;Family History of Diabetes&quot;.  When such infomation needs to be conveyed, this property should contain &quot;Diabetes,&quot; and the FamiliyHistoryConcern subclass will indicate that the Diabetes was observed in a family member and will identify the relationship of that family member (e.g., Father, Mother) to the patient.  Thus, in effect, we are creating a structure that explicity post-coordinates the concept of Family History Of with the concept of the disease that the family member had.&#xD;
&#xD;
&quot;Identifies the problem. This is the identifier from an institution's master list of problems.&quot; - HL7 Version 2.8, PRB-3&#xD;
&quot;Category for the risk.&quot; - HL7 Care Plan Domain Analysis Model.</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_QejnwN-oEeSQwMSQTXiDlA" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(Problem)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZRVawLZ2EeGWl-7OlqBMDw" name="patientsProblemAwareness" visibility="public">
          <ownedComment xmi:id="_eV_ncLZ2EeGWl-7OlqBMDw" annotatedElement="_ZRVawLZ2EeGWl-7OlqBMDw">
            <body>&quot;Contains the individual's comprehension of the problem (e.g., full, marginal, partial, etc.).&quot; - HL7 Version 2.8, PRB-21.  Note that HL7 does not provide any suggested values for this code.&#xD;
Note that while the datatype for this concept should likely be a code, it is currently a string as we have insufficient requirements to warrant a closed value-set.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JiaAoMRUEeGhI5Xb1K4S5w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Jie5IMRUEeGhI5Xb1K4S5w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4kJWYLZ2EeGWl-7OlqBMDw" name="patientsPrognosisAwareness" visibility="public">
          <ownedComment xmi:id="_4kJWYbZ2EeGWl-7OlqBMDw" annotatedElement="_4kJWYLZ2EeGWl-7OlqBMDw">
            <body>&quot;Contains the individual's comprehension of the prognosis for the problem (e.g., full, marginal, partial, etc.).&quot; - HL7 Version 2.8, PRB-23.  Note that HL7 does not provide any suggested values for this code.&#xD;
Note that while the datatype for this concept should likely be a code, it is currently a string as we have insufficient requirements to warrant a closed value-set.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_J9-iUMRUEeGhI5Xb1K4S5w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_J9_wcMRUEeGhI5Xb1K4S5w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_B93UQLZ2EeGWl-7OlqBMDw" name="probability" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_Ln37cLZ2EeGWl-7OlqBMDw" annotatedElement="_B93UQLZ2EeGWl-7OlqBMDw">
            <body>&quot;Contains a quantitative or numeric representation of the certainty that the problem exists for this patient.  This field has a valid range of 0 to 1.  For example, a healthcare provider may be 75% (.75) sure that the problem has been correctly identified.&quot; - HL7 Version 2.8, PRB-20</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sUEKQBgfEeSGA92rpTJu_w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sUEKQRgfEeSGA92rpTJu_w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kUe_ILZ2EeGWl-7OlqBMDw" name="prognosis" visibility="public">
          <ownedComment xmi:id="_xR7F8LZ2EeGWl-7OlqBMDw" annotatedElement="_kUe_ILZ2EeGWl-7OlqBMDw">
            <body>&quot;Contains the prognosis for the individual's problem (e.g., good, poor, etc.).&quot; - HL7 Version 2.8, PRB-22.  Note that HL7does not provide any suggested values for this code.&#xD;
Note that while the datatype for this concept should likely be a code, it is currently a string as we have insufficient requirements to warrant a closed value-set.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NAOT4BgfEeSGA92rpTJu_w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NAQJEBgfEeSGA92rpTJu_w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_T-pjsLZ3EeGWl-7OlqBMDw" name="sensitivity" visibility="public">
          <ownedComment xmi:id="_T-pjsbZ3EeGWl-7OlqBMDw" annotatedElement="_T-pjsLZ3EeGWl-7OlqBMDw">
            <body>&quot;Contains information about the level of security and/or sensitivity surrounding the problem (e.g., highly sensitive, not sensitive, sensitive, etc.).&quot; - HL7 Version 2.8, PRB-25.  Note that HL7does not provide any suggested values for this code.&#xD;
Note that while the datatype for this concept should likely be a code, it is currently a string as we have insufficient requirements to warrant a closed value-set.&#xD;
Note that this property may be removed or altered based on the outcome of the Security and Privacy modeling.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Z58YUBgfEeSGA92rpTJu_w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Z58_YBgfEeSGA92rpTJu_w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TJmP8JpqEeOswd2lHBTpDQ" name="severity" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_TJmP8ZpqEeOswd2lHBTpDQ" annotatedElement="_TJmP8JpqEeOswd2lHBTpDQ">
            <body>&quot;A subjective assessment of the severity of the condition as evaluated by the clinician.&quot; - HL7 FHIR, Condition resource.  Possible values include: Mild; Moderate; Severe; Fatal.&#xD;
&quot;Indicates the general severity of the allergy.&quot; - HL7 Version 2.8, AL1.4 and IAM-4.  HL7 Version 2 has the following suggested values (table 128): Severe; Moderate; Mild; Unknown.&#xD;
&quot;Indicates the severity of the Problem.&quot; - HL7 Version 2.8, PRB-26.  Note that HL7 does not suggest values for this code.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TJmP85pqEeOswd2lHBTpDQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TJmP8ppqEeOswd2lHBTpDQ" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_WRBJoOd_EeSlqtEJq7r6DQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(ProblemSeverity)</body>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Hc0b8PHtEeGWjrqT5CRABg" name="wasCauseOfDeath" visibility="public" type="_yQqY4LyGEeGK2djLWlLFew">
          <ownedComment xmi:id="_X5d0kPHtEeGWjrqT5CRABg" annotatedElement="_Hc0b8PHtEeGWjrqT5CRABg">
            <body>If the patient is deceased, this property indicates whether the Health Concern (aka Problem) was (one of) the cause(s) of death.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_L9FiIPHtEeGWjrqT5CRABg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_L9GJMPHtEeGWjrqT5CRABg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Qc0UIXiaEd-xd69YcOIcPA" name="diagnosisList" visibility="public" type="_e4dl4AgVEd6eWYJXJewDdQ" association="_Qc0UIHiaEd-xd69YcOIcPA">
          <ownedComment xmi:id="_giVw8LZ7EeGWl-7OlqBMDw" annotatedElement="_Qc0UIXiaEd-xd69YcOIcPA">
            <body>Provides a list of diagnoses that are related to the Health Concern</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Qc0UIniaEd-xd69YcOIcPA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Qc0UI3iaEd-xd69YcOIcPA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KooLkF6tEeOE8tMbJPicWQ" name="externalCause" visibility="public" type="_PrVaEAgpEeKpi5AGmkKVpg" association="_KojTEF6tEeOE8tMbJPicWQ">
          <ownedComment xmi:id="_xTx-EJ10EeO_7b9hT5majA" annotatedElement="_KooLkF6tEeOE8tMbJPicWQ">
            <body>Pointer to the Accident, Injury, or Exposure that caused the Health Concern.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Koqn0F6tEeOE8tMbJPicWQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KorO4F6tEeOE8tMbJPicWQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_juQn8A3gEeSr7IwJ9lGnGA" name="observation" visibility="public" type="_nbH1LVaeEd6rJ7jpZ7LBFg" association="_juQA4A3gEeSr7IwJ9lGnGA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_juR2EA3gEeSr7IwJ9lGnGA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_juR2EQ3gEeSr7IwJ9lGnGA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xIXFEQ0KEeCQj9C1UPZeDw" name="problemManagementDiscipline" visibility="public" type="_sEx2cA0KEeCQj9C1UPZeDw" association="_xIXFEA0KEeCQj9C1UPZeDw">
          <ownedComment xmi:id="_TceLELZ0EeGWl-7OlqBMDw" annotatedElement="_xIXFEQ0KEeCQj9C1UPZeDw">
            <body>Pointer to the category of caregiver with responsibility for managing this specific problem.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xIXFEg0KEeCQj9C1UPZeDw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xIXFEw0KEeCQj9C1UPZeDw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3RKLIQ0REeCQj9C1UPZeDw" name="responsibleClinic" visibility="public" type="_420A62FD03B64242CAB30303" association="_3RKLIA0REeCQj9C1UPZeDw">
          <ownedComment xmi:id="_yVV4gLZ7EeGWl-7OlqBMDw" annotatedElement="_3RKLIQ0REeCQj9C1UPZeDw">
            <body>Identifies the organization/location responsible for treating the Health Concern.  Used primarily in inpatient situations.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3RKLIg0REeCQj9C1UPZeDw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3RKLIw0REeCQj9C1UPZeDw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YV4J0XiUEd-xd69YcOIcPA" name="responsibleProvider" visibility="public" type="_OnMeAHiUEd-xd69YcOIcPA" association="_YV4J0HiUEd-xd69YcOIcPA">
          <ownedComment xmi:id="_hwPugLZ7EeGWl-7OlqBMDw" annotatedElement="_YV4J0XiUEd-xd69YcOIcPA">
            <body>Identifies the provider responsible for treating the Health Concern.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YV4J0niUEd-xd69YcOIcPA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YV4J03iUEd-xd69YcOIcPA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_yYESQOCMEeS8tqKBj1EYvQ" name="concernStatusChangeEvent" visibility="public" type="_0VIZcMLFEeGVnuEDZNmvgw" association="_yYDEIOCMEeS8tqKBj1EYvQ">
          <ownedComment xmi:id="_7NW38OCMEeS8tqKBj1EYvQ" annotatedElement="_yYESQOCMEeS8tqKBj1EYvQ">
            <body>Pointer to a history of updates to the Health Concern record, and relates the Health Concern record to various encounters over time.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_yYE5UOCMEeS8tqKBj1EYvQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_yYFgYOCMEeS8tqKBj1EYvQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_mQHKACQlEeaYQuoSxsg5VA" name="humanPatient" type="_l0XegO_4Ed6OG-vjYTopTQ" association="_mQlrICQlEeaYQuoSxsg5VA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mQbTECQlEeaYQuoSxsg5VA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mQfkgCQlEeaYQuoSxsg5VA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6426EB2830219" name="healthConcernList_patient" memberEnd="_420A62FD03B6426EB284004E _420A62FD03B6426EB2840058">
        <eAnnotations xmi:id="_PsJLIHwvEdy0iblkc0Q98A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NkqALuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6426EB2830219">
          <body>The patient whose problems are being  observed and documented.</body>
        </ownedComment>
        <ownedEnd xmi:id="_420A62FD03B6426EB2840058" name="" visibility="public" type="_55AJkPc4Ed-hU-zq4VwY5Q" isUnique="false" association="_420A62FD03B6426EB2830219"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_YV4J0HiUEd-xd69YcOIcPA" name="healthConcern_responsibleProvider" memberEnd="_YV4J0XiUEd-xd69YcOIcPA _YWB60HiUEd-xd69YcOIcPA">
        <ownedEnd xmi:id="_YWB60HiUEd-xd69YcOIcPA" name="" visibility="public" type="_420A62FD03B6421F8AD00244" association="_YV4J0HiUEd-xd69YcOIcPA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Qc0UIHiaEd-xd69YcOIcPA" name="healthConcern_diagnosisList" memberEnd="_Qc0UIXiaEd-xd69YcOIcPA _Qc0UJHiaEd-xd69YcOIcPA">
        <ownedEnd xmi:id="_Qc0UJHiaEd-xd69YcOIcPA" name="" visibility="public" type="_420A62FD03B6421F8AD00244" association="_Qc0UIHiaEd-xd69YcOIcPA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_55AJkPc4Ed-hU-zq4VwY5Q" name="HealthConcernList">
        <eAnnotations xmi:id="_FwLRIJ1yEeO_7b9hT5majA" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_FwLRIZ1yEeO_7b9hT5majA" key="EntryPoint"/>
        </eAnnotations>
        <ownedComment xmi:id="_jLuYkLZ8EeGWl-7OlqBMDw" annotatedElement="_55AJkPc4Ed-hU-zq4VwY5Q">
          <body>This class provides a list of a patient's &quot;health concerns&quot;, otherwise known as &quot;problems&quot;.  Such a list is traditionally called a &quot;problem list&quot;.  This list is made up of entries, some of which may have been collected from other provider organizations.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_Ru8KkAe5EeCPOdVNW49Akw" name="healthConcernEntry" visibility="public" type="_GvZT0Ae5EeCPOdVNW49Akw" aggregation="composite" association="_Ru5HQAe5EeCPOdVNW49Akw">
          <ownedComment xmi:id="_zLjSULZ8EeGWl-7OlqBMDw" annotatedElement="_Ru8KkAe5EeCPOdVNW49Akw">
            <body>An entry in a patient's &quot;problem list&quot;.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ru8KkQe5EeCPOdVNW49Akw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ru8Kkge5EeCPOdVNW49Akw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6426EB284004E" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" isUnique="false" association="_420A62FD03B6426EB2830219">
          <ownedComment xmi:id="_NkzxIuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6426EB284004E">
            <body>The patient whose problems are being  observed and documented.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NkzxJOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NkzxJeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_GvZT0Ae5EeCPOdVNW49Akw" name="HealthConcernListEntry">
        <ownedComment xmi:id="_x2KzwLZ8EeGWl-7OlqBMDw" annotatedElement="_GvZT0Ae5EeCPOdVNW49Akw">
          <body>An entry in a patient's &quot;problem list&quot;.  This class allows for entries to be prioritized, and potentially de-duplicated if multiple entries are received from different sources.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_ShuSYQe5EeCPOdVNW49Akw" name="healthConcern" visibility="public" type="_420A62FD03B6421F8AD00244" association="_ShuSYAe5EeCPOdVNW49Akw">
          <ownedComment xmi:id="_G_w5ILZ8EeGWl-7OlqBMDw" annotatedElement="_ShuSYQe5EeCPOdVNW49Akw">
            <body>A record of a &quot;health concern&quot;, or &quot;problem&quot; which can be anything that a clinician wishes to track about the patient, including items which the patient might not consider to be a &quot;problem&quot;, such as the fact that the patient smokes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ShxVsAe5EeCPOdVNW49Akw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ShxVsQe5EeCPOdVNW49Akw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kUJV0HiYEd-xd69YcOIcPA" name="priority" visibility="public">
          <ownedComment xmi:id="_kUJV0XiYEd-xd69YcOIcPA" annotatedElement="_kUJV0HiYEd-xd69YcOIcPA">
            <body>Provides an indication of the importance of this Health Concern (or &quot;Problem&quot;) entry vis a vis other entries.&#xD;
&#xD;
&quot;Prioritizes this problem on a list that is maintained for the individual.&quot; - HL7 Version 2.8, PRB-6</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QCM1IA0NEeCQj9C1UPZeDw" name="ranking" visibility="public">
          <ownedComment xmi:id="_QCM1IQ0NEeCQj9C1UPZeDw" annotatedElement="_QCM1IA0NEeCQj9C1UPZeDw">
            <body>&quot;Contains a user-defined prioritization of a problem (e.g., numeric ranking, or the use of words such as &quot;primary,&quot; &quot;secondary,&quot; etc.).&quot; - HL7 Version 2.8, PRB-18</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Ru5HQAe5EeCPOdVNW49Akw" name="healthConcernList_healthConcernEntry" memberEnd="_Ru8KkAe5EeCPOdVNW49Akw _Ru_N4Ae5EeCPOdVNW49Akw">
        <ownedEnd xmi:id="_Ru_N4Ae5EeCPOdVNW49Akw" name="" visibility="public" type="_55AJkPc4Ed-hU-zq4VwY5Q" association="_Ru5HQAe5EeCPOdVNW49Akw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ru_N4Qe5EeCPOdVNW49Akw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ru_N4ge5EeCPOdVNW49Akw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ShuSYAe5EeCPOdVNW49Akw" name="healthConcernEntry_healthConcern" memberEnd="_ShuSYQe5EeCPOdVNW49Akw _ShxVsge5EeCPOdVNW49Akw">
        <ownedEnd xmi:id="_ShxVsge5EeCPOdVNW49Akw" name="" visibility="public" type="_GvZT0Ae5EeCPOdVNW49Akw" association="_ShuSYAe5EeCPOdVNW49Akw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ShxVswe5EeCPOdVNW49Akw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Sh0ZAAe5EeCPOdVNW49Akw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_sEx2cA0KEeCQj9C1UPZeDw" name="ProblemManagementDiscipline">
        <ownedComment xmi:id="_UzTbILZ0EeGWl-7OlqBMDw" annotatedElement="_sEx2cA0KEeCQj9C1UPZeDw">
          <body>&quot;Indicates the category of caregiver with responsibility for managing this specific problem (e.g., care team, nursing, medicine, respiratory therapy, occupational therapy, dietary, etc.).&quot; - HL7 Version 2.8, PRB-11</body>
        </ownedComment>
        <ownedAttribute xmi:id="_zPl3UA0KEeCQj9C1UPZeDw" name="discipline" visibility="public">
          <ownedComment xmi:id="_zPl3UQ0KEeCQj9C1UPZeDw" annotatedElement="_zPl3UA0KEeCQj9C1UPZeDw">
            <body>&quot;Indicates the category of caregiver with responsibility for managing this specific problem (e.g., care team, nursing, medicine, respiratory therapy, occupational therapy, dietary, etc.).&quot; - HL7 Version 2.8, PRB-11.  Note that HL7does not provide any suggested values for this code.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_xIXFEA0KEeCQj9C1UPZeDw" name="healthConcern_problemManagementClassification" memberEnd="_xIXFEQ0KEeCQj9C1UPZeDw _xIXFFA0KEeCQj9C1UPZeDw">
        <ownedEnd xmi:id="_xIXFFA0KEeCQj9C1UPZeDw" name="" visibility="public" type="_420A62FD03B6421F8AD00244" association="_xIXFEA0KEeCQj9C1UPZeDw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xIXFFQ0KEeCQj9C1UPZeDw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xIXFFg0KEeCQj9C1UPZeDw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_3RKLIA0REeCQj9C1UPZeDw" name="healthConcern_responsibleClinic" memberEnd="_3RKLIQ0REeCQj9C1UPZeDw _3RT8IA0REeCQj9C1UPZeDw">
        <ownedComment xmi:id="_eXKaoOCKEeS8tqKBj1EYvQ" annotatedElement="_3RKLIA0REeCQj9C1UPZeDw">
          <body>Identifies the organization/location responsible for treating the Health Concern.  Used primarily in inpatient situations.</body>
        </ownedComment>
        <ownedEnd xmi:id="_3RT8IA0REeCQj9C1UPZeDw" name="" visibility="public" type="_420A62FD03B6421F8AD00244" association="_3RKLIA0REeCQj9C1UPZeDw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3RT8IQ0REeCQj9C1UPZeDw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3RT8Ig0REeCQj9C1UPZeDw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_RPmE8PHqEeGWjrqT5CRABg" name="SocialHistoryConcern">
        <ownedComment xmi:id="_jz4fgPHqEeGWjrqT5CRABg" annotatedElement="_RPmE8PHqEeGWjrqT5CRABg">
          <body>Subjective information that addresses occupational and recreational aspects of the patient's personal life that have the potential to be clinically significant such as sexual history, smoking history and alcohol consumption.</body>
        </ownedComment>
        <generalization xmi:id="_W42McPHqEeGWjrqT5CRABg" general="_420A62FD03B6421F8AD00244"/>
        <ownedAttribute xmi:id="_h5kkgAPpEeKAxseXcMhbEg" name="timeSpan" visibility="public" type="_420A62FD03B642387187004E"/>
        <ownedAttribute xmi:id="_1mzpsOCNEeS8tqKBj1EYvQ" name="healthConcern" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_1mzpseCNEeS8tqKBj1EYvQ" annotatedElement="_1mzpsOCNEeS8tqKBj1EYvQ">
            <body>Identifies the Social History Health Concern or Problem being described.  This property is re-defined to &quot;bind&quot; to the SocialHistoryType valueset rather than the generic Problem valueset to which the supertype health concern property is bound.</body>
          </ownedComment>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_1mzpsuCNEeS8tqKBj1EYvQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>SocialHistoryType</body>
          </defaultValue>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_YQmCgPHqEeGWjrqT5CRABg" name="FamilyHistoryConcern">
        <ownedComment xmi:id="_jWtEgOCPEeS8tqKBj1EYvQ" annotatedElement="_YQmCgPHqEeGWjrqT5CRABg">
          <body>A type of Health Concern that embodies a risk that the patient may be particularly susceptible to a given disease due to the fact that a relative of the patient had experienced the condition.  For example, if a female patient's mother had breast cancer, then the patient may have a higher risk of breast cancer.  While this class is generally used for conditions to which the patient may be genetically pre-disposed, such as breast cancer, and therefore will generally reference blood relatives, it may also be used to document environmental risks that the patient shares with extended family members.</body>
        </ownedComment>
        <generalization xmi:id="_aM1FsPHqEeGWjrqT5CRABg" general="_420A62FD03B6421F8AD00244"/>
        <ownedAttribute xmi:id="_PejvsPHrEeGWjrqT5CRABg" name="details" visibility="public">
          <ownedComment xmi:id="_YxmBUPHrEeGWjrqT5CRABg" annotatedElement="_PejvsPHrEeGWjrqT5CRABg">
            <body>Textual description about the problems, diagnoses, and genetic markers found in genetic relatives. This field may be used to capture unstructured or structured family history information recorded in clinical records.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CVyIEBJXEeKEjrc2hUE4_Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CVyIERJXEeKEjrc2hUE4_Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eCQpsPHrEeGWjrqT5CRABg" name="geneticMarkerDescription" visibility="public">
          <ownedComment xmi:id="_eCQpsfHrEeGWjrqT5CRABg" annotatedElement="_eCQpsPHrEeGWjrqT5CRABg">
            <body>Description of risk-related genetic markers identified in this individual.  For example, Patient has had individual genome analysis that revealed BRACA 1.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_C0_MkBJXEeKEjrc2hUE4_Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_C0_zoBJXEeKEjrc2hUE4_Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-EpDABJWEeKEjrc2hUE4_Q" name="duration" visibility="public" type="_420A62FD03B642387187004E">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BWX5gBJXEeKEjrc2hUE4_Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BWYgkBJXEeKEjrc2hUE4_Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_knp-cPHtEeGWjrqT5CRABg" name="medicalHistory" visibility="public">
          <ownedComment xmi:id="_toS4gPHtEeGWjrqT5CRABg" annotatedElement="_knp-cPHtEeGWjrqT5CRABg">
            <body>Details about problems or diagnoses for this genetic relative.  Note that this might be implemented as a Document Section.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_n46T0PHtEeGWjrqT5CRABg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_n4664PHtEeGWjrqT5CRABg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SsKesPHsEeGWjrqT5CRABg" name="relative" visibility="public" type="_MKlBAPHsEeGWjrqT5CRABg" association="_SsFmMPHsEeGWjrqT5CRABg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SsLFwPHsEeGWjrqT5CRABg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SsLs0PHsEeGWjrqT5CRABg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bhUsEPHtEeGWjrqT5CRABg" name="wasCauseOfDeath" visibility="public" type="_yQqY4LyGEeGK2djLWlLFew">
          <ownedComment xmi:id="_bhUsEfHtEeGWjrqT5CRABg" annotatedElement="_bhUsEPHtEeGWjrqT5CRABg">
            <body>If the patient's relative is deceased, this property indicates whether the Health Concern (aka Problem) was (one of) the cause(s) of death.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bhUsE_HtEeGWjrqT5CRABg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bhUsEvHtEeGWjrqT5CRABg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_MKlBAPHsEeGWjrqT5CRABg" name="Relative">
        <ownedAttribute xmi:id="_VfY0QPHsEeGWjrqT5CRABg" name="asPerson" visibility="public" type="_420A62FD03B6425125E800E0" association="_VfVJ4PHsEeGWjrqT5CRABg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VfaCYPHsEeGWjrqT5CRABg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VfapcPHsEeGWjrqT5CRABg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_f-AIMPHsEeGWjrqT5CRABg" name="relationshipCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_f-AIM_HsEeGWjrqT5CRABg" annotatedElement="_f-AIMPHsEeGWjrqT5CRABg">
            <body>Indicates how the person is related to the person identified in the owning Person class.  Examples include Spouse, Child, Parent, Legal Guardian, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_f-AINfHsEeGWjrqT5CRABg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_f-AINPHsEeGWjrqT5CRABg" value="1"/>
          <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_lO18oN-kEeSzEeYgFgxEPA" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <language></language>
            <body>(PersonalRelationshipRoleType)</body>
          </defaultValue>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_SsFmMPHsEeGWjrqT5CRABg" name="familyHistoryConcern_relative" memberEnd="_SsKesPHsEeGWjrqT5CRABg _SsPXMPHsEeGWjrqT5CRABg">
        <ownedEnd xmi:id="_SsPXMPHsEeGWjrqT5CRABg" name="" visibility="public" type="_YQmCgPHqEeGWjrqT5CRABg" association="_SsFmMPHsEeGWjrqT5CRABg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_VfVJ4PHsEeGWjrqT5CRABg" name="relative_asPerson" memberEnd="_VfY0QPHsEeGWjrqT5CRABg _VfeT0PHsEeGWjrqT5CRABg">
        <ownedEnd xmi:id="_VfeT0PHsEeGWjrqT5CRABg" name="" visibility="public" type="_MKlBAPHsEeGWjrqT5CRABg" association="_VfVJ4PHsEeGWjrqT5CRABg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_nwG14APwEeKAxseXcMhbEg" name="SubstanceUse">
        <generalization xmi:id="_uZEG4APwEeKAxseXcMhbEg" general="_RPmE8PHqEeGWjrqT5CRABg"/>
        <ownedAttribute xmi:id="_6Si4UPLDEeGRdKC0XX0sWg" name="frequencyOfUse" visibility="public" type="_420A62FD03B641886F63021C"/>
        <ownedAttribute xmi:id="_iULjQAPxEeKAxseXcMhbEg" name="substance" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_PrVaEAgpEeKpi5AGmkKVpg" name="ExternalCause">
        <ownedComment xmi:id="_d8Os0AgpEeKpi5AGmkKVpg" annotatedElement="_PrVaEAgpEeKpi5AGmkKVpg">
          <body>Identifies the Accident, Injury, or Exposure that caused the Health Concern.</body>
        </ownedComment>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_KojTEF6tEeOE8tMbJPicWQ" name="healthConcern_externalCause" memberEnd="_KooLkF6tEeOE8tMbJPicWQ _KotEEF6tEeOE8tMbJPicWQ">
        <ownedEnd xmi:id="_KotEEF6tEeOE8tMbJPicWQ" name="" visibility="public" type="_420A62FD03B6421F8AD00244" association="_KojTEF6tEeOE8tMbJPicWQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_juQA4A3gEeSr7IwJ9lGnGA" memberEnd="_juQn8A3gEeSr7IwJ9lGnGA _juSdIA3gEeSr7IwJ9lGnGA">
        <ownedEnd xmi:id="_juSdIA3gEeSr7IwJ9lGnGA" name="" visibility="public" type="_420A62FD03B6421F8AD00244" association="_juQA4A3gEeSr7IwJ9lGnGA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_iAwQAN-kEeSzEeYgFgxEPA" client="_MKlBAPHsEeGWjrqT5CRABg">
        <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_XyDLQKRMEeGZ6ueex_Me0w"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_-fqZQN-nEeSQwMSQTXiDlA" client="_420A62FD03B6421F8AD00244">
        <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_0q6CAN-kEeSzEeYgFgxEPA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_0V4AUsLFEeGVnuEDZNmvgw" name="observationStatusChangeEvent_visit" memberEnd="_0VIZgsLFEeGVnuEDZNmvgw _0V4AU8LFEeGVnuEDZNmvgw">
        <ownedEnd xmi:id="_0V4AU8LFEeGVnuEDZNmvgw" name="" visibility="public" type="_0VIZcMLFEeGVnuEDZNmvgw" association="_0V4AUsLFEeGVnuEDZNmvgw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0V4AVcLFEeGVnuEDZNmvgw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0V4AVMLFEeGVnuEDZNmvgw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_fCUbAOCLEeS8tqKBj1EYvQ" client="_420A62FD03B6421F8AD00244">
        <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_XyxkAKRMEeGZ6ueex_Me0w"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_yYDEIOCMEeS8tqKBj1EYvQ" memberEnd="_yYESQOCMEeS8tqKBj1EYvQ _yYGHcOCMEeS8tqKBj1EYvQ">
        <ownedEnd xmi:id="_yYGHcOCMEeS8tqKBj1EYvQ" name="" visibility="public" type="_420A62FD03B6421F8AD00244" association="_yYDEIOCMEeS8tqKBj1EYvQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_fGJgMOCNEeS8tqKBj1EYvQ" client="_RPmE8PHqEeGWjrqT5CRABg">
        <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_X7pMIKRMEeGZ6ueex_Me0w"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_m0xYwOCNEeS8tqKBj1EYvQ" client="_420A62FD03B6421F8AD00244">
        <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_qL-NsN-TEeSF_8LAIPpUEQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_nWflwOCNEeS8tqKBj1EYvQ" client="_420A62FD03B6421F8AD00244">
        <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_XzA0kKRMEeGZ6ueex_Me0w"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_uCQ6MOCNEeS8tqKBj1EYvQ" name="EmploymentConcen">
        <ownedComment xmi:id="_pZ5ygOCOEeS8tqKBj1EYvQ" annotatedElement="_uCQ6MOCNEeS8tqKBj1EYvQ">
          <body>A type of Health Concern that arises from the patient's occupation or place of employment.</body>
        </ownedComment>
        <generalization xmi:id="_leJ5MOCPEeS8tqKBj1EYvQ" general="_420A62FD03B6421F8AD00244"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_RRV84Od6EeSlqtEJq7r6DQ" client="_420A62FD03B6421F8AD00244">
        <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_074LUN-mEeSzEeYgFgxEPA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_p5LOQOd6EeSlqtEJq7r6DQ" client="_420A62FD03B6421F8AD00244">
        <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_XyiTcKRMEeGZ6ueex_Me0w"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_V_REYOU9EeWlUtxA-8RVeQ" client="_W61_oLO_EeS3iYN4R_wsuw">
        <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_L-mioOU7EeWlUtxA-8RVeQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_mQlrICQlEeaYQuoSxsg5VA" memberEnd="_mQHKACQlEeaYQuoSxsg5VA _mQrxwCQlEeaYQuoSxsg5VA">
        <ownedEnd xmi:id="_mQrxwCQlEeaYQuoSxsg5VA" type="_420A62FD03B6421F8AD00244" association="_mQlrICQlEeaYQuoSxsg5VA"/>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B64361379100A0" name="Prosthetics">
      <eAnnotations xmi:id="_PJ11QOLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_PJ11ReLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643626754017A" name="ProstheticsPromise">
        <eAnnotations xmi:id="_PH5UhOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PHdPpuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643626754017A">
          <body>The act of accepting the role of fulfiller. This is the act of accepting  a prosthetic request. The ProthetictPromise act identifies a fulfiller promise for a prosteitic transaction.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6438B7D93008F" name="accessionDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_PHmZl-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6438B7D93008F">
            <body>The date that a transaction was entered to a system. It may be the date the transaction was initiated.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643B2A3EE0395" name="deliveryDate" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_PHmZlOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PHmZkuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643B2A3EE0395">
            <body>The date that the order was closed. </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ezhqlOLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ezhqleLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643A1B8DE033B" name="description" visibility="public">
          <eAnnotations xmi:id="_PHwKkeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PHmZmuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643A1B8DE033B">
            <body>A textual representation of the nature and characteristics of the item.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ezhqluLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ezhql-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6438B703900D1" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_PHwKnuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6438B703900D1">
            <body>A unique identifier for the Act (HL7 3.0)</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643A1B8A80275" name="transactionForm" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PH5UgeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PHwKoeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643A1B8A80275">
            <body>Identifies the paper form on which the transaction is tracked.   Possible values include: PSC, 2237, 2421, 2431, 2474, 2520, 2529-3, 2529-7, 2914, Inventory Issue, Lab Issue-3, Stock Issue, Visa, Other.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ezhqnOLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ezhqneLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6436267EB007D" name="visit" visibility="public" type="_420A62FD03B64213F5B40316" isUnique="false" association="_420A62FD03B6436267EA0049">
          <ownedComment xmi:id="_PJPYYeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6436267EB007D">
            <body>An interaction between a patient and a practitioner under the auspices of a given organization for the purpose of providing healthcare-related service(s).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PJZJUeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PJZJUuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643B59ED40310" name="issuedItem" visibility="public" type="_420A62FD03B643A1C0FF0379" isUnique="false" association="_420A62FD03B643B59ED30214">
          <ownedComment xmi:id="_PJZJVuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643B59ED40310">
            <body>Information pertinent to the issued for the  patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PJZJWOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PJZJWeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643A029E70164" name="request" visibility="public" type="_420A62FD03B64369414A016F" isUnique="false" association="_420A62FD03B643A029E503BA">
          <ownedComment xmi:id="_PJiTT-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643A029E70164">
            <body>requested information about the prosthetic.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PJsEQeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PJsEQuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6438B7BBF01AF" name="issuingLocation" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B6438B7BBA034C">
          <ownedComment xmi:id="_PJsERuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6438B7BBF01AF">
            <body>The station to which the prosthetic transaction is assigned. The station is responsible for the issue and payment for the prosthetic device.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PJsESOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PJsESeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CXcrMYnNEd-_v4Q8joL6LQ" name="hcpcsProcedureList" visibility="public" type="_dP9loN3-Ed6yatlejfcw_g" association="_CXcrMInNEd-_v4Q8joL6LQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CXcrMonNEd-_v4Q8joL6LQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CXcrM4nNEd-_v4Q8joL6LQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_y0DucInPEd-_v4Q8joL6LQ" name="relatedProstheticsPromise" visibility="public" type="_q711AInPEd-_v4Q8joL6LQ" association="_yzwzgInPEd-_v4Q8joL6LQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_y0DucYnPEd-_v4Q8joL6LQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_y0DuconPEd-_v4Q8joL6LQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6436267A803AC" name="ProstheticsAppliance">
        <eAnnotations xmi:id="_PIDFkeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PH5Uh-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6436267A803AC">
          <body>Record of the product information of an issued item.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64394AA70030B" name="description" visibility="public">
          <eAnnotations xmi:id="_PH5UjOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PH5UiuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64394AA70030B">
            <body>A textual representation of the nature and characteristics of a product</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ezhqnuLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ezhqn-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6438B83D201B1" name="lotId" visibility="public">
          <eAnnotations xmi:id="_PIDFgOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PH5Uj-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6438B83D201B1">
            <body>The &quot;Lot Number Text&quot; provides the facility to communicate the lot number or batch number information, as an alphanumeric string, for the specific item being described. [HL7 3.0] </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ezhqoOLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ezhqoeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64394A9EA0163" name="manufacturerModelName" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PIDFheLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PIDFg-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64394A9EA0163">
            <body>An alphanumeric code that is used to identify the model of a product</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ezhqouLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ezq0YOLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6438B82D200A5" name="serialNumber" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <eAnnotations xmi:id="_PIDFj-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PIDFjeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6438B82D200A5">
            <body>An alphanumaric text that is one of a series and is used for identification of a device</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ezq0Y-LjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ezq0ZOLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6436267D000EC" name="Vendor">
        <eAnnotations xmi:id="_PIM2geLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PIDFlOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6436267D000EC">
          <body>A participation that is used to identify the name of the company from which an item was or is to be purchased.  The vendor may or may not be the same as the manufacturer.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643A1B159022E" name="organization" visibility="public" type="_420A62FD03B6418AA15801A9" isUnique="false" association="_420A62FD03B643A1B15800A6">
          <ownedComment xmi:id="_PJZJXeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643A1B159022E">
            <body>Identifies the organization that provided the prosthetic.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PJZJX-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PJZJYOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64369414A016F" name="ProstheticsRequest">
        <eAnnotations xmi:id="_PIWAdOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PIM2hOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64369414A016F">
          <body>A record of a prothetic appliance or repair request. It contains both manual and CPRS requests. </body>
        </ownedComment>
        <generalization xmi:id="_0mjjoInLEd-_v4Q8joL6LQ" general="_420A62FD03B64589572B02E8"/>
        <ownedAttribute xmi:id="_h_g6kYnMEd-_v4Q8joL6LQ" name="provisionalDiagnosis" visibility="public" type="_e4dl4AgVEd6eWYJXJewDdQ" association="_h_g6kInMEd-_v4Q8joL6LQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_h_g6konMEd-_v4Q8joL6LQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_h_g6k4nMEd-_v4Q8joL6LQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643A1C0FF0379" name="IssuedItem">
        <eAnnotations xmi:id="_PIyscuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PIpif-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643A1C0FF0379">
          <body>A role that stores the items issued in a prosthetics transaction.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643A1C1F802EB" name="acquisitionSource" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PIysYeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PIpiguLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643A1C1F802EB">
            <body>The source from which an item was acquired, either VA or Commercial.    </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ezq0ZeLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ezq0ZuLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643A1C1CD01E5" name="prostheticHCPCS" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_PIysa-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PIysaeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643A1C1CD01E5">
            <body>&quot;The Prosthetics HCPCS code for the item. HCPCS is a uniform method to report professional services, procedures and supplies for healthcare providers and medical suppliers.  &quot;  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ezq0aeLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ezq0auLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643A1C16002D9" name="quantity" visibility="public" type="_420A62FD03B641886F630221">
          <eAnnotations xmi:id="_PIyscOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_PIysbuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643A1C16002D9">
            <body>The number of units that was issued or repaired for the transaction                                                                                                                                                               </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ezq0a-LjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ezq0bOLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643B59EF7025C" name="itemInformation" visibility="public" type="_420A62FD03B6436267A803AC" isUnique="false" association="_420A62FD03B643B59EF40008">
          <ownedComment xmi:id="_PJPYWuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643B59EF7025C">
            <body>Informaiton pertinent to the prosthetic device for the  patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PJPYXOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PJPYXeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643BEBF500341" name="vendor" visibility="public" type="_420A62FD03B6436267D000EC" isUnique="false" association="_420A62FD03B643BEBF500016">
          <ownedComment xmi:id="_PJiTSOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643BEBF500341">
            <body>The company from which an item was or is to be purchased.  The vendor may or may not be the same as the manufacturer.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PJiTSuLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PJiTS-LiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643B59EF40008" memberEnd="_420A62FD03B643B59EF7025C _420A62FD03B643B59EF70266">
        <ownedEnd xmi:id="_420A62FD03B643B59EF70266" name="" visibility="public" type="_420A62FD03B643A1C0FF0379" isUnique="false" association="_420A62FD03B643B59EF40008"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6436267EA0049" memberEnd="_420A62FD03B6436267EB007D _420A62FD03B6436267EB0204">
        <ownedEnd xmi:id="_420A62FD03B6436267EB0204" name="" visibility="public" type="_420A62FD03B643626754017A" isUnique="false" association="_420A62FD03B6436267EA0049"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643B59ED30214" memberEnd="_420A62FD03B643B59ED40310 _420A62FD03B643B59ED40312">
        <ownedEnd xmi:id="_420A62FD03B643B59ED40312" name="" visibility="public" type="_420A62FD03B643626754017A" isUnique="false" association="_420A62FD03B643B59ED30214"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643A1B15800A6" memberEnd="_420A62FD03B643A1B159022E _420A62FD03B643A1B1590242">
        <ownedEnd xmi:id="_420A62FD03B643A1B1590242" name="" visibility="public" type="_420A62FD03B6436267D000EC" isUnique="false" association="_420A62FD03B643A1B15800A6"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643BEBF500016" memberEnd="_420A62FD03B643BEBF500341 _420A62FD03B643BEBF500343">
        <ownedEnd xmi:id="_420A62FD03B643BEBF500343" name="" visibility="public" type="_420A62FD03B643A1C0FF0379" isUnique="false" association="_420A62FD03B643BEBF500016"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643A029E503BA" memberEnd="_420A62FD03B643A029E70164 _420A62FD03B643A029E7016E">
        <ownedEnd xmi:id="_420A62FD03B643A029E7016E" name="" visibility="public" type="_420A62FD03B643626754017A" isUnique="false" association="_420A62FD03B643A029E503BA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6438B7BBA034C" memberEnd="_420A62FD03B6438B7BBF01AF _420A62FD03B6438B7BBF023B">
        <ownedEnd xmi:id="_420A62FD03B6438B7BBF023B" name="" visibility="public" type="_420A62FD03B643626754017A" isUnique="false" association="_420A62FD03B6438B7BBA034C"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_h_g6kInMEd-_v4Q8joL6LQ" memberEnd="_h_g6kYnMEd-_v4Q8joL6LQ _h_g6lInMEd-_v4Q8joL6LQ">
        <ownedEnd xmi:id="_h_g6lInMEd-_v4Q8joL6LQ" name="" visibility="public" type="_420A62FD03B64369414A016F" association="_h_g6kInMEd-_v4Q8joL6LQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_CXcrMInNEd-_v4Q8joL6LQ" memberEnd="_CXcrMYnNEd-_v4Q8joL6LQ _CXcrNInNEd-_v4Q8joL6LQ">
        <ownedEnd xmi:id="_CXcrNInNEd-_v4Q8joL6LQ" name="" visibility="public" type="_420A62FD03B643626754017A" association="_CXcrMInNEd-_v4Q8joL6LQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_q711AInPEd-_v4Q8joL6LQ" name="RelatedProstheticsPromise">
        <ownedAttribute xmi:id="_CflzMInQEd-_v4Q8joL6LQ" name="relatedEventCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
        <ownedAttribute xmi:id="_KttrMYnQEd-_v4Q8joL6LQ" name="prostheticsPromise" visibility="public" type="_420A62FD03B643626754017A" association="_KttrMInQEd-_v4Q8joL6LQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KttrMonQEd-_v4Q8joL6LQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KttrM4nQEd-_v4Q8joL6LQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_yzwzgInPEd-_v4Q8joL6LQ" memberEnd="_y0DucInPEd-_v4Q8joL6LQ _y0Duc4nPEd-_v4Q8joL6LQ">
        <ownedEnd xmi:id="_y0Duc4nPEd-_v4Q8joL6LQ" name="" visibility="public" type="_420A62FD03B643626754017A" association="_yzwzgInPEd-_v4Q8joL6LQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_KttrMInQEd-_v4Q8joL6LQ" memberEnd="_KttrMYnQEd-_v4Q8joL6LQ _Kt3cMInQEd-_v4Q8joL6LQ">
        <ownedEnd xmi:id="_Kt3cMInQEd-_v4Q8joL6LQ" name="" visibility="public" type="_q711AInPEd-_v4Q8joL6LQ" association="_KttrMInQEd-_v4Q8joL6LQ"/>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_WG-84JNmEeCyufOLCDZkFA" name="Provider">
      <eAnnotations xmi:id="_WG-84ZNmEeCyufOLCDZkFA" source="uml2.diagrams"/>
      <ownedComment xmi:id="_me4FcJehEeWqb554qzI9zg">
        <body>Parking Lot:&#xD;
Need to model (or decide not to model):&#xD;
   - Billing Individual&#xD;
   - Rendering Individual&#xD;
   - Supplier</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_ivvdIEvpEeCrON7ycdFLuQ" name="Position">
        <ownedComment xmi:id="_lSEMoEclEeOPSKtS95Q8Uw" annotatedElement="_ivvdIEvpEeCrON7ycdFLuQ">
          <body>This class is a placeholder for information regarding a post of employment, duty, or trust to which the Individual Provider has been assigned at an Organizational Provider.  This Position may be associated with certain privileges or responsibilities that accrue to the Individual Provider by virtue of holding the position. In the future, should this class remain in the model, properties would be added which might include a date range, a job code, etc.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_4DhHUEvqEeCrON7ycdFLuQ" name="privilegeOrResponsibility" visibility="public" type="_ZWrRcEvoEeCrON7ycdFLuQ" association="_4DeEAEvqEeCrON7ycdFLuQ">
          <ownedComment xmi:id="_qaQKQEcsEeOPSKtS95Q8Uw" annotatedElement="_4DhHUEvqEeCrON7ycdFLuQ">
            <body>Pointer to the Privileges or Responsibilities that is associated with the Position.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4DhHUUvqEeCrON7ycdFLuQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4DhHUkvqEeCrON7ycdFLuQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_ZWrRcEvoEeCrON7ycdFLuQ" name="PrivilegeOrResponsibility">
        <ownedComment xmi:id="_mNxJcPnDEeSJ3abZ9RQzyQ" annotatedElement="_ZWrRcEvoEeCrON7ycdFLuQ">
          <body>This class is a placeholder for information regarding a priviledge or responsibiity which the Individual Provider has been granted or assigned at an Organizational Provider. This privilege or responsibility may be accrue to the Individual Provider by virtue of holding a given Position.&#xD;
In the future, should this class remain in the model, properties would be added which might include a date range, a privelege name, etc.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_4DkKoEvqEeCrON7ycdFLuQ" name="position" visibility="public" type="_ivvdIEvpEeCrON7ycdFLuQ" association="_4DeEAEvqEeCrON7ycdFLuQ">
          <ownedComment xmi:id="_YJRqEEcoEeOPSKtS95Q8Uw" annotatedElement="_4DkKoEvqEeCrON7ycdFLuQ">
            <body>Pointer to the Position(s) which are associated with the Privilege or Responsibility</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4DkKoUvqEeCrON7ycdFLuQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4DkKokvqEeCrON7ycdFLuQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_0f65ACu5Ed-mUrYY2zR9Jw" name="PlanNetworkAffliliation">
        <ownedAttribute xmi:id="_6xNQ4Cu5Ed-mUrYY2zR9Jw" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_6xNQ4Su5Ed-mUrYY2zR9Jw" annotatedElement="_6xNQ4Cu5Ed-mUrYY2zR9Jw">
            <body>A unique identifier that the payer or information source can use to identify the person as a Policy Holder.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6xNQ4yu5Ed-mUrYY2zR9Jw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6xNQ4iu5Ed-mUrYY2zR9Jw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_849AgSu5Ed-mUrYY2zR9Jw" name="network" visibility="public" type="_SYe5oCu5Ed-mUrYY2zR9Jw" association="_849AgCu5Ed-mUrYY2zR9Jw">
          <ownedComment xmi:id="_AiOKIEcxEeOPSKtS95Q8Uw" annotatedElement="_849AgSu5Ed-mUrYY2zR9Jw">
            <body>Pointer to the Network with which the Health Plan has some contractual relationship.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_849Agiu5Ed-mUrYY2zR9Jw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_849Agyu5Ed-mUrYY2zR9Jw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WdbwQEC6EeO2aaQpQxRerg" name="healthPlan" visibility="public" type="_420A62FD03B64546640100C0" association="_WdaiIEC6EeO2aaQpQxRerg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WdcXUEC6EeO2aaQpQxRerg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WdcXUUC6EeO2aaQpQxRerg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_coTswB2ZEd-4VI-lpu-JjQ" name="ProviderPlanParticipation">
        <ownedComment xmi:id="_-PIqkO6sEd-crcWiXVDZrQ" annotatedElement="_coTswB2ZEd-4VI-lpu-JjQ">
          <body>Represents the participation of a Healthcare Provider (either an Individual or an Organizational Provider) with a Health  Plan for the purpose of providing healthcare services to members (i.e., patients) of that plan.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_hTV2MTd8Ed-pnM5ImLCS1g" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_hTV2Mjd8Ed-pnM5ImLCS1g" annotatedElement="_hTV2MTd8Ed-pnM5ImLCS1g">
            <body>The date range during which the license is valid.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hTV2MDd8Ed-pnM5ImLCS1g" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
        <ownedAttribute xmi:id="_e7qPcR2ZEd-4VI-lpu-JjQ" name="healthPlan" visibility="public" type="_420A62FD03B64546640100C0" association="_e7qPcB2ZEd-4VI-lpu-JjQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_e7qPch2ZEd-4VI-lpu-JjQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_e7qPcx2ZEd-4VI-lpu-JjQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jdI78V0mEd-Rnfg4Du2i5g" name="healthcareProvider" visibility="public" type="_aW26cBsbEd--ZY2-pbJ-Pw" association="_jdI78F0mEd-Rnfg4Du2i5g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jdI78l0mEd-Rnfg4Du2i5g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jdI7810mEd-Rnfg4Du2i5g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_c5BWYBs1Ed--ZY2-pbJ-Pw" name="HospitalAffiliation">
        <ownedComment xmi:id="_fW9NMEcyEeOPSKtS95Q8Uw" annotatedElement="_c5BWYBs1Ed--ZY2-pbJ-Pw">
          <body>Represents information about the association between an Individual Healthcare Provider and a Hospital.  This affiliation includes information regarding privileges such as admitting privileges.</body>
        </ownedComment>
        <generalization xmi:id="_NWQYoB2REd-4VI-lpu-JjQ" general="_KCfh0B2REd-4VI-lpu-JjQ"/>
        <ownedAttribute xmi:id="_erYjUB2PEd-4VI-lpu-JjQ" name="isFullUnrestrictedPrivilege" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_erYjUR2PEd-4VI-lpu-JjQ" name="isTemporaryPrivilege" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_SYe5oCu5Ed-mUrYY2zR9Jw" name="Network">
        <ownedComment xmi:id="_Xw3X0EctEeOPSKtS95Q8Uw" annotatedElement="_SYe5oCu5Ed-mUrYY2zR9Jw">
          <body>A Network is an organization which maintains contractual relationships with multiple providers and with (potentially) multiple Health Plans.  This organization provides Health Plans with ready access to multiple providers in a given region and/or of a particular specialty.  Conversely, the organization provides Providers with an increased number of potential patients, and in some cases, Providers may receive a capitation fee for each patient assigned to his or her care.</body>
        </ownedComment>
        <generalization xmi:id="_B_cZAJdaEeCiab3ndHzX4g" general="_420A62FD03B6418AA15801A9"/>
        <ownedAttribute xmi:id="_849AhCu5Ed-mUrYY2zR9Jw" name="planNetworkAffliliation" visibility="public" type="_0f65ACu5Ed-mUrYY2zR9Jw" association="_849AgCu5Ed-mUrYY2zR9Jw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_849AhSu5Ed-mUrYY2zR9Jw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_849Ahiu5Ed-mUrYY2zR9Jw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_YQIpgCu5Ed-mUrYY2zR9Jw" name="NetworkAffliliation">
        <ownedComment xmi:id="_ENJWkO6sEd-crcWiXVDZrQ" annotatedElement="_YQIpgCu5Ed-mUrYY2zR9Jw">
          <body>Represents information about the association between an Individual Healthcare Provider and a Network.</body>
        </ownedComment>
        <generalization xmi:id="_cn-McCu5Ed-mUrYY2zR9Jw" general="_KCfh0B2REd-4VI-lpu-JjQ"/>
        <ownedAttribute xmi:id="_tCXyMJeiEeWqb554qzI9zg" name="network" visibility="public" type="_SYe5oCu5Ed-mUrYY2zR9Jw" association="_tCWkEJeiEeWqb554qzI9zg">
          <ownedComment xmi:id="_WTkCgJejEeWqb554qzI9zg" annotatedElement="_tCXyMJeiEeWqb554qzI9zg">
            <body>Pointer to the Network organization to which the Providers are affiliated.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tCXyMZeiEeWqb554qzI9zg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tCYZQJeiEeWqb554qzI9zg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_OJ2OMB2QEd-4VI-lpu-JjQ" name="PracticeAffiliation">
        <ownedComment xmi:id="_pINE0EcyEeOPSKtS95Q8Uw" annotatedElement="_OJ2OMB2QEd-4VI-lpu-JjQ">
          <body>A Practice is an Organizational Provider composed of one or more Provider for the purpose of providing medical services.  When the Practice is composed of multiple Providers, it is often called a Group Practice.  This class represents information about the association between an Individual Provider and a Practice.&#xD;
Note that the FHIM makes a simplifying assumption that all Providers are associated with at least one Organizational Providers.  Even when a physician is self-employed, we assume that the physician is incorporated, or has some kind of organizational face.</body>
        </ownedComment>
        <generalization xmi:id="_N-SB8B2REd-4VI-lpu-JjQ" general="_KCfh0B2REd-4VI-lpu-JjQ"/>
        <ownedAttribute xmi:id="_Ru9ewPnKEeSJ3abZ9RQzyQ" name="serviceDeliveryLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_Ru8QoPnKEeSJ3abZ9RQzyQ">
          <ownedComment xmi:id="_WAF8wPnKEeSJ3abZ9RQzyQ" annotatedElement="_Ru9ewPnKEeSJ3abZ9RQzyQ">
            <body>Pointer to the Service Delivery Locations with which the Individual Provider is associated due to his/her affiliation to the Practice.&#xD;
&quot;The location(s) at which this practitioner provides care.&quot; - HL7 FHIR, Practitioner.practitionerRole.location.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ru-F0PnKEeSJ3abZ9RQzyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ru-s4PnKEeSJ3abZ9RQzyQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_KCfh0B2REd-4VI-lpu-JjQ" name="ProviderAffiliation">
        <ownedComment xmi:id="_pTRKEDA9Ed-1aYBV65Lrnw" annotatedElement="_KCfh0B2REd-4VI-lpu-JjQ">
          <body>Represents information about the association between an Individual Healthcare Provider and an Organizational Healthcare Provider.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_lZ8wQB2TEd-4VI-lpu-JjQ" name="description" visibility="public">
          <ownedComment xmi:id="_Uw-6wEc3EeOPSKtS95Q8Uw" annotatedElement="_lZ8wQB2TEd-4VI-lpu-JjQ">
            <body>&quot;Contains miscellaneous additional information related to the staff member's membership in the professional organization.&quot; - HL7 Version 2.8, AFF-5.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oaLHYB2QEd-4VI-lpu-JjQ" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_oaLHYR2QEd-4VI-lpu-JjQ" annotatedElement="_oaLHYB2QEd-4VI-lpu-JjQ">
            <body>&quot;Contains the period the staff member started and ended membership in the professional organization.&quot; - HL7 Version 2.8, AFF-4.&#xD;
&quot;The period during which the person is authorized to act as a practitioner in these role(s) for the organization.&quot; - HL7 FHIR, Practitioner.practitionerRole.period.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_haeC8B2TEd-4VI-lpu-JjQ" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
        <ownedAttribute xmi:id="_gy7VsEvqEeCrON7ycdFLuQ" name="position" visibility="public" type="_ivvdIEvpEeCrON7ycdFLuQ" association="_gy4SYEvqEeCrON7ycdFLuQ">
          <ownedComment xmi:id="_XlOh0EcoEeOPSKtS95Q8Uw" annotatedElement="_gy7VsEvqEeCrON7ycdFLuQ">
            <body>Pointer to the Position that the Individual Provider holds at the Organizational Provider.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gy7VsUvqEeCrON7ycdFLuQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gy7VskvqEeCrON7ycdFLuQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0BAUIEvqEeCrON7ycdFLuQ" name="privilegeOrResponsibility" visibility="public" type="_ZWrRcEvoEeCrON7ycdFLuQ" association="_0A9Q0EvqEeCrON7ycdFLuQ">
          <ownedComment xmi:id="_omUHcEcsEeOPSKtS95Q8Uw" annotatedElement="_0BAUIEvqEeCrON7ycdFLuQ">
            <body>Pointer to the Priviledges and/or Responsibilities that the Individual Provider holds at the Organizational Provider.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0BAUIUvqEeCrON7ycdFLuQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0BAUIkvqEeCrON7ycdFLuQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_WEvzAKSdEeOi7v-AgUwKMQ" name="organizationalProvider" visibility="public" type="_HC458BscEd--ZY2-pbJ-Pw" association="_WEuk4KSdEeOi7v-AgUwKMQ">
          <ownedComment xmi:id="_yyhGoPnHEeSJ3abZ9RQzyQ" annotatedElement="_WEvzAKSdEeOi7v-AgUwKMQ">
            <body>Pointer to the Organizational Provider with which the Individual Provider is associated.&#xD;
&quot;The organization where the Practitioner performs the roles associated.&quot; - HL7 FHIR, Practitioner.practitionerRole.managingOrganization.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WExBIKSdEeOi7v-AgUwKMQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WExoMKSdEeOi7v-AgUwKMQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Q4Q-QB16Ed-4VI-lpu-JjQ" name="Location">
        <ownedComment xmi:id="_viZekBHFEeCBuOUrBnIXmQ" annotatedElement="_Q4Q-QB16Ed-4VI-lpu-JjQ">
          <body>&quot;A bounded physical place or site, including any contained structures.  A place may be natural or man-made. The geographic position of a place may or may not be constant. Places may be work facilities (where relevant acts occur), homes (where people live) or offices (where people work). Places may contain sub-places (floor, room, booth, bed). Places may also be sites that are investigated in the context of health care, social work, public health administration (e.g., buildings, picnic grounds, day care centers, prisons, counties, states, and other focuses of epidemiological events).  Examples include a field, lake, city, county, state, country, lot (land), building, pipeline, power line, playground, ship, truck.&quot; - HL7 V3.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B645FAB88F004D" name="address" visibility="public" type="_420A62FD03B6418A8DCD02C2">
          <eAnnotations xmi:id="_MB3XteLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_NczGIPGjEd-ZlYn0p4HjQw" annotatedElement="_420A62FD03B645FAB88F004D">
            <body>The postal address of the location.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ettWWeLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ettWWuLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64586F3EA0341" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_PjJHkPGjEd-ZlYn0p4HjQw" annotatedElement="_420A62FD03B64586F3EA0341">
            <body>Uniquely identifies the location.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cQ5toB1-Ed-4VI-lpu-JjQ" name="name" visibility="public">
          <ownedComment xmi:id="_Xr1F8PGjEd-ZlYn0p4HjQw" annotatedElement="_cQ5toB1-Ed-4VI-lpu-JjQ">
            <body>A moniker for the location.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6418AA15801A9" name="Organization">
        <eAnnotations xmi:id="_L91zVeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_L9sCW-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6418AA15801A9">
          <body>&quot;An Entity representing a formalized group of entities with a common purpose (e.g. administrative, legal, political) and the infrastructure to carry out that purpose.&quot; (HL7)  </body>
        </ownedComment>
        <generalization xmi:id="_58xYYNJrEeSWN8ZsMae6GQ" general="_MF0JYOEVEd6EKMSYA1gKjA"/>
        <ownedAttribute xmi:id="_dzgLABscEd--ZY2-pbJ-Pw" name="address" visibility="public" type="_420A62FD03B6418A8DCD02C2">
          <ownedComment xmi:id="_dzgLARscEd--ZY2-pbJ-Pw" annotatedElement="_dzgLABscEd--ZY2-pbJ-Pw">
            <body>The physical location at which the Organization is located or to which mail can be directed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bbeToOV0EeGA8s9JtidNVQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bbeToeV0EeGA8s9JtidNVQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_230RkAJFEd-xr_JAHIdixg" name="name" visibility="public">
          <ownedComment xmi:id="_JmDzMPGlEd-ZlYn0p4HjQw" annotatedElement="_230RkAJFEd-xr_JAHIdixg">
            <body>The name of the organization.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_arck4OV0EeGA8s9JtidNVQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_arfBIOV0EeGA8s9JtidNVQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_iz_NoLYyEeGWl-7OlqBMDw" name="telecom" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_iz_NobYyEeGWl-7OlqBMDw" annotatedElement="_iz_NoLYyEeGWl-7OlqBMDw">
            <body>Indicates how and at what address that the Organization can be reached via electronic communications. The datatype for this property is ContactPoint, which can be used for telephone numbers as well as email, etc.  The ContactPoint data  type contains a type code to indicate what kind of telecommunications address that is being referenced. Note that this property can contain more than one entry.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iz_No7YyEeGWl-7OlqBMDw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iz_NorYyEeGWl-7OlqBMDw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kTup4nWJEd-2SM6vxH_lvw" name="asOrganizationalProvider" visibility="public" type="_HC458BscEd--ZY2-pbJ-Pw" association="_kTk44HWJEd-2SM6vxH_lvw">
          <ownedComment xmi:id="_Yno6QO6rEd-crcWiXVDZrQ" annotatedElement="_kTup4nWJEd-2SM6vxH_lvw">
            <body>Represents information about an organization which is authorized to provide health care services.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kTup43WJEd-2SM6vxH_lvw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kTup5HWJEd-2SM6vxH_lvw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_snQtQLYsEeGWl-7OlqBMDw" name="pointOfContact" visibility="public" type="_7TKL4LYqEeGWl-7OlqBMDw" association="_snMb0LYsEeGWl-7OlqBMDw">
          <ownedComment xmi:id="_4BTusLYsEeGWl-7OlqBMDw" annotatedElement="_snQtQLYsEeGWl-7OlqBMDw">
            <body>Pointer to Persons who work for or represent an Organization and who may be contacted under specified circumstances.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_snR7YLYsEeGWl-7OlqBMDw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_snSicLYsEeGWl-7OlqBMDw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NtEokPnIEeSJ3abZ9RQzyQ" name="serviceDeliveryLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_NtDacPnIEeSJ3abZ9RQzyQ">
          <ownedComment xmi:id="_UkjdwPnIEeSJ3abZ9RQzyQ" annotatedElement="_NtEokPnIEeSJ3abZ9RQzyQ">
            <body>Pointer to locations at which the Organization performs services or conducts business.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NtFPoPnIEeSJ3abZ9RQzyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NtFPofnIEeSJ3abZ9RQzyQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64575B75903D9" name="Pharmacy">
        <eAnnotations xmi:id="_MBQ6wOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_MBHw3eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64575B75903D9">
          <body>&quot;Specifies the pharmacy that will dispense or has dispensed the prescription.&quot; - HL7 Version 2.8, RXO-32.&#xD;
Identifies a pharmacy location for the purposes of maintaining the NCPDP Id, which is needed for filing pharmacy claims.  This is equivalent to File 59 in Vista.</body>
        </ownedComment>
        <generalization xmi:id="_2GqZcDwoEeOgEtsAzr0sGA" general="_420A62FD03B64242CAB30303"/>
        <ownedAttribute xmi:id="_420A62FD03B64575B8480146" name="ncpdpId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_fhVzwBHbEeCBuOUrBnIXmQ" annotatedElement="_420A62FD03B64575B8480146">
            <body>Contains the National Council for Prescription Drug Programs (NCPDP) Id, which assigned to each dispensing location of an organization for the purposes of facilitating electronic billing.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jWbR0PTrEdy4NNd432ztnw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jWbR0fTrEdy4NNd432ztnw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64242CAB30303" name="ServiceDeliveryLocation">
        <eAnnotations xmi:id="_L-IuReLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_L9_kXOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64242CAB30303">
          <body>&quot;The location to which the patient is assigned. It is a role played by a place at which services may be provided. Note that a single physical place can play multiple service delivery location roles each with its own attributes. For example, a Podiatry clinic and Research clinic may meet on alternate days in the same physical location; each clinic uses its own mailing address and telephone number.&quot; - HL7 V3.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="__zk2oO6dEd-crcWiXVDZrQ" name="address" visibility="public" type="_420A62FD03B6418A8DCD02C2">
          <ownedComment xmi:id="__zk2oe6dEd-crcWiXVDZrQ" annotatedElement="__zk2oO6dEd-crcWiXVDZrQ">
            <body>The physical location at which the Service Delivery Location is located or to which mail can be directed.&#xD;
&quot;Specifies the address of the location where the drug or treatment was administered.&quot; - HL7 Version 2.8, RXA-28</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_62kAIPnIEeSJ3abZ9RQzyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_62kAIfnIEeSJ3abZ9RQzyQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_AvIWQOcIEeGjtvsfy1ZDDQ" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_jR8nACVPEeO_iaEYDPvTaA" annotatedElement="_AvIWQOcIEeGjtvsfy1ZDDQ">
            <body>&quot;Code identifying the place where a drug or service is dispensed or administered.&quot; - NCPDP Telecommunication (Field 3Ø7-C7, Data Dictionary 201104).  Use CMS's Place of Service Codes for Professional Claims.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lV6l0B2IEd-4VI-lpu-JjQ" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_lWEW0B2IEd-4VI-lpu-JjQ" annotatedElement="_lV6l0B2IEd-4VI-lpu-JjQ">
            <body>A unique string or token used to identify the Organization - Location combination.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lWEW0R2IEd-4VI-lpu-JjQ" name="name" visibility="public">
          <ownedComment xmi:id="_PsRO8BHPEeCBuOUrBnIXmQ" annotatedElement="_lWEW0R2IEd-4VI-lpu-JjQ">
            <body>The name of the Organization-Location.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zaTccLYuEeGWl-7OlqBMDw" name="telecom" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_zaTccbYuEeGWl-7OlqBMDw" annotatedElement="_zaTccLYuEeGWl-7OlqBMDw">
            <body>Indicates how and at what address that the Service Delivery Location can be reached via electronic communications. The datatype for this property is ContactPoint, which can be used for telephone numbers as well as email, etc.  The ContactPoint data  type contains a type code to indicate what kind of telecommunications address that is being referenced. Note that this property can contain more than one entry.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zaTcc7YuEeGWl-7OlqBMDw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zaTccrYuEeGWl-7OlqBMDw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_mah68R18Ed-4VI-lpu-JjQ" name="location" visibility="public" type="_Q4Q-QB16Ed-4VI-lpu-JjQ" association="_mah68B18Ed-4VI-lpu-JjQ">
          <ownedComment xmi:id="_JFiLgBHPEeCBuOUrBnIXmQ" annotatedElement="_mah68R18Ed-4VI-lpu-JjQ">
            <body>Pointer to the Location at which the Organization is operating.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mah68h18Ed-4VI-lpu-JjQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mah68x18Ed-4VI-lpu-JjQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MC3psR2HEd-4VI-lpu-JjQ" name="organization" visibility="public" type="_420A62FD03B6418AA15801A9" association="_MC3psB2HEd-4VI-lpu-JjQ">
          <ownedComment xmi:id="_LqkUEBHPEeCBuOUrBnIXmQ" annotatedElement="_MC3psR2HEd-4VI-lpu-JjQ">
            <body>Pointer to the Organization operating at the Location.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MC3psh2HEd-4VI-lpu-JjQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MC3psx2HEd-4VI-lpu-JjQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_NefmUHS_Ed-Bj4191_mrEA" name="Jurisdiction">
        <ownedComment xmi:id="_YtbugHTAEd-Bj4191_mrEA" annotatedElement="_NefmUHS_Ed-Bj4191_mrEA">
          <body>'The territory over which authority is exercised.' - dictionary.com.  This class represents the organization that has authority over a given territory or area of endeavor.  In other words, this class represents a government or governmental agency.  The government may be a national (e.g., Canada) or territorial (e.g., Virginia).  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_49GJYXS_Ed-Bj4191_mrEA" name="id" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_49GJYnS_Ed-Bj4191_mrEA" annotatedElement="_49GJYXS_Ed-Bj4191_mrEA">
            <body>An unique string or token used to identify the jurisdiction</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_49GJYHS_Ed-Bj4191_mrEA" name="name" visibility="public">
          <ownedComment xmi:id="_-_MOsHS_Ed-Bj4191_mrEA" annotatedElement="_49GJYHS_Ed-Bj4191_mrEA">
            <body>The name of the jurisdiction  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_-PDq0BsxEd--ZY2-pbJ-Pw" name="EducationalInstitution">
        <ownedComment xmi:id="_Q1noEDBAEd-1aYBV65Lrnw" annotatedElement="_-PDq0BsxEd--ZY2-pbJ-Pw">
          <body>An organization created to provide educational instruction.  Specifically, a school or institution of higher learning.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_H9SDoBsyEd--ZY2-pbJ-Pw" name="institutionCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ezhGUDBAEd-1aYBV65Lrnw" annotatedElement="_H9SDoBsyEd--ZY2-pbJ-Pw">
            <body>Identifies the educational institution.    This would ordinarily be an string or an Id, but because there are a finite number of medical schools, they are normally represented as codes.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_N-8rIBsyEd--ZY2-pbJ-Pw" name="address" visibility="public" type="_420A62FD03B6418A8DCD02C2">
          <ownedComment xmi:id="_N-8rIRsyEd--ZY2-pbJ-Pw" annotatedElement="_N-8rIBsyEd--ZY2-pbJ-Pw">
            <body>The person's office address.  First choice for business related contacts during business hours.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kZPmkMJEEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kZPmkcJEEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_y1jzcNgWEeG3E4mt6RKX5Q" name="name" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_o6KUYBsyEd--ZY2-pbJ-Pw" name="workEmail" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_o6KUYRsyEd--ZY2-pbJ-Pw" annotatedElement="_o6KUYBsyEd--ZY2-pbJ-Pw">
            <body>The email address that a person uses while at their place of business.  First choice for business related contacts during business hours.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lhavkMJEEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lhavkcJEEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_o6KUYhsyEd--ZY2-pbJ-Pw" name="workPhone" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_o6KUYxsyEd--ZY2-pbJ-Pw" annotatedElement="_o6KUYhsyEd--ZY2-pbJ-Pw">
            <body>The phone number for a person at their office location.  First choice for business related contacts during business hours.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mQ0MMMJEEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mQ0zQMJEEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_fzybMBsxEd--ZY2-pbJ-Pw" name="FormalEducation">
        <ownedComment xmi:id="_kKckMDA_Ed-1aYBV65Lrnw" annotatedElement="_fzybMBsxEd--ZY2-pbJ-Pw">
          <body>Represents information about the formal educational experience of an Individual Healthcare Provider.  See Section 2 of the CAQH Provider Application.</body>
        </ownedComment>
        <generalization xmi:id="_j1y4EBsxEd--ZY2-pbJ-Pw" general="_NYIYMBsxEd--ZY2-pbJ-Pw"/>
        <ownedAttribute xmi:id="_t_SQkBsxEd--ZY2-pbJ-Pw" name="degree" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_q3cnsDA_Ed-1aYBV65Lrnw" annotatedElement="_t_SQkBsxEd--ZY2-pbJ-Pw">
            <body>Indicates the degree or certificate earned by the provider.  Examples include Bachelor of Science, Doctorate in Medicine.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_sQORQRsyEd--ZY2-pbJ-Pw" name="educationalInstitution" visibility="public" type="_-PDq0BsxEd--ZY2-pbJ-Pw" association="_sQORQBsyEd--ZY2-pbJ-Pw">
          <ownedComment xmi:id="_slm9MDBAEd-1aYBV65Lrnw" annotatedElement="_sQORQRsyEd--ZY2-pbJ-Pw">
            <body>Pointer to the Undergraduate or Professional School which the Individual Provider attended.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sQORQhsyEd--ZY2-pbJ-Pw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sQORQxsyEd--ZY2-pbJ-Pw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_aW26cBsbEd--ZY2-pbJ-Pw" name="HealthcareProvider">
        <ownedComment xmi:id="_ZNQsoDA5Ed-1aYBV65Lrnw" annotatedElement="_aW26cBsbEd--ZY2-pbJ-Pw">
          <body>A person or organization which is authorized to perform healthcare-related services.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_1ryIYhsUEd--ZY2-pbJ-Pw" name="address" visibility="public" type="_420A62FD03B6418A8DCD02C2">
          <ownedComment xmi:id="_1ryIYxsUEd--ZY2-pbJ-Pw" annotatedElement="_1ryIYhsUEd--ZY2-pbJ-Pw">
            <body>The physical location at which the Healthcare Provider is located or to which mail can be directed.&#xD;
&quot;The postal address where the practitioner can be found or visited or to which mail can be delivered.&quot; - HL7 FHIR, Practitioner.address.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4TCQQPnEEeSJ3abZ9RQzyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4TCQQfnEEeSJ3abZ9RQzyQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_w1ctIJegEeWqb554qzI9zg" name="active" visibility="public">
          <ownedComment xmi:id="_5-t-wJegEeWqb554qzI9zg" annotatedElement="_w1ctIJegEeWqb554qzI9zg">
            <body>&quot;Whether this practitioner's record is in active use.&quot; - HL7 FHIR, Practitioner.active.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6_EogJegEeWqb554qzI9zg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6_EogZegEeWqb554qzI9zg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_OhvNEHynEeOHq5zPTCjDoQ" name="digitalCertificateId" visibility="public">
          <ownedComment xmi:id="_OhvNEXynEeOHq5zPTCjDoQ" annotatedElement="_OhvNEHynEeOHq5zPTCjDoQ">
            <body>&quot;Serial number from the public digital certificate&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OhvNE3ynEeOHq5zPTCjDoQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OhvNEnynEeOHq5zPTCjDoQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Olj9IHynEeOHq5zPTCjDoQ" name="digitalCertificateDistinguishedName" visibility="public">
          <ownedComment xmi:id="_Olj9IXynEeOHq5zPTCjDoQ" annotatedElement="_Olj9IHynEeOHq5zPTCjDoQ">
            <body>&quot;Distinguished Name field from digital certificate&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Olj9I3ynEeOHq5zPTCjDoQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Olj9InynEeOHq5zPTCjDoQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3jjxcPv0Ed-3ndaGus2qMA" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_3jjxcfv0Ed-3ndaGus2qMA" annotatedElement="_3jjxcPv0Ed-3ndaGus2qMA">
            <body>Uniquely identifies the practitioner.  This property should not contain the Tax Id or the National Provider Id, as these types of Ids are called out separately.&#xD;
&quot;An identifier that applies to this person in this role.&quot; - HL7 FHIR, Practitioner.identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WfLUkF7bEeCcBvMgXNMeOQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WfLUkV7bEeCcBvMgXNMeOQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1kWlICrmEeOKCrmlnw-Z_w" name="nationalProviderId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <eAnnotations xmi:id="_1kWlISrmEeOKCrmlnw-Z_w" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_1kWlIirmEeOKCrmlnw-Z_w" annotatedElement="_1kWlICrmEeOKCrmlnw-Z_w">
            <body>An identifier that uniquely identifies all persons and organizations who perform medical services within the United States.  This identifier is mandated by HIPAA and is maintained by CMS.&#xD;
&quot;An identifier that applies to this person in this role.&quot; - HL7 FHIR, Practitioner.identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1kWlJCrmEeOKCrmlnw-Z_w" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1kWlIyrmEeOKCrmlnw-Z_w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64563662203A6" name="providerCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_h_OwkBqYEd-j8JC21F3W2A" annotatedElement="_420A62FD03B64563662203A6">
            <body>Contains a categorization for the practitioner.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5Z1BEBJTEeKEjrc2hUE4_Q" name="providerRole" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_w2qI0PnFEeSJ3abZ9RQzyQ" annotatedElement="_5Z1BEBJTEeKEjrc2hUE4_Q">
            <body>&quot;The list of Roles/Organizations that the Practitioner is associated with.&quot; - HL7 FHIR, Practitioner.practitionerRole.  Note that FHIR does not identify any values for this concept.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_OjeAgHo4EeOKnMBxUzvJfA" name="publicDigitalCertificate" visibility="public">
          <ownedComment xmi:id="_DEftsHynEeOHq5zPTCjDoQ" annotatedElement="_OjeAgHo4EeOKnMBxUzvJfA">
            <body>&quot;A base 64 encoded representation of the public digital certificate&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NqGacHynEeOHq5zPTCjDoQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NqHBgHynEeOHq5zPTCjDoQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645636AFA022A" name="taxId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_PA0JUBqZEd-j8JC21F3W2A" annotatedElement="_420A62FD03B645636AFA022A">
            <body>An identifier assigned to the Healthcare Provider by a jurisdictional taxing authority. This id is often used for billing purposes.&#xD;
&quot;An identifier that applies to this person in this role.&quot; - HL7 FHIR, Practitioner.identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ioaj4C2HEeGWR8bvqgjcQA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iobK8C2HEeGWR8bvqgjcQA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1roXYBsUEd--ZY2-pbJ-Pw" name="telecom" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_1roXYRsUEd--ZY2-pbJ-Pw" annotatedElement="_1roXYBsUEd--ZY2-pbJ-Pw">
            <body>Indicates how and at what address that the Healthcare Provider can be reached via electronic communications. The datatype for this property is ContactPoint, which can be used for telephone numbers as well as email, etc.  The ContactPoint data  type contains a type code to indicate what kind of telecommunications address that is being referenced. Note that this property can contain more than one entry.&#xD;
&quot;A contact detail for the practitioner, e.g. a telephone number or an email address.&quot; - HL7 FHIR, Practitioner.telecom.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rwYA8PnEEeSJ3abZ9RQzyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rwYoAPnEEeSJ3abZ9RQzyQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XRxMQBswEd--ZY2-pbJ-Pw" name="asLlicensedProvider" visibility="public" type="_420A62FD03B6456373C80266" association="_XRoCUBswEd--ZY2-pbJ-Pw">
          <ownedComment xmi:id="_-ldKwDA8Ed-1aYBV65Lrnw" annotatedElement="_XRxMQBswEd--ZY2-pbJ-Pw">
            <body>Pointer to information about the Provider applicable to their Role of a Licensed Provider.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XRxMQRswEd--ZY2-pbJ-Pw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XRxMQhswEd--ZY2-pbJ-Pw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lwAOcZONEeCRFv3DJq7yhQ" name="asMedicaidProvider" visibility="public" type="_hZzDMJONEeCRFv3DJq7yhQ" association="_lwAOcJONEeCRFv3DJq7yhQ">
          <ownedComment xmi:id="_qRDnwCrtEeOKCrmlnw-Z_w" annotatedElement="_lwAOcZONEeCRFv3DJq7yhQ">
            <body>Pointer to information about the Provider applicable to their Role of a Medicaid Provider.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lwJ_cJONEeCRFv3DJq7yhQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lwJ_cZONEeCRFv3DJq7yhQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lVOW8JONEeCRFv3DJq7yhQ" name="asMedicareProvider" visibility="public" type="_gUnj0JONEeCRFv3DJq7yhQ" association="_lUxrAJONEeCRFv3DJq7yhQ">
          <ownedComment xmi:id="_zF9y8CrtEeOKCrmlnw-Z_w" annotatedElement="_lVOW8JONEeCRFv3DJq7yhQ">
            <body>Pointer to information about the Provider applicable to their Role of a Medicare Provider.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lVOW8ZONEeCRFv3DJq7yhQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lVOW8pONEeCRFv3DJq7yhQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_J04xgHo4EeOKnMBxUzvJfA" name="electronicServiceInformation" visibility="public" type="_G3o9QHo4EeOKnMBxUzvJfA" association="_J02VQHo4EeOKnMBxUzvJfA">
          <ownedComment xmi:id="_10F4UHyKEeOHq5zPTCjDoQ" annotatedElement="_J04xgHo4EeOKnMBxUzvJfA">
            <body>Pointer to information concerning electronic capabilities of the Healthcare Provider.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_J05_oHo4EeOKnMBxUzvJfA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_J06msHo4EeOKnMBxUzvJfA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8Av3ANgeEeG3E4mt6RKX5Q" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_8AmGANgeEeG3E4mt6RKX5Q">
          <ownedComment xmi:id="__ZVfoKChEeKNT6obAX9SKQ" annotatedElement="_8Av3ANgeEeG3E4mt6RKX5Q">
            <body>A role of a person or animal as a recipient of health care services from a healthcare provider.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8AweENgeEeG3E4mt6RKX5Q" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8AxFINgeEeG3E4mt6RKX5Q" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jdSs8F0mEd-Rnfg4Du2i5g" name="providerPlanParticipation" visibility="public" type="_coTswB2ZEd-4VI-lpu-JjQ" association="_jdI78F0mEd-Rnfg4Du2i5g">
          <ownedComment xmi:id="_-8qe8O6sEd-crcWiXVDZrQ" annotatedElement="_jdSs8F0mEd-Rnfg4Du2i5g">
            <body>Represents the participation of a Healthcare Provider (either an Individual or an Organizational Provider) with a Health  Plan for the purpose of providing healthcare services to members (i.e., patients) of that plan.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jdSs8V0mEd-Rnfg4Du2i5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jdSs8l0mEd-Rnfg4Du2i5g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6456373040353" name="specialty" visibility="public" type="_420A62FD03B6456372E7010F" isUnique="false" association="_420A62FD03B645637304017E">
          <ownedComment xmi:id="_FLcJ0Mb1Ed2P6e45_ze_yA" annotatedElement="_420A62FD03B6456373040353">
            <body>Pointer to the medical Specialty for which the Healthcare Provider has been certified.&#xD;
&quot;Specific specialty of the practitioner.&quot; - HL7 FHIR, Practitioner.practitionerRole.specialty.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NVBBxeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NVBBxuLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6418A6B760063" name="IndividualProvider">
        <eAnnotations xmi:id="_NPpZd-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_izei4BqWEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6418A6B760063">
          <body>A person who is authorized to provide health care services in the role of practitioner for a health care provider organization.  The role of practitioner includes all functions performed for a health care provider organization in order to provide patient care and treatment.</body>
        </ownedComment>
        <generalization xmi:id="_PlDvUBscEd--ZY2-pbJ-Pw" general="_aW26cBsbEd--ZY2-pbJ-Pw"/>
        <ownedAttribute xmi:id="_420A62FD03B6456356E7020F" name="signatureBlockName" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ">
          <ownedComment xmi:id="_LHE3oBqZEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6456356E7020F">
            <body>Contains the name and title of the Practitioner as they wish it to be displayed with the notation that they signed the document electronically.  For example, a practitioner who routinely uses a nickname for most correspondence would likely want their legal name on the signature block.  In addition, this property would contain the title that they would use when electronically signing a document.  For example, a practitioner may hold multiple titles, but would choose one to be used for signing.  Examples of titles are Chief of Surgery, Dietician, Clinical Pharmacist, etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rGlWkPv4Ed-3ndaGus2qMA" name="mobilePhone" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_rGlWkfv4Ed-3ndaGus2qMA" annotatedElement="_rGlWkPv4Ed-3ndaGus2qMA">
            <body>A telecommunication device that moves and stays with its owner. Suitable for urgent matters, the mobile phone is not the first choice for routine business.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rGl9oPv4Ed-3ndaGus2qMA" name="pager" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_rGl9ofv4Ed-3ndaGus2qMA" annotatedElement="_rGl9oPv4Ed-3ndaGus2qMA">
            <body>A paging device suitable to solicit a callback or to leave a very short message.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6456374E203E2" name="asPrescribingProvider" visibility="public" type="_420A62FD03B64563749D0053" isUnique="false" association="_420A62FD03B6456374E20104">
          <ownedComment xmi:id="_5jouUMb2Ed2P6e45_ze_yA" annotatedElement="_420A62FD03B6456374E203E2">
            <body>Pointer to information about the Provider applicable to their Role of a Prescribing Provider.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NVKLnuLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NVKLn-LiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6456353DF00FC" name="asPerson" visibility="public" type="_420A62FD03B6425125E800E0" isUnique="false" association="_420A62FD03B6456353DE0213">
          <ownedComment xmi:id="_ThEpEDA9Ed-1aYBV65Lrnw" annotatedElement="_420A62FD03B6456353DF00FC">
            <body>Pointer to information about the Person who is playing the Role of Practitioner.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HkfkoV0nEd-Rnfg4Du2i5g" name="providerAffiliation" visibility="public" type="_KCfh0B2REd-4VI-lpu-JjQ" association="_HkfkoF0nEd-Rnfg4Du2i5g">
          <ownedComment xmi:id="_yxyS8O6rEd-crcWiXVDZrQ" annotatedElement="_HkfkoV0nEd-Rnfg4Du2i5g">
            <body>Represents information about the association between an Individual Healthcare Provider and an Organizational Healthcare Provider.&#xD;
&quot;The list of roles/organizations that the practitioner is associated with.&quot; - HL7 FHIR, Practitioner.practitionerRole.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Hkfkol0nEd-Rnfg4Du2i5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Hkfko10nEd-Rnfg4Du2i5g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zG2nUBsxEd--ZY2-pbJ-Pw" name="providerEducation" visibility="public" type="_NYIYMBsxEd--ZY2-pbJ-Pw" association="_zGtdYBsxEd--ZY2-pbJ-Pw">
          <ownedComment xmi:id="_66CzgDA9Ed-1aYBV65Lrnw" annotatedElement="_zG2nUBsxEd--ZY2-pbJ-Pw">
            <body>Pointer to the educational experience of an Individual Healthcare Provider.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zG2nURsxEd--ZY2-pbJ-Pw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zG2nUhsxEd--ZY2-pbJ-Pw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6456373C80266" name="LicensedProvider">
        <eAnnotations xmi:id="_NRvEJOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_1-spUBqQEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6456373C80266">
          <body>A practitioner who has been authorized to perform certain activities that fall under the jurisdiction of the issuer of the license.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_2cIlsAJGEd-xr_JAHIdixg" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_6CRMcBqQEd-j8JC21F3W2A" annotatedElement="_2cIlsAJGEd-xr_JAHIdixg">
            <body>An interval of time specifying the period during which the license is in valid, if such time limit is applicable and known.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7jCl8BswEd--ZY2-pbJ-Pw" name="licenseCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_fPcmoDA7Ed-1aYBV65Lrnw" annotatedElement="_7jCl8BswEd--ZY2-pbJ-Pw">
            <body>A classification of the provider's license.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6456373F20383" name="licenseId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_7xIiABqQEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6456373F20383">
            <body>Identifies a certification of a practitioner to perform certain activities that fall under the jurisdiction of the issuer of the license.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_L7BaEUvnEeCrON7ycdFLuQ" name="licensingJurisdiction" visibility="public" type="_NefmUHS_Ed-Bj4191_mrEA" association="_L7BaEEvnEeCrON7ycdFLuQ">
          <ownedComment xmi:id="_RgHaUEvnEeCrON7ycdFLuQ" annotatedElement="_L7BaEUvnEeCrON7ycdFLuQ">
            <body>Identifies the state or jurisdiction which authorized the Healthcare Provider to prescribe medications  Note that a state or jurisdiction is an Organization.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_L7EdYEvnEeCrON7ycdFLuQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_L7EdYUvnEeCrON7ycdFLuQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_HC458BscEd--ZY2-pbJ-Pw" name="OrganizationalProvider">
        <ownedComment xmi:id="_hpLwEDA5Ed-1aYBV65Lrnw" annotatedElement="_HC458BscEd--ZY2-pbJ-Pw">
          <body>An organization which is authorized to provide health care services.</body>
        </ownedComment>
        <generalization xmi:id="_QNlH4BscEd--ZY2-pbJ-Pw" general="_aW26cBsbEd--ZY2-pbJ-Pw"/>
        <ownedAttribute xmi:id="_OoImgV0nEd-Rnfg4Du2i5g" name="networkAffliliation" visibility="public" type="_YQIpgCu5Ed-mUrYY2zR9Jw" association="_OoImgF0nEd-Rnfg4Du2i5g">
          <ownedComment xmi:id="_9WWWgO6uEd-crcWiXVDZrQ" annotatedElement="_OoImgV0nEd-Rnfg4Du2i5g">
            <body>Pointer to information about the association between an Individual Healthcare Provider and a Network.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OoImgl0nEd-Rnfg4Du2i5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OoImg10nEd-Rnfg4Du2i5g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kTk44XWJEd-2SM6vxH_lvw" name="asOrganization" visibility="public" type="_420A62FD03B6418AA15801A9" association="_kTk44HWJEd-2SM6vxH_lvw">
          <ownedComment xmi:id="_dYLREO6rEd-crcWiXVDZrQ" annotatedElement="_kTk44XWJEd-2SM6vxH_lvw">
            <body>Pointer to information about the Organizaton which is playing the role of Practitioner.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kTup4HWJEd-2SM6vxH_lvw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kTup4XWJEd-2SM6vxH_lvw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Uz4psF7WEeCcBvMgXNMeOQ" name="Pharmacist">
        <ownedComment xmi:id="_-QRY0Ec0EeOPSKtS95Q8Uw" annotatedElement="_Uz4psF7WEeCcBvMgXNMeOQ">
          <body>A Pharmacist is a Person who is professionally qualified to prepare and dispense medicinal drugs.  This class represents information regarding an Individual Provider playing the Role of a Pharmacist.</body>
        </ownedComment>
        <generalization xmi:id="_WZOP0F7WEeCcBvMgXNMeOQ" general="_420A62FD03B6418A6B760063"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_cNfC4BsxEd--ZY2-pbJ-Pw" name="Practicum">
        <ownedComment xmi:id="_SNdPoDA-Ed-1aYBV65Lrnw" annotatedElement="_cNfC4BsxEd--ZY2-pbJ-Pw">
          <body>Practicum: &quot;A school or college course, especially one in a specialized field of study, that is designed to give students supervised practical application of previously studied theory&quot; - American Heritage Dictionary.  This class represents information about the practical educational experience of an Individual Healthcare Provider, such as an internship.  See Section 2 of the CAQH Provider Application.</body>
        </ownedComment>
        <generalization xmi:id="_hnYfwBsxEd--ZY2-pbJ-Pw" general="_NYIYMBsxEd--ZY2-pbJ-Pw"/>
        <ownedAttribute xmi:id="_mC3MkBsxEd--ZY2-pbJ-Pw" name="practicumCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_fi9bsDA_Ed-1aYBV65Lrnw" annotatedElement="_mC3MkBsxEd--ZY2-pbJ-Pw">
            <body>Categorizes the type of practical experience the Individual Healthcare Provider has undergone.  Example values include Internship/Residency, Fellowship, etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_37URoEcjEeOPSKtS95Q8Uw" name="organization" visibility="public" type="_420A62FD03B6418AA15801A9" association="_37ROUEcjEeOPSKtS95Q8Uw">
          <ownedComment xmi:id="_Q58mgEcxEeOPSKtS95Q8Uw" annotatedElement="_37URoEcjEeOPSKtS95Q8Uw">
            <body>Pointer to the organization (usually a Hospital organization) where the clinician has trained.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_37WG0EcjEeOPSKtS95Q8Uw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_37Wt4EcjEeOPSKtS95Q8Uw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64563749D0053" name="PrescibingProvider">
        <eAnnotations xmi:id="_NRvEKOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_zMrzUMb2Ed2P6e45_ze_yA" annotatedElement="_420A62FD03B64563749D0053">
          <body>Contains information specific to practitioners who are licensed to prescribe medications, especially controlled substances.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64563738E00AD" name="controlledSubstanceLicenseId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_MFt_QBqbEd-j8JC21F3W2A" annotatedElement="_420A62FD03B64563738E00AD">
            <body>Identifies the license under which the practitioner is authorized to prescribe controlled medications.&#xD;
&quot;Identifies the provider's controlled substance number, if required, by site.&quot; - HL7 Version 2.8, RXO-14.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tu56MEQNEd-Hn5Pu2BVNlA" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_tu56MUQNEd-Hn5Pu2BVNlA" annotatedElement="_tu56MEQNEd-Hn5Pu2BVNlA">
            <body>An interval of time specifying the period during which the practitioner is authorized to prescribe medications under the associated DEA Id, if such time limit is applicable and known.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LLKj4EQOEd-Hn5Pu2BVNlA" name="licenseCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_LLKj4UQOEd-Hn5Pu2BVNlA" annotatedElement="_LLKj4EQOEd-Hn5Pu2BVNlA">
            <body>A classification of the provider's license.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6456374DC0190" name="licensingJurisdiction" visibility="public" type="_NefmUHS_Ed-Bj4191_mrEA" isUnique="false" association="_420A62FD03B6456374DB027A">
          <ownedComment xmi:id="_8s6CMBqaEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6456374DC0190">
            <body>Identifies the state or jurisdiction which authorized the Healthcare Provider to prescribe medications  Note that a state or jurisdiction is an Organization.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NVKLmeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NVKLmuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_NYIYMBsxEd--ZY2-pbJ-Pw" name="ProviderEducation">
        <ownedComment xmi:id="_8xEmkDA9Ed-1aYBV65Lrnw" annotatedElement="_NYIYMBsxEd--ZY2-pbJ-Pw">
          <body>Represents information about the educational experience of an Individual Healthcare Provider.  This includes both formal training resulting in some sort of degree or certification, as well as practical experience such as an internship.  See Section 2 of the CAQH Provider Application.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_CSavQDA-Ed-1aYBV65Lrnw" name="dateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_CSavQTA-Ed-1aYBV65Lrnw" annotatedElement="_CSavQDA-Ed-1aYBV65Lrnw">
            <body>Contains the dates (start and end) during which the provider's education took place.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6456372E7010F" name="Specialty">
        <eAnnotations xmi:id="_NRlTLuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_9RsmYMb0Ed2P6e45_ze_yA" annotatedElement="_420A62FD03B6456372E7010F">
          <body>A specialty in medicine is a branch of medical science. After completing medical school, physicians or surgeons usually further their medical education in a specific specialty of medicine by completing a multiple year residency. Medical practitioners who engage in a medical specialty are known as medical specialists.    Specialists may be Board Eligible or Board Certified.  Board certified in medicine means a physician has taken and passed a medical specialty examination.  Board eligible, by contrast, means that a physician has completed the requirements for admission to a medical specialty board examination but has not taken and passed the examination.  For example, a physician must perform 3 years of training in an approved pediatric residency to be board eligible and then successfully complete a comprehensive written examination to be certified by the American Board of Pediatrics.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6456372F60239" name="specialty" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_DRsZ8Mb1Ed2P6e45_ze_yA" annotatedElement="_420A62FD03B6456372F60239">
            <body>A code identifying the branch of medical science in which the provider has chosen to specialize.  This code should be from the National Uniform Claims Committee (NUCC) codeset.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_sQORQBsyEd--ZY2-pbJ-Pw" name="providerEducation_educationalInstitution" memberEnd="_sQORQRsyEd--ZY2-pbJ-Pw _sQORRBsyEd--ZY2-pbJ-Pw">
        <ownedEnd xmi:id="_sQORRBsyEd--ZY2-pbJ-Pw" name="" visibility="public" type="_fzybMBsxEd--ZY2-pbJ-Pw" association="_sQORQBsyEd--ZY2-pbJ-Pw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6456374DB027A" name="prescibingProvider_licensingJurisdiction" memberEnd="_420A62FD03B6456374DC0190 _420A62FD03B6456374DC01A1">
        <ownedEnd xmi:id="_420A62FD03B6456374DC01A1" name="" visibility="public" type="_420A62FD03B64563749D0053" isUnique="false" association="_420A62FD03B6456374DB027A"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_kTk44HWJEd-2SM6vxH_lvw" name="organization_organizationalProvider" memberEnd="_kTk44XWJEd-2SM6vxH_lvw _kTup4nWJEd-2SM6vxH_lvw"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_OoImgF0nEd-Rnfg4Du2i5g" name="organizationalProvider_networkAffiliation" memberEnd="_OoImgV0nEd-Rnfg4Du2i5g _OoImhF0nEd-Rnfg4Du2i5g">
        <ownedEnd xmi:id="_OoImhF0nEd-Rnfg4Du2i5g" name="" visibility="public" type="_HC458BscEd--ZY2-pbJ-Pw" association="_OoImgF0nEd-Rnfg4Du2i5g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_L7BaEEvnEeCrON7ycdFLuQ" name="licensedProvider_licensingJurisdiction" memberEnd="_L7BaEUvnEeCrON7ycdFLuQ _L7EdYkvnEeCrON7ycdFLuQ">
        <ownedEnd xmi:id="_L7EdYkvnEeCrON7ycdFLuQ" name="" visibility="public" type="_420A62FD03B6456373C80266" association="_L7BaEEvnEeCrON7ycdFLuQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_L7HgsEvnEeCrON7ycdFLuQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_L7HgsUvnEeCrON7ycdFLuQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_HkfkoF0nEd-Rnfg4Du2i5g" name="individualProvider_providerAffiliation" memberEnd="_HkfkoV0nEd-Rnfg4Du2i5g _HkfkpF0nEd-Rnfg4Du2i5g">
        <ownedEnd xmi:id="_HkfkpF0nEd-Rnfg4Du2i5g" name="" visibility="public" type="_420A62FD03B6418A6B760063" association="_HkfkoF0nEd-Rnfg4Du2i5g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_zGtdYBsxEd--ZY2-pbJ-Pw" name="individualProvider_providerEducation" memberEnd="_zG2nUBsxEd--ZY2-pbJ-Pw _zG2nUxsxEd--ZY2-pbJ-Pw">
        <ownedEnd xmi:id="_zG2nUxsxEd--ZY2-pbJ-Pw" name="" visibility="public" type="_420A62FD03B6418A6B760063" association="_zGtdYBsxEd--ZY2-pbJ-Pw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6456374E20104" name="individualProvider_asPrescribingPractitioner" memberEnd="_420A62FD03B6456374E203E2 _420A62FD03B6456374E203E4">
        <ownedComment xmi:id="_323DcMb2Ed2P6e45_ze_yA" annotatedElement="_420A62FD03B6456374E20104">
          <body>This contains the state DEAID for the prescribing medical practitioner.</body>
        </ownedComment>
        <ownedEnd xmi:id="_420A62FD03B6456374E203E4" name="" visibility="public" type="_420A62FD03B6418A6B760063" isUnique="false" association="_420A62FD03B6456374E20104"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_XRoCUBswEd--ZY2-pbJ-Pw" name="healthcareProvider_licensedProvider" memberEnd="_XRxMQBswEd--ZY2-pbJ-Pw _XRxMQxswEd--ZY2-pbJ-Pw">
        <ownedEnd xmi:id="_XRxMQxswEd--ZY2-pbJ-Pw" name="" visibility="public" type="_aW26cBsbEd--ZY2-pbJ-Pw" association="_XRoCUBswEd--ZY2-pbJ-Pw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B645637304017E" name="healthcareProvider_specialty" memberEnd="_420A62FD03B6456373040353 _420A62FD03B6456373040363">
        <ownedComment xmi:id="_EaRLkMb1Ed2P6e45_ze_yA" annotatedElement="_420A62FD03B645637304017E">
          <body>This contains the code set that identifies the specialty of the Practicing Practitioner.</body>
        </ownedComment>
        <ownedEnd xmi:id="_420A62FD03B6456373040363" name="" visibility="public" type="_aW26cBsbEd--ZY2-pbJ-Pw" isUnique="false" association="_420A62FD03B645637304017E"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_MC3psB2HEd-4VI-lpu-JjQ" name="organizationLocation_organization" memberEnd="_MC3psR2HEd-4VI-lpu-JjQ _MDBasB2HEd-4VI-lpu-JjQ">
        <ownedEnd xmi:id="_MDBasB2HEd-4VI-lpu-JjQ" name="" visibility="public" type="_420A62FD03B64242CAB30303" association="_MC3psB2HEd-4VI-lpu-JjQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_mah68B18Ed-4VI-lpu-JjQ" name="organizationLocation_location" memberEnd="_mah68R18Ed-4VI-lpu-JjQ _mah69B18Ed-4VI-lpu-JjQ">
        <ownedEnd xmi:id="_mah69B18Ed-4VI-lpu-JjQ" name="" visibility="public" type="_420A62FD03B64242CAB30303" association="_mah68B18Ed-4VI-lpu-JjQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_0A9Q0EvqEeCrON7ycdFLuQ" name="providerAffiliation_privilegeOrResponsibility" memberEnd="_0BAUIEvqEeCrON7ycdFLuQ _0BDXcEvqEeCrON7ycdFLuQ">
        <ownedEnd xmi:id="_0BDXcEvqEeCrON7ycdFLuQ" name="" visibility="public" type="_KCfh0B2REd-4VI-lpu-JjQ" association="_0A9Q0EvqEeCrON7ycdFLuQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0BDXcUvqEeCrON7ycdFLuQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0BDXckvqEeCrON7ycdFLuQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_gy4SYEvqEeCrON7ycdFLuQ" name="providerAffiliation_position" memberEnd="_gy7VsEvqEeCrON7ycdFLuQ _gy-ZAEvqEeCrON7ycdFLuQ">
        <ownedEnd xmi:id="_gy-ZAEvqEeCrON7ycdFLuQ" name="" visibility="public" type="_KCfh0B2REd-4VI-lpu-JjQ" association="_gy4SYEvqEeCrON7ycdFLuQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gy-ZAUvqEeCrON7ycdFLuQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gy-ZAkvqEeCrON7ycdFLuQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_gUnj0JONEeCRFv3DJq7yhQ" name="MedicareProvider">
        <ownedComment xmi:id="_uPHG0CrvEeOKCrmlnw-Z_w" annotatedElement="_gUnj0JONEeCRFv3DJq7yhQ">
          <body>Medicare is a national social insurance program, administered by the U.S. federal government since 1965, that guarantees access to health insurance for Americans aged 65 and older and younger people with disabilities or certain chronic diseases.  This class represents identifying information about a provider who is participating in the Medicre Program.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_5maigpaeEeCWW4VssVugdQ" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_5maig5aeEeCWW4VssVugdQ" annotatedElement="_5maigpaeEeCWW4VssVugdQ">
            <body>An interval of time specifying the period during which the Medicare enrollment is in effect, if such time limit is applicable and known.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5maigJaeEeCWW4VssVugdQ" name="medicareId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_5maigZaeEeCWW4VssVugdQ" annotatedElement="_5maigJaeEeCWW4VssVugdQ">
            <body>An identifier, assigned by the Centers for Medicare and Medicaid Services (CMS), to identify the Provider.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_hZzDMJONEeCRFv3DJq7yhQ" name="MedicaidProvider">
        <ownedComment xmi:id="__5kL0CruEeOKCrmlnw-Z_w" annotatedElement="_hZzDMJONEeCRFv3DJq7yhQ">
          <body>Medicaid is the a health program for families and individuals with low income and resources. It is a means-tested program that is jointly funded by the state and federal governments and managed by the states, with each state having leeway to determine who is eligible for its implementation of the program. This class represents identifying information about a provider who is participating in the Medicaid Program.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_mnFKsJaeEeCWW4VssVugdQ" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_mnFKsZaeEeCWW4VssVugdQ" annotatedElement="_mnFKsJaeEeCWW4VssVugdQ">
            <body>An interval of time specifying the period during which the Medicaid enrollment is in effect, if such time limit is applicable and known.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_EgDJUJOQEeCRFv3DJq7yhQ" name="medicaidId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_yPjCoJaeEeCWW4VssVugdQ" annotatedElement="_EgDJUJOQEeCRFv3DJq7yhQ">
            <body>An identifier, assigned by the State Medicaid office, to identify the Provider.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_qTwGcZONEeCRFv3DJq7yhQ" name="state" visibility="public" type="_ozMSoJONEeCRFv3DJq7yhQ" association="_qTwGcJONEeCRFv3DJq7yhQ">
          <ownedComment xmi:id="_RzYX8CrtEeOKCrmlnw-Z_w" annotatedElement="_qTwGcZONEeCRFv3DJq7yhQ">
            <body>Pointer to the State or Territory which operates the Medicaid program under which the Provider may treat patients and bill for their services.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qTwGcpONEeCRFv3DJq7yhQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qTwGc5ONEeCRFv3DJq7yhQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_lUxrAJONEeCRFv3DJq7yhQ" name="healthcareProvider_asMedicareProvider" memberEnd="_lVOW8JONEeCRFv3DJq7yhQ _lVrC4JONEeCRFv3DJq7yhQ">
        <ownedEnd xmi:id="_lVrC4JONEeCRFv3DJq7yhQ" name="" visibility="public" type="_aW26cBsbEd--ZY2-pbJ-Pw" association="_lUxrAJONEeCRFv3DJq7yhQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lVrC4ZONEeCRFv3DJq7yhQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lVrC4pONEeCRFv3DJq7yhQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_lwAOcJONEeCRFv3DJq7yhQ" name="healthcareProvider_asMedicaidProvider" memberEnd="_lwAOcZONEeCRFv3DJq7yhQ _lwJ_cpONEeCRFv3DJq7yhQ">
        <ownedEnd xmi:id="_lwJ_cpONEeCRFv3DJq7yhQ" name="" visibility="public" type="_aW26cBsbEd--ZY2-pbJ-Pw" association="_lwAOcJONEeCRFv3DJq7yhQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lwJ_c5ONEeCRFv3DJq7yhQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lwJ_dJONEeCRFv3DJq7yhQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_ozMSoJONEeCRFv3DJq7yhQ" name="State">
        <ownedComment xmi:id="_OOxowCrtEeOKCrmlnw-Z_w" annotatedElement="_ozMSoJONEeCRFv3DJq7yhQ">
          <body>This class represents a State or Territory of the United States.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_TDc2cJYDEeCD7vwmJe8BlA" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_DuLJwJasEeCWW4VssVugdQ" annotatedElement="_TDc2cJYDEeCD7vwmJe8BlA">
            <body>Identifies a State or Territory of the United States.  This would ordinarily be an Id, but because there are a finite number of States, States are normally represented as Codes.  The codes defined by the US Postal Service's Publication 28 should be used.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_qTwGcJONEeCRFv3DJq7yhQ" name="medicaidProvider_state" memberEnd="_qTwGcZONEeCRFv3DJq7yhQ _qTwGdJONEeCRFv3DJq7yhQ">
        <ownedEnd xmi:id="_qTwGdJONEeCRFv3DJq7yhQ" name="" visibility="public" type="_hZzDMJONEeCRFv3DJq7yhQ" association="_qTwGcJONEeCRFv3DJq7yhQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qTwGdZONEeCRFv3DJq7yhQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qTwGdpONEeCRFv3DJq7yhQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_jdI78F0mEd-Rnfg4Du2i5g" name="healthcareProvider_providerPlanParticipation" memberEnd="_jdI78V0mEd-Rnfg4Du2i5g _jdSs8F0mEd-Rnfg4Du2i5g"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_e7qPcB2ZEd-4VI-lpu-JjQ" name="providerPlanParticipation_healthPlan" memberEnd="_e7qPcR2ZEd-4VI-lpu-JjQ _e7qPdB2ZEd-4VI-lpu-JjQ"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_849AgCu5Ed-mUrYY2zR9Jw" name="network_planNetworkAffliliation" memberEnd="_849AgSu5Ed-mUrYY2zR9Jw _849AhCu5Ed-mUrYY2zR9Jw"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_4DeEAEvqEeCrON7ycdFLuQ" name="privilegeOrResponsibility_position" memberEnd="_4DhHUEvqEeCrON7ycdFLuQ _4DkKoEvqEeCrON7ycdFLuQ"/>
      <packagedElement xmi:type="uml:Class" xmi:id="_zory4LGdEeGkU9GcFSzOCA" name="PublicHealthJurisdiction">
        <ownedComment xmi:id="_Jf8lICzkEeKLfdgQhBZO1Q" annotatedElement="_zory4LGdEeGkU9GcFSzOCA">
          <body>Jurisdiction: &quot;a) power; authority; control; b) the territory over which authority is exercised&quot; - Dictionary.com&#xD;
&#xD;
This class represents an organization that is responsible for Public Health either at the local, state, or national level.  This organization has, among other powers, the authority to compel the reporting of medical information by healthcare providers within its territory.&#xD;
&#xD;
</body>
        </ownedComment>
        <generalization xmi:id="_1Md50LGdEeGkU9GcFSzOCA" general="_NefmUHS_Ed-Bj4191_mrEA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_7TKL4LYqEeGWl-7OlqBMDw" name="PointOfContact">
        <eAnnotations xmi:id="_7TKL4bYqEeGWl-7OlqBMDw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_7TKL4rYqEeGWl-7OlqBMDw" annotatedElement="_7TKL4LYqEeGWl-7OlqBMDw">
          <body>This class identifies a person who works for or represents an organization and who may be contacted under specified circumstances.  This class is very similar to the ContactParty in Person Demographics, the diffence being that this class is used to identify a contact person for an oganization, while the ContactParty class is used to indentify a contact person (who may be a relative) for a patient.&#xD;
&#xD;
Note that because all we need is the person's name and contact information (address, phone numbers), this class does not have an association to the Person class (although logically it should).  This is because the other properties of Person, such as sex and date of birth, are irrelevant to the usage.  The HL7 Role class allows for names and addresses on the Role, which technically should be only those names or addresses as the relate to the role (i.e., as they differ from those in Person class), but since these are available for use, we are utilizing them in this manner, even though it is somewhat irregular.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_7TKMBrYqEeGWl-7OlqBMDw" name="address" visibility="public" type="_420A62FD03B6418A8DCD02C2">
          <ownedComment xmi:id="_7TKMB7YqEeGWl-7OlqBMDw" annotatedElement="_7TKMBrYqEeGWl-7OlqBMDw">
            <body>The physical location at which the Point of Contact is located or to which mail can be directed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7TKMCbYqEeGWl-7OlqBMDw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7TKMCLYqEeGWl-7OlqBMDw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7TKL57YqEeGWl-7OlqBMDw" name="contactCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_7TKL6LYqEeGWl-7OlqBMDw" annotatedElement="_7TKL57YqEeGWl-7OlqBMDw">
            <body>Indicates the circumstances under which this person is the contact party for the owning Organization class.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7TKL6rYqEeGWl-7OlqBMDw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7TKL6bYqEeGWl-7OlqBMDw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7TKL67YqEeGWl-7OlqBMDw" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_7TKL7LYqEeGWl-7OlqBMDw" annotatedElement="_7TKL67YqEeGWl-7OlqBMDw">
            <body>The date range during which this person is a contact party for the organization.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7TKL77YqEeGWl-7OlqBMDw" name="name" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ">
          <eAnnotations xmi:id="_7TKL8LYqEeGWl-7OlqBMDw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_7TKL8bYqEeGWl-7OlqBMDw" annotatedElement="_7TKL77YqEeGWl-7OlqBMDw">
            <body>The name by which a person is known or legally identified such as the name on a driver's license or passport.  Note that the datatype for this property is a PersonName, which includes the various parts that make up a person's name such as family name, prefixes, suffixes, etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7TKL87YqEeGWl-7OlqBMDw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7TKL8rYqEeGWl-7OlqBMDw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jvCvYLYsEeGWl-7OlqBMDw" name="telecom" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_jvCvYbYsEeGWl-7OlqBMDw" annotatedElement="_jvCvYLYsEeGWl-7OlqBMDw">
            <body>Indicates how and at what address that the Point of Contact can be reached via electronic communications. The datatype for this property is ContactPoint, which can be used for telephone numbers as well as email, etc.  The ContactPoint data  type contains a type code to indicate what kind of telecommunications address that is being referenced. Note that this property can contain more than one entry.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jvCvY7YsEeGWl-7OlqBMDw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jvCvYrYsEeGWl-7OlqBMDw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_snMb0LYsEeGWl-7OlqBMDw" name="organization_pointOfContact" memberEnd="_snQtQLYsEeGWl-7OlqBMDw _snWM0LYsEeGWl-7OlqBMDw">
        <ownedEnd xmi:id="_snWM0LYsEeGWl-7OlqBMDw" name="" visibility="public" type="_420A62FD03B6418AA15801A9" association="_snMb0LYsEeGWl-7OlqBMDw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_WdaiIEC6EeO2aaQpQxRerg" name="planNetworkAffliliation_healthPlan" memberEnd="_WdbwQEC6EeO2aaQpQxRerg _Wdc-YEC6EeO2aaQpQxRerg"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_37ROUEcjEeOPSKtS95Q8Uw" name="practicum_organizationalProvider" memberEnd="_37URoEcjEeOPSKtS95Q8Uw _37XU8EcjEeOPSKtS95Q8Uw">
        <ownedEnd xmi:id="_37XU8EcjEeOPSKtS95Q8Uw" name="" visibility="public" type="_cNfC4BsxEd--ZY2-pbJ-Pw" association="_37ROUEcjEeOPSKtS95Q8Uw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_G3o9QHo4EeOKnMBxUzvJfA" name="ElectronicServiceInformation">
        <ownedComment xmi:id="_X1fWkHyKEeOHq5zPTCjDoQ" annotatedElement="_G3o9QHo4EeOKnMBxUzvJfA">
          <body>&quot;This class captures information on a unique electronic service. It is defined to support information interchange requirements that are focused on exchanging or querying for specific information on an electronic address.&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.&#xD;
&#xD;
Electronic Service Information = &quot;All information reasonably necessary to define an electronic destination’s ability to receive and consume a specific type of information (e.g. discharge summary, patient summary, laboratory report, query for patient/provider/healthcare data). The information should include the type of information (e.g. patient summaryor query) the destination’s Electronic Address, the Messaging Framework supported (e.g. SMTP, HTTP/SOAP), Security information supported or required (e.g. digital certificate) and specific payload definitions (e.g. CCD C32 V2.5). In addition, this information may include labels which help identify the type of recipient (e.g. medical records department).&quot; - ONC S&amp;I Query for Electronic Service Information Including Electronic Address Use Case Initiative Glossary.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_PmHIEHyPEeOHq5zPTCjDoQ" name="address" visibility="public">
          <ownedComment xmi:id="_PmHIEXyPEeOHq5zPTCjDoQ" annotatedElement="_PmHIEHyPEeOHq5zPTCjDoQ">
            <body>&quot;The address of the Electronic Service&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nSLuEHyKEeOHq5zPTCjDoQ" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_s0FQYHyKEeOHq5zPTCjDoQ" annotatedElement="_nSLuEHyKEeOHq5zPTCjDoQ">
            <body>&quot;An identifier assigned by the provider directory whose purpose is to uniquely identify a unique ESI for an individual, organization, individual-organization relationship.&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9Z-roHyKEeOHq5zPTCjDoQ" name="integrationProfile" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Kqp3gHyLEeOHq5zPTCjDoQ" annotatedElement="_9Z-roHyKEeOHq5zPTCjDoQ">
            <body>&quot;Identifies the integration profile which describes the transport and valid contents&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_A5050HyPEeOHq5zPTCjDoQ" name="integrationProfileOptions" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_K1qQ0HyPEeOHq5zPTCjDoQ" annotatedElement="_A5050HyPEeOHq5zPTCjDoQ">
            <body>&quot;Options defined for the specific Integration Profile&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="__m4yoHyLEeOHq5zPTCjDoQ" name="integrationProfileVersion" visibility="public">
          <ownedComment xmi:id="_Sy5CkHyOEeOHq5zPTCjDoQ" annotatedElement="__m4yoHyLEeOHq5zPTCjDoQ">
            <body>&quot;The version(s) of the integration profile supported&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Z3vv8HyPEeOHq5zPTCjDoQ" name="preferredMethod" visibility="public">
          <ownedComment xmi:id="_Z3vv8XyPEeOHq5zPTCjDoQ" annotatedElement="_Z3vv8HyPEeOHq5zPTCjDoQ">
            <body>&quot;Integer between 0 and 99 indicating the preferred order of the service, where 0 is the most preferred service and 99 is the least preferred&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wfIXEHyQEeOHq5zPTCjDoQ" name="providerDirectoryContentProfile" visibility="public" type="_-s3dkHyPEeOHq5zPTCjDoQ" association="_wfF60HyQEeOHq5zPTCjDoQ">
          <ownedComment xmi:id="_C9f6YHySEeOHq5zPTCjDoQ" annotatedElement="_wfIXEHyQEeOHq5zPTCjDoQ">
            <body>Pointer to Content Profile(s) supported by the electronic health record destination. A content profile may be necessary to support those services which demand a content wrapper.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wfI-IHyQEeOHq5zPTCjDoQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wfJlMHyQEeOHq5zPTCjDoQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Uw9xcHyREeOHq5zPTCjDoQ" name="providerDirectorySecurityProfile" visibility="public" type="_MBjKQHyREeOHq5zPTCjDoQ" association="_Uw9KYHyREeOHq5zPTCjDoQ">
          <ownedComment xmi:id="_HsCtIHySEeOHq5zPTCjDoQ" annotatedElement="_Uw9xcHyREeOHq5zPTCjDoQ">
            <body>&quot;Pointer to Security Profile(s) supported by the service.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Uw-_kHyREeOHq5zPTCjDoQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Uw-_kXyREeOHq5zPTCjDoQ" value="*"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_J02VQHo4EeOKnMBxUzvJfA" name="healthcareProvider_electronicServiceInformation" memberEnd="_J04xgHo4EeOKnMBxUzvJfA _J07NwHo4EeOKnMBxUzvJfA">
        <ownedEnd xmi:id="_J07NwHo4EeOKnMBxUzvJfA" name="" visibility="public" type="_aW26cBsbEd--ZY2-pbJ-Pw" association="_J02VQHo4EeOKnMBxUzvJfA"/>
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      <packagedElement xmi:type="uml:Class" xmi:id="_-s3dkHyPEeOHq5zPTCjDoQ" name="ProviderDirectoryContentProfile">
        <ownedComment xmi:id="_JAUqYHyQEeOHq5zPTCjDoQ" annotatedElement="_-s3dkHyPEeOHq5zPTCjDoQ">
          <body>&quot;Identifies the content profile supported by the electronic health record destination. A content profile may be necessary to support those services which demand a content wrapper.&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_MgsZ0HyQEeOHq5zPTCjDoQ" name="contentProfile" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_V_X6wHyQEeOHq5zPTCjDoQ" annotatedElement="_MgsZ0HyQEeOHq5zPTCjDoQ">
            <body>&quot;A coded value that identifies, if appropriate, the content profile supported by the service.&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
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        </ownedAttribute>
        <ownedAttribute xmi:id="_eOmmAHyQEeOHq5zPTCjDoQ" name="contentProfileConstraints" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_eOmmAXyQEeOHq5zPTCjDoQ" annotatedElement="_eOmmAHyQEeOHq5zPTCjDoQ">
            <body>&quot;A coded value that identifies, if appropriate, additional constraints on this ContentProfile&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eLBGgHyQEeOHq5zPTCjDoQ" name="contentProfileVersion" visibility="public">
          <ownedComment xmi:id="_eLBGgXyQEeOHq5zPTCjDoQ" annotatedElement="_eLBGgHyQEeOHq5zPTCjDoQ">
            <body>&quot;The version(s) of the content profile supported&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_wfF60HyQEeOHq5zPTCjDoQ" name="electronicServiceInformation_providerDirectoryContentProfile" memberEnd="_wfIXEHyQEeOHq5zPTCjDoQ _wfKMQHyQEeOHq5zPTCjDoQ">
        <ownedEnd xmi:id="_wfKMQHyQEeOHq5zPTCjDoQ" name="" visibility="public" type="_G3o9QHo4EeOKnMBxUzvJfA" association="_wfF60HyQEeOHq5zPTCjDoQ"/>
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      <packagedElement xmi:type="uml:Class" xmi:id="_MBjKQHyREeOHq5zPTCjDoQ" name="ProviderDirectorySecurityProfile">
        <ownedComment xmi:id="_MBjKQXyREeOHq5zPTCjDoQ" annotatedElement="_MBjKQHyREeOHq5zPTCjDoQ">
          <body>&quot;Identifies the security profile supported by the service. This object is used directly in conjunction with the Electronic Service Information object&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_MBjKQnyREeOHq5zPTCjDoQ" name="securityProfile" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MBjKQ3yREeOHq5zPTCjDoQ" annotatedElement="_MBjKQnyREeOHq5zPTCjDoQ">
            <body>&quot;A coded value that identifies, if appropriate, the security profile supported by the service.&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MBjKRHyREeOHq5zPTCjDoQ" name="securityProfileConstraints" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MBjKRXyREeOHq5zPTCjDoQ" annotatedElement="_MBjKRHyREeOHq5zPTCjDoQ">
            <body>&quot;A coded value that identifies, if appropriate, constraints supported by this SecurityProfile&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MBjKRnyREeOHq5zPTCjDoQ" name="securityProfileVersion" visibility="public">
          <ownedComment xmi:id="_MBjKR3yREeOHq5zPTCjDoQ" annotatedElement="_MBjKRnyREeOHq5zPTCjDoQ">
            <body>&quot;Version(s) of the security profile supported&quot; - ONC S&amp;I Clinical Element Data Dictionary (CEDD), March 2012.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Uw9KYHyREeOHq5zPTCjDoQ" name="electronicServiceInformation_providerDirectorySecurityProfile" memberEnd="_Uw9xcHyREeOHq5zPTCjDoQ _Uw_moHyREeOHq5zPTCjDoQ">
        <ownedEnd xmi:id="_Uw_moHyREeOHq5zPTCjDoQ" name="" visibility="public" type="_G3o9QHo4EeOKnMBxUzvJfA" association="_Uw9KYHyREeOHq5zPTCjDoQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_WEuk4KSdEeOi7v-AgUwKMQ" name="providerAffiliation_organizationalProvider" memberEnd="_WEvzAKSdEeOi7v-AgUwKMQ _WEy2UKSdEeOi7v-AgUwKMQ">
        <ownedEnd xmi:id="_WEy2UKSdEeOi7v-AgUwKMQ" name="" visibility="public" type="_KCfh0B2REd-4VI-lpu-JjQ" association="_WEuk4KSdEeOi7v-AgUwKMQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_NtDacPnIEeSJ3abZ9RQzyQ" name="organization_serviceDeliveryLocation" memberEnd="_NtEokPnIEeSJ3abZ9RQzyQ _NtGdwPnIEeSJ3abZ9RQzyQ">
        <ownedEnd xmi:id="_NtGdwPnIEeSJ3abZ9RQzyQ" name="" visibility="public" type="_420A62FD03B6418AA15801A9" association="_NtDacPnIEeSJ3abZ9RQzyQ"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_Ru8QoPnKEeSJ3abZ9RQzyQ" name="practiceAffiliation_serviceDeliveryLocation" memberEnd="_Ru9ewPnKEeSJ3abZ9RQzyQ _Ru_T8PnKEeSJ3abZ9RQzyQ">
        <ownedEnd xmi:id="_Ru_T8PnKEeSJ3abZ9RQzyQ" name="" visibility="public" type="_OJ2OMB2QEd-4VI-lpu-JjQ" association="_Ru8QoPnKEeSJ3abZ9RQzyQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_tCWkEJeiEeWqb554qzI9zg" name="networkAffiliation_network" memberEnd="_tCXyMJeiEeWqb554qzI9zg _tCZAUJeiEeWqb554qzI9zg">
        <ownedEnd xmi:id="_tCZAUJeiEeWqb554qzI9zg" name="" visibility="public" type="_YQIpgCu5Ed-mUrYY2zR9Jw" association="_tCWkEJeiEeWqb554qzI9zg"/>
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    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_vKAdQJ93EeGVHtLvLEEdog" name="PublicHealthReporting">
      <eAnnotations xmi:id="_vK51IJ93EeGVHtLvLEEdog" source="uml2.diagrams"/>
      <ownedComment xmi:id="_LEKBQNgeEeG3E4mt6RKX5Q">
        <body>The vital records organization is acting as an information source, not necessarily an encounter&#xD;
In fact, a provider organization might act as an information source and might not be involved in the provision of the service</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_L0_IMLGFEeGkU9GcFSzOCA" name="NotificationReportCategory">
        <ownedLiteral xmi:id="_PvdZsLGFEeGkU9GcFSzOCA" name="AdverseReaction"/>
        <ownedLiteral xmi:id="_ua-r0LGFEeGkU9GcFSzOCA" name="HospitalAcquiredInfection"/>
        <ownedLiteral xmi:id="_S84X8LGFEeGkU9GcFSzOCA" name="Outbreak"/>
        <ownedLiteral xmi:id="_VlKo0LGFEeGkU9GcFSzOCA" name="PublicHealthEvent"/>
        <ownedLiteral xmi:id="_Xsm2cLGFEeGkU9GcFSzOCA" name="PublicHealthExposure"/>
        <ownedLiteral xmi:id="_Zp63sLGFEeGkU9GcFSzOCA" name="PublicHealthCase"/>
        <ownedLiteral xmi:id="_jNgGwLGFEeGkU9GcFSzOCA" name="etc"/>
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      <packagedElement xmi:type="uml:Class" xmi:id="_O851ELC5EeGGPqUAHxbNLQ" name="NotificationReport">
        <eAnnotations xmi:id="_CQrLkME3EeGaarYM3EZ4Ww" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_CQ7qQME3EeGaarYM3EZ4Ww" key="EntryPoint"/>
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        <ownedComment xmi:id="_AmpikKCTEeO-_tuxzOR0Jg" annotatedElement="_O851ELC5EeGGPqUAHxbNLQ">
          <body>&quot;Information about a specific instance of reporting of the information associated with an incident or impact. As a general matter, this is information pulled together by an investigation. In the context of a particular investigation, this concept includes both reports received by the party responsible for the investigation, as well as reports received by that party.  In particular, the class comprises the initial report. This is an account provided by the PERSON who originally provided information about the event.&quot; - ICSR DAM, May 2006.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_xTf_0LF_EeGkU9GcFSzOCA" name="alertDateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zVuWQLF_EeGkU9GcFSzOCA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zVu9ULF_EeGkU9GcFSzOCA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_L-nXkLGAEeGkU9GcFSzOCA" name="reportCategory" visibility="public" type="_L0_IMLGFEeGkU9GcFSzOCA">
          <eAnnotations xmi:id="_Btca8BGBEeKu1LfuaJwFHw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_o0PdUKCSEeO-_tuxzOR0Jg" annotatedElement="_L-nXkLGAEeGkU9GcFSzOCA">
            <body>A categorization of the kind of report.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kdEf8LF_EeGkU9GcFSzOCA" name="reportDateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_74idEBGAEeKu1LfuaJwFHw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_7tm_cBGAEeKu1LfuaJwFHw" annotatedElement="_kdEf8LF_EeGkU9GcFSzOCA">
            <body>Date and time the report is being sent to public health agencies.&#xD;
&quot;This data element has the function of a timestamp and represents the equivalent of a version number for the ICSR. Every ICSR and every iteration (e.g. version) of an ICSR in a safety message must have a different value for Date of Creation. The most recent version of an ICSR will have the most recent date; previous versions of an ICSR will have older dates.&quot; - ICH E2B(R3), C.1.2&#xD;
The date that the Med Watch report was created.  Medwatch 3500 form question B.4; Medwatch 3500A form question B.4; Medwatch 3500B form question D.2; VAERS-1 form question 6.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_EAviELGAEeGkU9GcFSzOCA" name="reportId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_c5KycKCSEeO-_tuxzOR0Jg" annotatedElement="_EAviELGAEeGkU9GcFSzOCA">
            <body>A unique identifier assigned to the report by the author.&#xD;
&#xD;
&quot;An identifier for the ICSR that is unique&quot; - ICH E2B(R3), C.1.1</body>
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        </ownedAttribute>
        <ownedAttribute xmi:id="_YnpbsBIXEeK0rPN86AJEog" name="reportingSystem" visibility="public">
          <ownedComment xmi:id="_I5TeEBSJEeKpJeaG5gXc6Q" annotatedElement="_YnpbsBIXEeK0rPN86AJEog">
            <body>The system used to generate the report.</body>
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          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_l0f3gBIXEeK0rPN86AJEog" name="sendingSystem" visibility="public">
          <ownedComment xmi:id="_LRtf4BSJEeKpJeaG5gXc6Q" annotatedElement="_l0f3gBIXEeK0rPN86AJEog">
            <body>Information about the sending system.  May be the same as the 'reporting system' but does not have to be (e.g., HIE)</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_H1atkLGAEeGkU9GcFSzOCA" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <body>&quot;Indicate[s] that a previously transmitted ICSR is either considered completely void (nullified)..., or amended&quot; - ICH E2B(R3), C.1.11.1.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_aibvsLPYEeGd84AyH8JgAw" name="careGiver" visibility="public" type="_420A62FD03B6418A6B760063" association="_aiW3MLPYEeGd84AyH8JgAw">
          <ownedComment xmi:id="_dnUdALPYEeGd84AyH8JgAw" annotatedElement="_aibvsLPYEeGd84AyH8JgAw">
            <body>Identifies the person who provided care for the subject of the report.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_aidk4LPYEeGd84AyH8JgAw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_aidk4bPYEeGd84AyH8JgAw" value="1"/>
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        <ownedAttribute xmi:id="_5OU7oMxKEeGPzLWdRElHZQ" name="encounterEvent" visibility="public" type="_420A62FD03B64213F5B40316" association="_5OQqMMxKEeGPzLWdRElHZQ">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5OWJwMxKEeGPzLWdRElHZQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cy-3QNyvEeGh5_jMwegn_g" name="medicationHistory" visibility="public" type="_b9CpcEj4EeCSVeZMaVcw1Q" association="_cy6l0NyvEeGh5_jMwegn_g">
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        <ownedAttribute xmi:id="_nKxrINynEeGh5_jMwegn_g" name="moreInformationlProvider" visibility="public" type="_420A62FD03B6418A6B760063" association="_nKsyoNynEeGh5_jMwegn_g">
          <ownedComment xmi:id="_xbtvcNynEeGh5_jMwegn_g" annotatedElement="_nKxrINynEeGh5_jMwegn_g">
            <body>This information relates to the current or past provider information that may be contacted for additional follow up information.  The HCP may or may not be the report sender or primary source reporter</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nKy5QNynEeGh5_jMwegn_g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nKy5QdynEeGh5_jMwegn_g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CvRrcLGGEeGkU9GcFSzOCA" name="reportCreatedBy" visibility="public" type="_aW26cBsbEd--ZY2-pbJ-Pw" association="_CvMy8LGGEeGkU9GcFSzOCA">
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        </ownedAttribute>
        <ownedAttribute xmi:id="_K-qnYLGJEeGkU9GcFSzOCA" name="reportSentBy" visibility="public" type="_aW26cBsbEd--ZY2-pbJ-Pw" association="_K-m9ALGJEeGkU9GcFSzOCA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_K-sckLGJEeGkU9GcFSzOCA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_K-tDoLGJEeGkU9GcFSzOCA" value="1"/>
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        <ownedAttribute xmi:id="_XehsQLGHEeGkU9GcFSzOCA" name="reportSentTo" visibility="public" type="_420A62FD03B6418AA15801A9" association="_Xeda0LGHEeGkU9GcFSzOCA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Xei6YLGHEeGkU9GcFSzOCA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Xei6YbGHEeGkU9GcFSzOCA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_IyVY4LPdEeGd84AyH8JgAw" name="reportSubject" visibility="public" type="_420A62FD03B6418A4E500034" association="_IyTjsLPdEeGd84AyH8JgAw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IyV_8LPdEeGd84AyH8JgAw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IyWnALPdEeGd84AyH8JgAw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hNOh0LPaEeGd84AyH8JgAw" name="serviceDeliveryLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_hNJpULPaEeGd84AyH8JgAw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hNPv8LPaEeGd84AyH8JgAw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hNQXALPaEeGd84AyH8JgAw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_iL5_kAioEeKmtKel3KkMBA" name="exposure" visibility="public" type="_fxxKwAgsEeKpi5AGmkKVpg" association="_iL1uIAioEeKmtKel3KkMBA">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iL7NsQioEeKmtKel3KkMBA" value="*"/>
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        <ownedAttribute xmi:id="_qltcsAwuEeOmK_-AlU0SfQ" name="pregnancyMenstrualStatus" visibility="public" type="_c8AmgNymEeGh5_jMwegn_g" association="_qlsOkAwuEeOmK_-AlU0SfQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qluDwAwuEeOmK_-AlU0SfQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qluq0AwuEeOmK_-AlU0SfQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Package" xmi:id="_BOqVgJ94EeGVHtLvLEEdog" name="NewbornHearingScreening">
        <eAnnotations xmi:id="_BOsKsJ94EeGVHtLvLEEdog" source="uml2.diagrams"/>
        <packagedElement xmi:type="uml:Class" xmi:id="_2dI3MJ94EeGVHtLvLEEdog" name="NewbornHearingScreenReport">
          <ownedAttribute xmi:id="_-CCacKW3EeGMwKRzZx7F0w" name="method" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
          <ownedAttribute xmi:id="__3gVQKA7EeGlSr96AT8gww" name="reasonNotPerformed" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
          <ownedAttribute xmi:id="_qB9MwKW2EeGMwKRzZx7F0w" name="reasonNotReferred" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_11ZzYKW7EeGMwKRzZx7F0w"/>
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        <ownedAttribute xmi:id="_HYBw9dgiEeG3E4mt6RKX5Q" name="beginDate" visibility="public" type="_420A62FD03B64244824602F5"/>
        <ownedAttribute xmi:id="_HYC_ENgiEeG3E4mt6RKX5Q" name="endDate" visibility="public" type="_420A62FD03B64244824602F5"/>
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          <eAnnotations xmi:id="_HYBw8dgiEeG3E4mt6RKX5Q" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_HYBw8tgiEeG3E4mt6RKX5Q" annotatedElement="_HYBw8NgiEeG3E4mt6RKX5Q">
            <body>An identification of the Person or Animal while in the role of Patient.  This Identifier is basically an &quot;account number&quot;.  A single person will have multiple Patient Ids at various healthcare providers.  It is not uncommon for a person to have multiple Patient Ids or &quot;account numbers&quot; at a single institution - often a new account number is created for each episode of care.  This is also the case in long-term care situations, where a new account number may be created each month in order to facilitate monthly billing.&#xD;
&#xD;
&quot;Contains the list of identifiers (one or more) used by the healthcare facility to uniquely identify a patient (e.g., medical record number, billing number, birth registry, national unique individual identifier, etc.).&quot; - HL7 Version 2.8, PID-3.&#xD;
&quot;Contains the patient account number assigned by accounting to which all charges, payments, etc., are recorded.  It is used to identify the patient's account.&quot; - HL7 Version 2.8, PID-18.</body>
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          <ownedComment xmi:id="_HYCYAtgiEeG3E4mt6RKX5Q" annotatedElement="_HYCYANgiEeG3E4mt6RKX5Q">
            <body>Indicates the state of the Patient's record, as defined in the state-transition model in the HL7 RIM.  Examples include Active, Pending, Terminated, etc.  Additional states might be defined such as 'Temporary' or 'Permanent'.&#xD;
&#xD;
Note, for public health reporting purposes, this statusiIndicates the active/inactive status of the patient at the provider site level. See MIROW “Management of Moved or Gone Elsewhere (MOGE) and Other Patient Status Designations in IIS guidelines.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HYCYBNgiEeG3E4mt6RKX5Q" value="1"/>
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      <packagedElement xmi:type="uml:Package" xmi:id="_qqiIgOVYEeGXKJmgI97urQ" name="CoreCommon">
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      <packagedElement xmi:type="uml:Package" xmi:id="_NwhdwAgqEeKpi5AGmkKVpg" name="OccupationalHealth">
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          <ownedAttribute xmi:id="_ZANIMAisEeKmtKel3KkMBA" name="workedAfterSymptomOnset" visibility="public" type="_yQqY4LyGEeGK2djLWlLFew">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_n-z1gAisEeKmtKel3KkMBA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_n-0ckAisEeKmtKel3KkMBA" value="1"/>
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          <ownedAttribute xmi:id="_xIMb4AisEeKmtKel3KkMBA" name="levelOfTreatment" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_22JdMAisEeKmtKel3KkMBA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_22KEQAisEeKmtKel3KkMBA" value="*"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_fxxKwAgsEeKpi5AGmkKVpg" name="Exposure">
          <ownedAttribute xmi:id="_4joNMBF0EeKu1LfuaJwFHw" name="activity" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_kMRAkBF2EeKu1LfuaJwFHw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
            <ownedComment xmi:id="_4joNMRF0EeKu1LfuaJwFHw" annotatedElement="_4joNMBF0EeKu1LfuaJwFHw">
              <body>The activity at the time of the exposure or injury.  For Injury:  ICD-9-CM E-001 through E030 codes, ICD-10-CM Y-93 through Y-99 codes.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_dYg8MBFzEeKu1LfuaJwFHw" name="agent" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <ownedComment xmi:id="_xSAPIBFzEeKu1LfuaJwFHw" annotatedElement="_dYg8MBFzEeKu1LfuaJwFHw">
              <body>The name of the agent to which the patient was exposed or by which the patient was injured.  For Injury:  ICD-9-CM E-codes, ICD-10-CM V through Y-codes.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_lgx5QBFyEeKu1LfuaJwFHw" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_kMV5EBF2EeKu1LfuaJwFHw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
            <ownedComment xmi:id="_0X8h0BFyEeKu1LfuaJwFHw" annotatedElement="_lgx5QBFyEeKu1LfuaJwFHw">
              <body>Indicates the type of exposure (e.g., chemical, biological, physical, other).</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_Ilvl8BF1EeKu1LfuaJwFHw" name="circumstances" visibility="public">
            <eAnnotations xmi:id="_kMXuQBF2EeKu1LfuaJwFHw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
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          <ownedAttribute xmi:id="__NU6gBFzEeKu1LfuaJwFHw" name="exposureDuration" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_kMb_sBF2EeKu1LfuaJwFHw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_X_QRIBF2EeKu1LfuaJwFHw" name="injuryContext" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_kMcmwBF2EeKu1LfuaJwFHw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
            <ownedComment xmi:id="_alLKgBF2EeKu1LfuaJwFHw" annotatedElement="_X_QRIBF2EeKu1LfuaJwFHw">
              <body>Indicates whether the activity was due to work, both civilian and military, volunteering, or leisure.  ICD-9-CM E-000 code, ICD-10-CM Y-99 code.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_u_wqQBF0EeKu1LfuaJwFHw" name="location" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_kMdN0BF2EeKu1LfuaJwFHw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
            <ownedComment xmi:id="_u_wqQRF0EeKu1LfuaJwFHw" annotatedElement="_u_wqQBF0EeKu1LfuaJwFHw">
              <body>Indicates the place where the exposure / injury occurred (e.g., workplace, farm, etc).  For Injury:  ICD-9-CM E-849 codes , ICD-10-CM Y-92 codes.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_WXR68AioEeKmtKel3KkMBA" name="yearsInOccupation" visibility="public">
            <eAnnotations xmi:id="_kMeb8BF2EeKu1LfuaJwFHw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
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          <ownedAttribute xmi:id="_j8UNQAioEeKmtKel3KkMBA" name="employmentAtTimeOfExposure" visibility="public" type="_420A62FD03B6418A501902C7" association="_j8Qi4AioEeKmtKel3KkMBA">
            <eAnnotations xmi:id="_kMaKgBF2EeKu1LfuaJwFHw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
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        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_iL1uIAioEeKmtKel3KkMBA" name="notificationReport_exposure" memberEnd="_iL5_kAioEeKmtKel3KkMBA _iL-RAAioEeKmtKel3KkMBA">
          <ownedEnd xmi:id="_iL-RAAioEeKmtKel3KkMBA" name="" visibility="public" type="_O851ELC5EeGGPqUAHxbNLQ" association="_iL1uIAioEeKmtKel3KkMBA"/>
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        <packagedElement xmi:type="uml:Association" xmi:id="_j8Qi4AioEeKmtKel3KkMBA" name="exposure_employmentAtTimeOfExposure" memberEnd="_j8UNQAioEeKmtKel3KkMBA _j8Zs0AioEeKmtKel3KkMBA">
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_ONzH0AinEeKmtKel3KkMBA" name="CommunicableDiseaseReport">
        <generalization xmi:id="_UMCJAB94EeWsloQr5xbziw" general="_O851ELC5EeGGPqUAHxbNLQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_qlsOkAwuEeOmK_-AlU0SfQ" name="notificationReport_pregnancyMenstrualStatus" memberEnd="_qltcsAwuEeOmK_-AlU0SfQ _qlvR4AwuEeOmK_-AlU0SfQ">
        <ownedEnd xmi:id="_qlvR4AwuEeOmK_-AlU0SfQ" name="" visibility="public" type="_O851ELC5EeGGPqUAHxbNLQ" association="_qlsOkAwuEeOmK_-AlU0SfQ"/>
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    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_B7fCUE1QEd-ZC8uuCl8MVA" name="SecurityAndPrivacy">
      <eAnnotations xmi:id="_Q3ci8E1eEd-ZC8uuCl8MVA" source="uml2.diagrams"/>
      <ownedComment xmi:id="_11iyAHrzEd-JS-dJS9jZTw" annotatedElement="_hfoYYHTKEd-Bj4191_mrEA">
        <eAnnotations xmi:id="_ty2CMHHAEeSUPN3DMaTGrQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <body>The HL7 DAM contains two subclasses to illustrate the type of security/privacy policies that are inherent from the healthcare payment source.  Those two subclasses are examples of many potential kinds of policies, and would be 'fleshed out' in the terminology referenced by the code.</body>
      </ownedComment>
      <ownedComment xmi:id="_ilC8QHr0Ed-JS-dJS9jZTw" annotatedElement="_Y2fzUHr0Ed-JS-dJS9jZTw">
        <body>This class may need to be replaced by existing EHR concepts such as 'Problem' or 'Diagnosis'</body>
      </ownedComment>
      <ownedComment xmi:id="_jUps4Hr3Ed-JS-dJS9jZTw" annotatedElement="_xI6QAHAMEd-l74iZViAVdw">
        <body>The HL7 DAM has several subtypes, including Access, Collection, Disclosure, and Use.  These subclasses may be handled in the taxonomy referenced by the Code.</body>
      </ownedComment>
      <ownedComment xmi:id="_KnnpYLa2Ed-Y0_knsxZjWg" annotatedElement="_B7fCUE1QEd-ZC8uuCl8MVA">
        <body>The FHIM Security and Privacy domain models information related to access-control policies and their enforcement.  While historically security and patient-defined consent have been viewed as separate subjects, in effect they are enforced the same way, especially in a distributed environment.  For example, there is no functional difference between the enforcement of a corporate policy that declares that only mental health specialists can see mental health data and the enforcement of a patient’s directive to grant visibility of their mental-health related medications to their primary physician, but not to their dentist.&#xD;
The FHIM Security and Privacy domain is closely based on the HL7 Security and Privacy Domain Analysis Model (DAM) of May 2010.  There are however, several important differences between this FHIM model and the DAM:  a) The DAM has SecurityRole as a subtype of CompositePolicy.  We made it an association instead.  Then, because both BasicPolicy and CompositePolicy have associations to SecurityRole, we moved the association to Policy, which is the common supertype of both BasicPolicy and CompositePolicy.  b) The DAM models JurisdictionalOrganization and ProviderOrganization as subtypes of Authority.  Indeed, ProviderOrganization is also a subtype of Grantee (multiple-inheritance).  In the FHIM, ProviderOrganization and JurisidictionalOrganization are existing stand-alone concepts.  So we changed the inheritance relationship to association relationships.  c) The DAM models Patient and Population as subtypes of SubjectOfRecord.  In the FHIM, Patient and Population are existing stand-alone concepts.  So we changed the inheritance relationship to association relationships.&#xD;
There are some outstanding issues as well.  We need to better understand the PrivateInsurance and PublicServices classes.  These appear to mimic E/E/COB classes, but the purpose for these is unclear.  HL7 already has an exhaustive list of coverage types.  Should OrganizationalProvider be an Entity rather than a Role?</body>
      </ownedComment>
      <ownedComment xmi:id="_DvcdkCidEeS23qH9Mw5WGA" annotatedElement="_tny1wGqSEd-YrKaDhqmtYg">
        <body>HL7 DAM has UserIdentity linked to WorkstationLocation.  iEHR has it linked to CareSite</body>
      </ownedComment>
      <ownedComment xmi:id="_eZrYgCoyEeS9gfEvdy2nFQ" annotatedElement="_LNlLEO2tEeOQj9rMQfa4kA">
        <body>i.e, What you're credentialled for - Nurse</body>
      </ownedComment>
      <ownedComment xmi:id="_iklSsCoyEeS9gfEvdy2nFQ" annotatedElement="_amKV8Hr7Ed-JS-dJS9jZTw">
        <body>i.e., reflects a situational duty, e.g., Head Nurse</body>
      </ownedComment>
      <ownedComment xmi:id="_jxIMECo3EeS9gfEvdy2nFQ" annotatedElement="_VIZkIGqREd-YrKaDhqmtYg">
        <body>We're assuming that Security Role is a collection of Permissions.  Therefore, we've changed Functional Role and Structural Role from subtypes of Security Role to composites instead (because otherwise a security role could be a &quot;plain&quot; security role, a functional role, or a structural role, but never both a functional role and a security role at the same time.  Need to validate this.  If Security Role were recursive, then we could change back to subtypes rather than composites, if desired.</body>
      </ownedComment>
      <ownedComment xmi:id="_6AUHYDU1EeSyRvXkulLkwQ">
        <body>Permissions are related to privacy operations&#xD;
Example operations include: Collection, Access, Use, and Disclose</body>
      </ownedComment>
      <ownedComment xmi:id="_gG_jgDU2EeSyRvXkulLkwQ">
        <body>Permissions are related to security operations, not privacy operations&#xD;
Example operations include: Create, Read, Update, Delete, Execute</body>
      </ownedComment>
      <ownedComment xmi:id="_oguZIEswEeSHq5IIag-zlA" annotatedElement="_QQmfkHJkEd-yL6kuw0jWHQ">
        <body>e.g., must encrypt, do not redisclose</body>
      </ownedComment>
      <ownedComment xmi:id="_srZ0YEsxEeSHq5IIag-zlA" annotatedElement="_fPv5UG9MEd-NmaNtnOnl0g">
        <body>This class represents an atomic, standalone Policy.  It is abstract, and will be concretized by one of the subclasses.  It may be composed along with other atomic policies to form a Composite policy</body>
      </ownedComment>
      <ownedComment xmi:id="_c-DDUEs0EeSHq5IIag-zlA" annotatedElement="_ipBb0HAIEd-l74iZViAVdw">
        <body>e.g., Permission</body>
      </ownedComment>
      <ownedComment xmi:id="_qrV1kEs7EeSHq5IIag-zlA">
        <body>e.g. Doctor</body>
      </ownedComment>
      <ownedComment xmi:id="_r3ffoEs7EeSHq5IIag-zlA">
        <body>e.g., Medical Director</body>
      </ownedComment>
      <ownedComment xmi:id="_tkwSsEs7EeSHq5IIag-zlA">
        <body>e.g., Project Gutenberg</body>
      </ownedComment>
      <ownedComment xmi:id="_wU3p4Es7EeSHq5IIag-zlA">
        <body>e.g., Patient 123's HIV records</body>
      </ownedComment>
      <ownedComment xmi:id="_3SsXoEs7EeSHq5IIag-zlA">
        <body>e.g., HIV records</body>
      </ownedComment>
      <ownedComment xmi:id="_PdrU8Es8EeSHq5IIag-zlA">
        <body>Dr. Ioana</body>
      </ownedComment>
      <ownedComment xmi:id="_RjDtEEs8EeSHq5IIag-zlA">
        <body>Access to patient's HIV records is limited to users who are a)a doctor, b) a medical director, and c) a member of Project Gutenberg</body>
      </ownedComment>
      <ownedComment xmi:id="_wCR9sEs-EeSHq5IIag-zlA">
        <body>I can encrypt (or maybe: I promise I will encrypt)</body>
      </ownedComment>
      <ownedComment xmi:id="_m2LJEFY3EeS4Ftcws1EIJA">
        <body>The Grantee is the User</body>
      </ownedComment>
      <ownedComment xmi:id="_5kKSMFY3EeS4Ftcws1EIJA">
        <body>The Authority is the Grantor</body>
      </ownedComment>
      <ownedComment xmi:id="_oHtM8FY4EeS4Ftcws1EIJA">
        <body>High-level Security And Privacy classes resulting from discussions of Oct, 17th, 24th, and 31st.  Note the double underscores in front of the class names are used to distinguish these classes from the &quot;real&quot; classes.  These classes will be deleted once we have reached consensus on the overall structure and the &quot;real&quot; classes have been re-factored accordingly.</body>
      </ownedComment>
      <ownedComment xmi:id="_5Jn10FY4EeS4Ftcws1EIJA">
        <body>The Composite Contract combines a set of Basic (e.g., Atomic, or individual) Contracts or Policies to form a new, named Contract.&#xD;
e.g., &quot;Super User&quot; might combine several individual security policies, or &quot;42CFR&quot; might combine several individual privacy policies</body>
      </ownedComment>
      <ownedComment xmi:id="_0Vne0FY5EeS4Ftcws1EIJA">
        <body>High-level Security And Privacy classes resulting from discussions of Oct. 3rd.  Note the double underscores in front of the class names are used to distinguish these classes from the &quot;real&quot; classes.  These classes will be deleted once we have reached consensus on the overall structure and the &quot;real&quot; classes have been re-factored accordingly.</body>
      </ownedComment>
      <ownedComment xmi:id="_mvyIQF9uEeSFqYoAKiSQOQ">
        <body>In practice, we're talking about the Patient's Record, not the Patient</body>
      </ownedComment>
      <ownedComment xmi:id="_pgls0GA7EeSij9t9NrJMGg">
        <body>This might need to be deleted.  While this makes sense in RBAC, it's at the wrong level wrt Consent</body>
      </ownedComment>
      <ownedComment xmi:id="_KTuDcGEzEeSPK9L19J4xlQ">
        <body>Security</body>
      </ownedComment>
      <ownedComment xmi:id="_LizeAGE5EeSPK9L19J4xlQ">
        <body>Access, Collect, Use, Disclose</body>
      </ownedComment>
      <ownedComment xmi:id="_OXRJsGE5EeSPK9L19J4xlQ" annotatedElement="_HpEzYGE5EeSPK9L19J4xlQ">
        <body>CRUDE</body>
      </ownedComment>
      <ownedComment xmi:id="_yVlLIGE5EeSPK9L19J4xlQ">
        <body>This diagram shows all of the Terminology classes from the Security and Privacy package of the FHIM Terminology Model</body>
      </ownedComment>
      <ownedComment xmi:id="_QCbxYGFBEeSPK9L19J4xlQ">
        <body>This diagram contains all of the current Security and Privacy classes under consideration.  This is a work in progress, as we attempt now to refactor the model&#xD;
See also the HighLevelOverview1 and HighLevelOverview2 diagrams</body>
      </ownedComment>
      <ownedComment xmi:id="_8QNIUGa3EeS5RO2EirOuRQ">
        <body>Question for SEcurity WG:</body>
      </ownedComment>
      <ownedComment xmi:id="_qA3JYGa_EeS5RO2EirOuRQ">
        <body>Do we still need hierarchical group?</body>
      </ownedComment>
      <ownedComment xmi:id="_sFLVEGbAEeS5RO2EirOuRQ">
        <body>A care team is a good example of a functional group</body>
      </ownedComment>
      <ownedComment xmi:id="_63tVQGbAEeS5RO2EirOuRQ">
        <body>Captain or better</body>
      </ownedComment>
      <ownedComment xmi:id="_qbQpwHpwEeSAJvGNScj2Vw" annotatedElement="_tny1wGqSEd-YrKaDhqmtYg">
        <body>Rename to Entity</body>
      </ownedComment>
      <ownedComment xmi:id="_z4s0UH_xEeSDnJHG5e-w4A" annotatedElement="_addOAG6jEeS25q3D6U-JoQ">
        <body>Add a &quot;representation&quot;to the policy so we can indicate what form the policy (contract) is in (e.g., scanned image, etc</body>
      </ownedComment>
      <ownedComment xmi:id="_tQR5YH_yEeSDnJHG5e-w4A" annotatedElement="_hTmc4G9LEd-NmaNtnOnl0g">
        <body>Add mime type to the uri</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_9qFd8HS0Ed-Bj4191_mrEA" name="Population">
        <ownedComment xmi:id="_wOjVEIVLEd-6PJo369YzhQ" annotatedElement="_9qFd8HS0Ed-Bj4191_mrEA">
          <body>'2.a) a body of persons or individuals having a quality or characteristic in common.  3) a group of individual persons, objects, or items from which samples are taken for statistical measurement'  - Merriam-Webster's Medical Dictionary</body>
        </ownedComment>
        <ownedAttribute xmi:id="_mKNy0HS3Ed-Bj4191_mrEA" name="description" visibility="public">
          <ownedComment xmi:id="_bNhq8IVOEd-6PJo369YzhQ" annotatedElement="_mKNy0HS3Ed-Bj4191_mrEA">
            <body>A textual description of the population</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dA_t8JcTEeKrZbQHxGBj5A" name="existenceDateRange" visibility="public" type="_420A62FD03B642387187004E"/>
        <ownedAttribute xmi:id="_i554oHS3Ed-Bj4191_mrEA" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_XDsHwIVOEd-6PJo369YzhQ" annotatedElement="_i554oHS3Ed-Bj4191_mrEA">
            <body>Uniquely identifies the population.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_I24ZYF9zEd-WjrW-OJ9BNQ" name="ConsentDirective">
        <ownedComment xmi:id="_I24ZYV9zEd-WjrW-OJ9BNQ" annotatedElement="_I24ZYF9zEd-WjrW-OJ9BNQ">
          <body>This class is the focal class representing a set of consent directives issued by a consenter on behalf of self or someone else. This class is the root class or the entry class into the Consent Directive structure.&#xD;
&#xD;
Note: There used to be a class called &quot;PublishedConsent&quot; the definition of which was: >>This specialization of the ConsentDirective class is used to describe a consent directive published to a registry. If a client s consent directive is published, a URL/URI is made available for reference. The client may use this URI to allow providers access to the consent directive created by the consenter.&lt;&lt;.  I've moved the uri property to this class and deleted the Published Consent class.</body>
        </ownedComment>
        <generalization xmi:id="_nw1_gIV0EeS3cbjm-3wXHw" general="_5EwdkFYwEeS4Ftcws1EIJA"/>
        <ownedAttribute xmi:id="_X-gB8ILHEeOhJYPrkEyrGw" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_mlm1QILHEeOhJYPrkEyrGw" annotatedElement="_X-gB8ILHEeOhJYPrkEyrGw">
            <body>A categorization of the Consent Directive.  Added due to CEDD mapping.  Possible values include New; Update.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_I24ZZl9zEd-WjrW-OJ9BNQ" name="documentImage" visibility="public">
          <ownedComment xmi:id="_I24ZZ19zEd-WjrW-OJ9BNQ" annotatedElement="_I24ZZl9zEd-WjrW-OJ9BNQ">
            <body>This optional attribute references a signed paper document containing the client's consent directive.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_I24ZaV9zEd-WjrW-OJ9BNQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_I24ZaF9zEd-WjrW-OJ9BNQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_I24Zal9zEd-WjrW-OJ9BNQ" name="effectiveTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_I24Za19zEd-WjrW-OJ9BNQ" annotatedElement="_I24Zal9zEd-WjrW-OJ9BNQ">
            <body>This attribute specifies the date when the policy/consent is in effect.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_I24ZeF9zEd-WjrW-OJ9BNQ" name="expirationTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_I24ZeV9zEd-WjrW-OJ9BNQ" annotatedElement="_I24ZeF9zEd-WjrW-OJ9BNQ">
            <body> This attribute specifies when the consent directive automatically expires.  A consent directive may be revoked prior to its expiration date.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_I24Ze19zEd-WjrW-OJ9BNQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_I24Zel9zEd-WjrW-OJ9BNQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_I24ZYl9zEd-WjrW-OJ9BNQ" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_I24ZY19zEd-WjrW-OJ9BNQ" annotatedElement="_I24ZYl9zEd-WjrW-OJ9BNQ">
            <body> Unique identifier that refers to a specific Consent Directive instance.  This id or the published URI may be used to lookup the client's consent directives in order to apply them to the collection, access, use, or disclosure of health records.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_I24Zf19zEd-WjrW-OJ9BNQ" name="_delete_revocationReason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_I24ZgF9zEd-WjrW-OJ9BNQ" annotatedElement="_I24Zf19zEd-WjrW-OJ9BNQ">
            <body>This attribute is used to specify the reason for revoking a Consent Directive, e.g., requested vs. correction/error.  An error would be a discrepancy between the intent of Consent Directive (as communicated by the Consenter) and that which was entered into the Consent Directive Management System (CDMS).</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_I24ZZF9zEd-WjrW-OJ9BNQ" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_I24ZZV9zEd-WjrW-OJ9BNQ" annotatedElement="_I24ZZF9zEd-WjrW-OJ9BNQ">
            <body>This attribute indicates whether the consent directive is active or not.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kCgsIF-SEd-WjrW-OJ9BNQ" name="consentAuthor" visibility="public" type="_5JUjQF-REd-WjrW-OJ9BNQ" association="_kCXiMF-SEd-WjrW-OJ9BNQ">
          <ownedComment xmi:id="_RJKQMHsgEd-46pruQ3sQtQ" annotatedElement="_kCgsIF-SEd-WjrW-OJ9BNQ">
            <body>Identifies the person who created or 'authored' the consent directive</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kCgsIV-SEd-WjrW-OJ9BNQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kCgsIl-SEd-WjrW-OJ9BNQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_I24ZfF9zEd-WjrW-OJ9BNQ" name="replacesDirective" visibility="public" type="_I24ZYF9zEd-WjrW-OJ9BNQ" association="_I3LUVF9zEd-WjrW-OJ9BNQ">
          <ownedComment xmi:id="_WHc5sHshEd-46pruQ3sQtQ" annotatedElement="_I24ZfF9zEd-WjrW-OJ9BNQ">
            <body>Points to a previous Consent Directive superseded by the current instance.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_I24Zfl9zEd-WjrW-OJ9BNQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_I24ZfV9zEd-WjrW-OJ9BNQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ksEUkHWNEd-2SM6vxH_lvw" name="subjectOfConsent" visibility="public" type="_420A62FD03B6418A4E500034" association="_kr6jkHWNEd-2SM6vxH_lvw">
          <ownedComment xmi:id="_h83d8HsgEd-46pruQ3sQtQ" annotatedElement="_ksEUkHWNEd-2SM6vxH_lvw">
            <body>Identifies the person to whom the consent directive applies.  This person may or may not be the same person as the consent author, as in the case where the patient is a minor child or an incapacitated person.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ksEUkXWNEd-2SM6vxH_lvw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ksEUknWNEd-2SM6vxH_lvw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uH9zAClFEeSWGNB-ZzXnBA" name="uri" visibility="public">
          <ownedComment xmi:id="_kiF0EG9FEeSezfXyjIFZ7Q" annotatedElement="_uH9zAClFEeSWGNB-ZzXnBA">
            <body>If a specific consent directive (for a client) is published, this attribute provides the means to locate and download the consent directive from a registry.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uH9zAilFEeSWGNB-ZzXnBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uH9zASlFEeSWGNB-ZzXnBA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_aigH8ClIEeSWGNB-ZzXnBA" name="consenter" visibility="public" type="_XluxcF-JEd-WjrW-OJ9BNQ" aggregation="composite" association="_aifg4ClIEeSWGNB-ZzXnBA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_aihWEClIEeSWGNB-ZzXnBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_aihWESlIEeSWGNB-ZzXnBA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-6GRkW6gEeS25q3D6U-JoQ" name="dataEnterer" visibility="public" type="_HxX44Aq7Ed-426xscrxYmQ" association="_-6GRkG6gEeS25q3D6U-JoQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-6QCkG6gEeS25q3D6U-JoQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-6QCkW6gEeS25q3D6U-JoQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__Xwd8W6gEeS25q3D6U-JoQ" name="witness" visibility="public" type="_sPa3sP2JEd-vp-CAyKeWfQ" association="__Xwd8G6gEeS25q3D6U-JoQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__Xwd8m6gEeS25q3D6U-JoQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__Xwd826gEeS25q3D6U-JoQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_I3LUVF9zEd-WjrW-OJ9BNQ" name="consentDirective_replacesDirective" memberEnd="_I24ZfF9zEd-WjrW-OJ9BNQ _I3LUVV9zEd-WjrW-OJ9BNQ">
        <ownedEnd xmi:id="_I3LUVV9zEd-WjrW-OJ9BNQ" name="" visibility="public" type="_I24ZYF9zEd-WjrW-OJ9BNQ" association="_I3LUVF9zEd-WjrW-OJ9BNQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_I3LUV19zEd-WjrW-OJ9BNQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_I3LUVl9zEd-WjrW-OJ9BNQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_XluxcF-JEd-WjrW-OJ9BNQ" name="Consenter">
        <ownedComment xmi:id="_XluxcV-JEd-WjrW-OJ9BNQ" annotatedElement="_XluxcF-JEd-WjrW-OJ9BNQ">
          <body> This class is intended to capture the properties of a Consenter/Substitute Decision Maker - see 'Actors'.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_Xluxc1-JEd-WjrW-OJ9BNQ" name="relationship" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_XluxdF-JEd-WjrW-OJ9BNQ" annotatedElement="_Xluxc1-JEd-WjrW-OJ9BNQ">
            <body>This coded attribute is intended to specify the relationship between the consenter and the client (e.g., the Patient).  This may be a Substitute Decisions Maker, a legal guardian, etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XluxdV-JEd-WjrW-OJ9BNQ" name="digitalSignature" visibility="public">
          <ownedComment xmi:id="_Xluxdl-JEd-WjrW-OJ9BNQ" annotatedElement="_XluxdV-JEd-WjrW-OJ9BNQ">
            <body>This attribute is used to store the consenter's signature.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XluxeF-JEd-WjrW-OJ9BNQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Xluxd1-JEd-WjrW-OJ9BNQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XluxeV-JEd-WjrW-OJ9BNQ" name="signatureRecorded" visibility="public">
          <ownedComment xmi:id="_Xluxel-JEd-WjrW-OJ9BNQ" annotatedElement="_XluxeV-JEd-WjrW-OJ9BNQ">
            <body>If a digital signature is not allowed by policy, this attribute indicates whether a signature was captured.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XluxfF-JEd-WjrW-OJ9BNQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Xluxe1-JEd-WjrW-OJ9BNQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XluxfV-JEd-WjrW-OJ9BNQ" name="name" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ">
          <eAnnotations xmi:id="_US5MECk9EeSWGNB-ZzXnBA" source="http://www.eclipse.org/uml2/2.0.0/UML">
            <details xmi:id="_US5MESk9EeSWGNB-ZzXnBA" key="deprecated?"/>
          </eAnnotations>
          <ownedComment xmi:id="_NvdekHsiEd-46pruQ3sQtQ" annotatedElement="_XluxfV-JEd-WjrW-OJ9BNQ">
            <body>Contains the name of the person who granted consent.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Xluxf1-JEd-WjrW-OJ9BNQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Xluxfl-JEd-WjrW-OJ9BNQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_h4U-cV-QEd-WjrW-OJ9BNQ" name="client" visibility="public" type="_420A62FD03B6418A4E500034" association="_h4U-cF-QEd-WjrW-OJ9BNQ">
          <ownedComment xmi:id="_3Ss9oHshEd-46pruQ3sQtQ" annotatedElement="_h4U-cV-QEd-WjrW-OJ9BNQ">
            <body>Identifies the person to whom the consent directive applies.  This person may or may not be the same person as the consent author, as in the case where the patient is a minor child or an incapacitated person.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_h4U-cl-QEd-WjrW-OJ9BNQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_h4U-c1-QEd-WjrW-OJ9BNQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Op64UXr5Ed-JS-dJS9jZTw" name="grantee" visibility="public" type="_owU90HJkEd-yL6kuw0jWHQ" association="_Op64UHr5Ed-JS-dJS9jZTw">
          <ownedComment xmi:id="__Zs58HshEd-46pruQ3sQtQ" annotatedElement="_Op64UXr5Ed-JS-dJS9jZTw">
            <body>Designates who/what has been delegated a specific right.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Op64Unr5Ed-JS-dJS9jZTw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Op64U3r5Ed-JS-dJS9jZTw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_j7k3UF-KEd-WjrW-OJ9BNQ" name="PrivacyRule">
        <ownedComment xmi:id="_j7k3UV-KEd-WjrW-OJ9BNQ" annotatedElement="_j7k3UF-KEd-WjrW-OJ9BNQ">
          <body>A privacy or consent rule specifies the permission allowed to a user type by the consenter for a specific type of information. The person consenting may be either the subject of the record or a designated Substitute Decision Maker. One or more consent rules comprise a consent directive or privacy policy.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_w0kVcClAEeSWGNB-ZzXnBA" name="accessRestrictionOverride" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_w0kVcilAEeSWGNB-ZzXnBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_w0kVcSlAEeSWGNB-ZzXnBA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_j7k3Zl-KEd-WjrW-OJ9BNQ" name="effectiveTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_j7k3Z1-KEd-WjrW-OJ9BNQ" annotatedElement="_j7k3Zl-KEd-WjrW-OJ9BNQ">
            <body>This attribute specifies the date/time when the Privacy Policy comes into effect.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BXkLkHGsEeSUPN3DMaTGrQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BXkLkXGsEeSUPN3DMaTGrQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_j7k3aV-KEd-WjrW-OJ9BNQ" name="enablesOperation" visibility="public">
          <ownedComment xmi:id="_j7k3al-KEd-WjrW-OJ9BNQ" annotatedElement="_j7k3aV-KEd-WjrW-OJ9BNQ">
            <body>Enables the operation (e.g., disclosure) or disables it depending on its value.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <defaultValue xmi:type="uml:LiteralBoolean" xmi:id="_j7k3a1-KEd-WjrW-OJ9BNQ">
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_j7k3Xl-KEd-WjrW-OJ9BNQ" name="refrainCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_j7k3X1-KEd-WjrW-OJ9BNQ" annotatedElement="_j7k3Xl-KEd-WjrW-OJ9BNQ">
            <body>This coded attribute specifies a pre-defined obligation associated with a policy or consent.    The Obligation Code is an Act.Code&#xD;
&#xD;
10/2014: This code was really meant to convey refrains, e.g., do not redisclose.  Renamed from obligationCode to RefrainCode</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_j7k3YV-KEd-WjrW-OJ9BNQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_j7k3YF-KEd-WjrW-OJ9BNQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CO1o8Xr_Ed-JS-dJS9jZTw" name="operation" visibility="public" type="_xI6QAHAMEd-l74iZViAVdw" association="_CO1o8Hr_Ed-JS-dJS9jZTw">
          <ownedComment xmi:id="_3ocnUHslEd-46pruQ3sQtQ" annotatedElement="_CO1o8Xr_Ed-JS-dJS9jZTw">
            <body>Identifies the type of operation (i.e., collection, access, use, or disclosure) of a specific type of protected information referenced by the Privacy Rule.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CO_Z8Hr_Ed-JS-dJS9jZTw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CO_Z8Xr_Ed-JS-dJS9jZTw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_O1o_kClFEeSWGNB-ZzXnBA" name="privacyPolicyLawType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_O1o_kilFEeSWGNB-ZzXnBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_O1o_kSlFEeSWGNB-ZzXnBA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_j7k3Yl-KEd-WjrW-OJ9BNQ" name="purposeOfUse" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_j7k3Y1-KEd-WjrW-OJ9BNQ" annotatedElement="_j7k3Yl-KEd-WjrW-OJ9BNQ">
            <body>This attribute is used to specify the purpose to permit a specific type of action/operation according to the policy. Example: TREATMENT    The PurposeCode is an Act.ReasonCode</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_j7k3ZV-KEd-WjrW-OJ9BNQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_j7k3ZF-KEd-WjrW-OJ9BNQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VQ8IQXr8Ed-JS-dJS9jZTw" name="includedRole" visibility="public" type="_xro5MHr6Ed-JS-dJS9jZTw" association="_VQ8IQHr8Ed-JS-dJS9jZTw">
          <ownedComment xmi:id="_jEeM8HslEd-46pruQ3sQtQ" annotatedElement="_VQ8IQXr8Ed-JS-dJS9jZTw">
            <body>Identifies a particular the role of a user of a computer system that is referenced by the Privacy Rule.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VQ8IQnr8Ed-JS-dJS9jZTw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VRF5QHr8Ed-JS-dJS9jZTw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uuIpcXr-Ed-JS-dJS9jZTw" name="informationType" visibility="public" type="_0XuewHJkEd-yL6kuw0jWHQ" association="_uuIpcHr-Ed-JS-dJS9jZTw">
          <ownedComment xmi:id="_pdLbcHslEd-46pruQ3sQtQ" annotatedElement="_uuIpcXr-Ed-JS-dJS9jZTw">
            <body>Identifies the type of protected information referenced by the Privacy Rule.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uuIpcnr-Ed-JS-dJS9jZTw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uuIpc3r-Ed-JS-dJS9jZTw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jxDCgClFEeSWGNB-ZzXnBA" name="privacyPolicy" visibility="public" type="_5dPvYF-SEd-WjrW-OJ9BNQ" association="_jxCbcClFEeSWGNB-ZzXnBA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jxDpkClFEeSWGNB-ZzXnBA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jxEQoClFEeSWGNB-ZzXnBA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_vCX64ClHEeSWGNB-ZzXnBA" name="_new_Grantor" visibility="public" type="_tyWXUCigEeS23qH9Mw5WGA" aggregation="composite" association="_vCXT0ClHEeSWGNB-ZzXnBA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vCYh8ClHEeSWGNB-ZzXnBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vCZJAClHEeSWGNB-ZzXnBA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_yHIFUClHEeSWGNB-ZzXnBA" name="securityRole" visibility="public" type="_VIZkIGqREd-YrKaDhqmtYg" aggregation="composite" association="_yHHeQClHEeSWGNB-ZzXnBA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_yHIsYClHEeSWGNB-ZzXnBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_yHIsYSlHEeSWGNB-ZzXnBA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0Get8ClHEeSWGNB-ZzXnBA" name="grantee" visibility="public" type="_owU90HJkEd-yL6kuw0jWHQ" aggregation="composite" association="_0Gdf0ClHEeSWGNB-ZzXnBA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0GfVAClHEeSWGNB-ZzXnBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0GfVASlHEeSWGNB-ZzXnBA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2s59oClHEeSWGNB-ZzXnBA" name="healthcareProvider" visibility="public" type="_aW26cBsbEd--ZY2-pbJ-Pw" aggregation="composite" association="_2s4vgClHEeSWGNB-ZzXnBA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2s6ksClHEeSWGNB-ZzXnBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2s6ksSlHEeSWGNB-ZzXnBA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_c_qoIXr0Ed-JS-dJS9jZTw" name="relatedCondition" visibility="public" type="_Y2fzUHr0Ed-JS-dJS9jZTw" association="_c_qoIHr0Ed-JS-dJS9jZTw">
          <ownedComment xmi:id="_68D0gHsiEd-46pruQ3sQtQ" annotatedElement="_c_qoIXr0Ed-JS-dJS9jZTw">
            <body>The health condition(s) associated with the policy. Conditions when specified, are coded concepts expressed in a standard vocabulary (e.g., LOINC, SNOMED CT, etc.). These may include indications of 'substance abuse' or 'HIV-related' illnesses, etc. An obligationCode may be implemented as a 'condition'.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_c_qoInr0Ed-JS-dJS9jZTw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_c_qoI3r0Ed-JS-dJS9jZTw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_VVHncF-OEd-WjrW-OJ9BNQ" name="SharedSecret">
        <ownedComment xmi:id="_2FfgcHsdEd-46pruQ3sQtQ" annotatedElement="_VVHncF-OEd-WjrW-OJ9BNQ">
          <body>This class represents additional properties of the Patient when communicating with them electronically.  This class was called simply 'Patient' in the HL7 Security and Privacy DAM, the definition of which is: 'This class is intended to capture the properties of a Consenter/Client or 'Patient'. See 'Actors' specified in the Use Case Analysis for additional detail. A consenter may be the person whose preferences it represents or their designated Substitute Decision Maker (SDM).'&#xD;
&#xD;
Renamed from PatientITUser to SharedSecret on 11/14/2014</body>
        </ownedComment>
        <generalization xmi:id="_W6JEgF-OEd-WjrW-OJ9BNQ" general="_420A62FD03B6418A4E500034"/>
        <generalization xmi:id="_1RBBAGw7EeSoMeT7McMAzQ" general="_A-8yIBQ0EeSD88_PCU-7fQ"/>
        <ownedAttribute xmi:id="_YJt2AF-OEd-WjrW-OJ9BNQ" name="sharedSecret" visibility="public">
          <ownedComment xmi:id="_-E7NcHsjEd-46pruQ3sQtQ" annotatedElement="_YJt2AF-OEd-WjrW-OJ9BNQ">
            <body>This keyword/shared secret may be used by a patient to provide temporary access to their electronic health records.  This attribute is required to support use case P.12 originated in Canada.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_h4U-cF-QEd-WjrW-OJ9BNQ" name="consenter_client" memberEnd="_h4U-cV-QEd-WjrW-OJ9BNQ _h4U-dF-QEd-WjrW-OJ9BNQ">
        <ownedEnd xmi:id="_h4U-dF-QEd-WjrW-OJ9BNQ" name="" visibility="public" type="_XluxcF-JEd-WjrW-OJ9BNQ" association="_h4U-cF-QEd-WjrW-OJ9BNQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5JUjQF-REd-WjrW-OJ9BNQ" name="ConsentAuthor">
        <ownedComment xmi:id="_81nwcHsdEd-46pruQ3sQtQ" annotatedElement="_5JUjQF-REd-WjrW-OJ9BNQ">
          <body>A participation by which a person in the role of 'Consenter' creates or 'authors' a Consent Directive.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_7OF3YV-REd-WjrW-OJ9BNQ" name="consenter" visibility="public" type="_XluxcF-JEd-WjrW-OJ9BNQ" association="_7OF3YF-REd-WjrW-OJ9BNQ">
          <ownedComment xmi:id="_RsnikHsgEd-46pruQ3sQtQ" annotatedElement="_7OF3YV-REd-WjrW-OJ9BNQ">
            <body>Identifies the person who created or 'authored' the consent directive</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7OPoYF-REd-WjrW-OJ9BNQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7OPoYV-REd-WjrW-OJ9BNQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__pzNsF-REd-WjrW-OJ9BNQ" name="functionCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_3g2ZQHsfEd-46pruQ3sQtQ" annotatedElement="__pzNsF-REd-WjrW-OJ9BNQ">
            <body>Further defines the kind of participation by which a person in the role of 'Consenter' creates or 'authors' a Consent Directive.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_7OF3YF-REd-WjrW-OJ9BNQ" name="consentAuthor_consenter" memberEnd="_7OF3YV-REd-WjrW-OJ9BNQ _7OPoYl-REd-WjrW-OJ9BNQ">
        <ownedEnd xmi:id="_7OPoYl-REd-WjrW-OJ9BNQ" name="" visibility="public" type="_5JUjQF-REd-WjrW-OJ9BNQ" association="_7OF3YF-REd-WjrW-OJ9BNQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_kCXiMF-SEd-WjrW-OJ9BNQ" name="consentDirective_consentAuthor" memberEnd="_kCgsIF-SEd-WjrW-OJ9BNQ _kCgsI1-SEd-WjrW-OJ9BNQ">
        <ownedEnd xmi:id="_kCgsI1-SEd-WjrW-OJ9BNQ" name="" visibility="public" type="_I24ZYF9zEd-WjrW-OJ9BNQ" association="_kCXiMF-SEd-WjrW-OJ9BNQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kCgsJF-SEd-WjrW-OJ9BNQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kCgsJV-SEd-WjrW-OJ9BNQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_5dPvYF-SEd-WjrW-OJ9BNQ" name="AtomicPrivacyPolicy">
        <ownedComment xmi:id="_5dPvYV-SEd-WjrW-OJ9BNQ" annotatedElement="_5dPvYF-SEd-WjrW-OJ9BNQ">
          <body>This is the main/focal class for electronic privacy policies. It contains a set of rules that are intended to be enforced by security systems and are used as the basis for client consent directives.&#xD;
&#xD;
Note: There used to be a class called &quot;PublishedPrivacyPolicy&quot; the definition of which was: >>This class encapsulates the location of a human-readable version of the Electronic Privacy Policy. The human-readable version is accessible to any authorized system and user via the supplied URI.&lt;&lt;.  I deleted the Published Consent class on 11/14/14.  The only property of that class was a uri, which is in the base class (Policy(Abstract)) of this class, so I did not have to move it.</body>
        </ownedComment>
        <generalization xmi:id="_fJ46MG6eEeS25q3D6U-JoQ" general="_YmxWAFY1EeS4Ftcws1EIJA"/>
        <ownedAttribute xmi:id="_lRdM8CijEeS23qH9Mw5WGA" name="privacyPolicyType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_lRdM8iijEeS23qH9Mw5WGA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_lRdM8SijEeS23qH9Mw5WGA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KCG7sXslEd-46pruQ3sQtQ" name="grantee" visibility="public" type="_owU90HJkEd-yL6kuw0jWHQ" association="_KCG7sHslEd-46pruQ3sQtQ">
          <ownedComment xmi:id="_Op4_IHslEd-46pruQ3sQtQ" annotatedElement="_KCG7sXslEd-46pruQ3sQtQ">
            <body>Designates who/what has been delegated a specific right.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KCG7snslEd-46pruQ3sQtQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KCG7s3slEd-46pruQ3sQtQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rUHkMXr_Ed-JS-dJS9jZTw" name="privacyRuleList" visibility="public" type="_WawnkF-TEd-WjrW-OJ9BNQ" association="_rUHkMHr_Ed-JS-dJS9jZTw">
          <ownedComment xmi:id="_418HcHsgEd-46pruQ3sQtQ" annotatedElement="_rUHkMXr_Ed-JS-dJS9jZTw">
            <body>A list of zero or more privacy rules applicable to this consent directive.  A privacy rule specifies the permission allowed to a user type by the consenter for a specific type of information. The person consenting may be either the subject of the record or a designated Substitute Decision Maker. One or more consent rules comprise a consent directive or privacy policy.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rUHkMnr_Ed-JS-dJS9jZTw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rUHkM3r_Ed-JS-dJS9jZTw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gG6TEClFEeSWGNB-ZzXnBA" name="privacyRule" visibility="public" type="_j7k3UF-KEd-WjrW-OJ9BNQ" aggregation="composite" association="_gG2osClFEeSWGNB-ZzXnBA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gG7hMClFEeSWGNB-ZzXnBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gG8IQClFEeSWGNB-ZzXnBA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_WawnkF-TEd-WjrW-OJ9BNQ" name="PrivacyRuleList">
        <ownedComment xmi:id="_U_deQHseEd-46pruQ3sQtQ" annotatedElement="_WawnkF-TEd-WjrW-OJ9BNQ">
          <body>An Act Relationship which describes the sequence in which Privacy Rules are to be processed as part of a Privacy Policy or a Consent Directive.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_bKvkwV-TEd-WjrW-OJ9BNQ" name="privacyRule" visibility="public" type="_j7k3UF-KEd-WjrW-OJ9BNQ" association="_bKvkwF-TEd-WjrW-OJ9BNQ">
          <ownedComment xmi:id="_z28SUHsqEd-46pruQ3sQtQ" annotatedElement="_bKvkwV-TEd-WjrW-OJ9BNQ">
            <body>A privacy or consent rule specifies the permission allowed to a user type by the consenter for a specific type of information. The person consenting may be either the subject of the record or a designated Substitute Decision Maker. One or more consent rules comprise a consent directive or privacy policy.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bKvkwl-TEd-WjrW-OJ9BNQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bKvkw1-TEd-WjrW-OJ9BNQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dVdv4F-TEd-WjrW-OJ9BNQ" name="sequenceNumber" visibility="public">
          <ownedComment xmi:id="_0Uq-sHr_Ed-JS-dJS9jZTw" annotatedElement="_dVdv4F-TEd-WjrW-OJ9BNQ">
            <body>This attribute specifies the sequence of a specific consent directive in the Consent Directive set.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_bKvkwF-TEd-WjrW-OJ9BNQ" name="privacyRuleList_privacyRule" memberEnd="_bKvkwV-TEd-WjrW-OJ9BNQ _bKvkxF-TEd-WjrW-OJ9BNQ">
        <ownedEnd xmi:id="_bKvkxF-TEd-WjrW-OJ9BNQ" name="" visibility="public" type="_WawnkF-TEd-WjrW-OJ9BNQ" association="_bKvkwF-TEd-WjrW-OJ9BNQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_VIZkIGqREd-YrKaDhqmtYg" name="SecurityRole">
        <ownedComment xmi:id="_ajB74HsbEd-46pruQ3sQtQ" annotatedElement="_VIZkIGqREd-YrKaDhqmtYg">
          <body>ISO-22600 specifies a role as 'set of competences and/or performances which is associated with a task'. A role is a specialization of CompositePolicy that define a group of policies (authorization, obligation, delegation and refrain policies).</body>
        </ownedComment>
        <ownedAttribute xmi:id="_XuzJMGqSEd-YrKaDhqmtYg" name="authorityIdentifierName" visibility="public">
          <ownedComment xmi:id="_gJxKYGqSEd-YrKaDhqmtYg" annotatedElement="_XuzJMGqSEd-YrKaDhqmtYg">
            <body>This attribute is defined by ISO 22600-2 as 'String'.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kHrxcGqSEd-YrKaDhqmtYg" name="description" visibility="public">
          <ownedComment xmi:id="_kHrxcWqSEd-YrKaDhqmtYg" annotatedElement="_kHrxcGqSEd-YrKaDhqmtYg">
            <body>This attribute is defined by ISO 22600-2 as 'CodedSimpleValue'.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CWIigGqSEd-YrKaDhqmtYg" name="name" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_IlCUwGqSEd-YrKaDhqmtYg" annotatedElement="_CWIigGqSEd-YrKaDhqmtYg">
            <body>This attribute is defined by ISO 22600-2 as 'CodedSimpleValue'.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4Qvm4GqREd-YrKaDhqmtYg" name="objectIdentifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_4Qvm4WqREd-YrKaDhqmtYg" annotatedElement="_4Qvm4GqREd-YrKaDhqmtYg">
            <body>This is the role_identifier_ID property in the Security DAM.  The definition of that property is 'This attribute is defined by ISO 22600-2 as 'ISO ObjectIdentifier'.'    WE RENAMED THIS.  WAS THIS OK TO DO????</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_o5skYGqREd-YrKaDhqmtYg" name="roleIdentifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_t-svUGqREd-YrKaDhqmtYg" annotatedElement="_o5skYGqREd-YrKaDhqmtYg">
            <body>This is the role_identifier property in the security DAM, and is defined by ISO 22600-2 as a &quot;Set of InstanceIndentifiers&quot;.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MfVDYPMqEeO655c5XtudNA" name="permission" visibility="public" type="_UHowcHSyEd-Bj4191_mrEA" aggregation="composite" association="_MfUcUPMqEeO655c5XtudNA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MfWRgPMqEeO655c5XtudNA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MfWRgfMqEeO655c5XtudNA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Dyr9sCowEeS9gfEvdy2nFQ" name="policy" visibility="public" type="_hTmc4G9LEd-NmaNtnOnl0g" association="_DyqvkCowEeS9gfEvdy2nFQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DyskwCowEeS9gfEvdy2nFQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DyskwSowEeS9gfEvdy2nFQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cniEEKZ2EeSJx_F2WOFQtA" name="securityRoleRelationship" visibility="public" type="_Z1qZYKZ2EeSJx_F2WOFQtA" association="_cng18KZ2EeSJx_F2WOFQtA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cnjSMKZ2EeSJx_F2WOFQtA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cnjSMaZ2EeSJx_F2WOFQtA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_tny1wGqSEd-YrKaDhqmtYg" name="UserIdentity">
        <ownedComment xmi:id="_gGHxAHsbEd-46pruQ3sQtQ" annotatedElement="_tny1wGqSEd-YrKaDhqmtYg">
          <body>This class is used to specify the user identification attributes.  Note that the user here is typically a provider.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_wOr_gGqSEd-YrKaDhqmtYg" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_TnAKoHsrEd-46pruQ3sQtQ" annotatedElement="_wOr_gGqSEd-YrKaDhqmtYg">
            <body>This attribute is used to represent the user's identifier.  Note that the user here is typically a provider.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_yXe4AGqSEd-YrKaDhqmtYg" name="name" visibility="public">
          <ownedComment xmi:id="_Yvtw4HsrEd-46pruQ3sQtQ" annotatedElement="_yXe4AGqSEd-YrKaDhqmtYg">
            <body>This attribute specifies the user's name.  Note that the user here is typically a provider.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_16DJICieEeS23qH9Mw5WGA" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_16DJIiieEeS23qH9Mw5WGA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_16DJISieEeS23qH9Mw5WGA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_AhVi0CidEeS23qH9Mw5WGA" name="serviceDeliveryLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_AhQqUCidEeS23qH9Mw5WGA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AhXYACidEeS23qH9Mw5WGA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AhX_ECidEeS23qH9Mw5WGA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_nIw2QG9HEd-uDMQ5GLSKhg" name="AccessPoint">
        <ownedComment xmi:id="_nYYdsHsbEd-46pruQ3sQtQ" annotatedElement="_nIw2QG9HEd-uDMQ5GLSKhg">
          <body>+(renamed from WorkstationLocation 11/2014 as part of high-level refactoring)&#xD;
&#xD;
Access may be granted only to initiators on specific end-systems, workstations or terminals, or only to initiators in a specific physical location. This class is required to support user authorization as specified by the business requirements (use case S.1).</body>
        </ownedComment>
        <ownedAttribute xmi:id="_M-u0wXrsEd-JS-dJS9jZTw" name="organizationalProvider" visibility="public" type="_HC458BscEd--ZY2-pbJ-Pw" association="_M-u0wHrsEd-JS-dJS9jZTw">
          <ownedComment xmi:id="_rudS0HsrEd-46pruQ3sQtQ" annotatedElement="_M-u0wXrsEd-JS-dJS9jZTw">
            <body>The organizational provider with which the workstation is associated.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_M-4lwHrsEd-JS-dJS9jZTw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_M-4lwXrsEd-JS-dJS9jZTw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Br6T4CovEeS9gfEvdy2nFQ" name="serviceDeliveryLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_Br2pgCovEeS9gfEvdy2nFQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Br9-QCovEeS9gfEvdy2nFQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Br-lUCovEeS9gfEvdy2nFQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ECTq0HG9EeSUPN3DMaTGrQ" name="macAddress" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QEPysHG9EeSUPN3DMaTGrQ" name="ipAddress" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Y4AHUHG9EeSUPN3DMaTGrQ" name="accessDeviceInstance" visibility="public" type="_MsausFCxEeCsN-3dTKIrUA" association="_Y3-SIHG9EeSUPN3DMaTGrQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Y4BVcHG9EeSUPN3DMaTGrQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Y4B8gHG9EeSUPN3DMaTGrQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_hTmc4G9LEd-NmaNtnOnl0g" name="Policy" isAbstract="true">
        <ownedComment xmi:id="_lX6m4G9LEd-NmaNtnOnl0g" annotatedElement="_hTmc4G9LEd-NmaNtnOnl0g">
          <body>+(renamed from Policy 11/2014 as part of high-level refactoring)&#xD;
&#xD;
The Policy(Abstract) class is the abstract class from which all concrete policy classes in this model are derived and instantiated. Because this class is abstract, it cannot be instantiated as a security policy for healthcare, however, it specifies the properties reused by all policies. ISO 22600-2 specifies a policy as 'set of legal, political, organizational, functional and technical obligations for communication and cooperation'. </body>
        </ownedComment>
        <ownedAttribute xmi:id="_nrbhoG9LEd-NmaNtnOnl0g" name="description" visibility="public">
          <ownedComment xmi:id="_y3IlEG9LEd-NmaNtnOnl0g" annotatedElement="_nrbhoG9LEd-NmaNtnOnl0g">
            <body>This attribute specifies the narrative description of the policy. </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pzL4UG9LEd-NmaNtnOnl0g" name="effectiveTime" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_4QGN0G9LEd-NmaNtnOnl0g" annotatedElement="_pzL4UG9LEd-NmaNtnOnl0g">
            <body>This attribute specifies the period of time (e.g., start date, end date) during which the privacy policy described by ePolicy is in effect.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lpgGIG9LEd-NmaNtnOnl0g" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_iRcqAHskEd-46pruQ3sQtQ" annotatedElement="_lpgGIG9LEd-NmaNtnOnl0g">
            <body>Uniquely identifies the policy</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_m8WOEG9LEd-NmaNtnOnl0g" name="name" visibility="public">
          <ownedComment xmi:id="_kJ2WEHskEd-46pruQ3sQtQ" annotatedElement="_m8WOEG9LEd-NmaNtnOnl0g">
            <body>A human discernible name for the policy</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_quMIAG9LEd-NmaNtnOnl0g" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_I1gg4G9MEd-NmaNtnOnl0g" annotatedElement="_quMIAG9LEd-NmaNtnOnl0g">
            <body>This attribute indicates whether the policy is active or not</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_r8REsG9LEd-NmaNtnOnl0g" name="uri" visibility="public">
          <ownedComment xmi:id="_LK0ycG9MEd-NmaNtnOnl0g" annotatedElement="_r8REsG9LEd-NmaNtnOnl0g">
            <body>The location of published policy.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-fwx0HALEd-l74iZViAVdw" name="authority" visibility="public" type="_kWzr8HALEd-l74iZViAVdw" association="_-fnA0HALEd-l74iZViAVdw">
          <ownedComment xmi:id="_fMAjEHskEd-46pruQ3sQtQ" annotatedElement="_-fwx0HALEd-l74iZViAVdw">
            <body>This is an association to the Authority that issued the policy.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-fwx0XALEd-l74iZViAVdw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-fwx0nALEd-l74iZViAVdw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FiObsXSxEd-Bj4191_mrEA" name="securityRole" visibility="public" type="_VIZkIGqREd-YrKaDhqmtYg" association="_FiObsHSxEd-Bj4191_mrEA">
          <ownedComment xmi:id="_vvVLcHskEd-46pruQ3sQtQ" annotatedElement="_FiObsXSxEd-Bj4191_mrEA">
            <body>ISO-22600 specifies a role as 'set of competences and/or performances which is associated with a task'. A role is a specialization of CompositePolicy that define a group of policies (authorization, obligation, delegation and refrain policies).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FiYMsHSxEd-Bj4191_mrEA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FiYMsXSxEd-Bj4191_mrEA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Y-UG8H_wEeSDnJHG5e-w4A" name="signer" visibility="public" type="_R9HVEH_wEeSDnJHG5e-w4A" association="_Y-QckH_wEeSDnJHG5e-w4A">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Y-V8IH_wEeSDnJHG5e-w4A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Y-WjMH_wEeSDnJHG5e-w4A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_H_WZgH_yEeSDnJHG5e-w4A" name="policyForm" visibility="public" type="_addOAG6jEeS25q3D6U-JoQ" association="_H_VLYH_yEeSDnJHG5e-w4A">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_H_XAkH_yEeSDnJHG5e-w4A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_H_XnoH_yEeSDnJHG5e-w4A" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_PwFGUG9MEd-NmaNtnOnl0g" name="CompositeSecurityPolicy">
        <ownedComment xmi:id="_UTGlkG9MEd-NmaNtnOnl0g" annotatedElement="_PwFGUG9MEd-NmaNtnOnl0g">
          <body>This class is the main/focal class for electronic privacy policies. It contains a set of basic policies that work together to enforce a privacy policy, organizational standard operating procedure, or a consent directive. Its basic characteristic is that it contains other policies. An instance of a CompositePolicy may include several Authorization, Delegation, Refrain, or Obligation policies. A CompositePolicy is specialization of Policy and inherits all its attributes and associations. In addition to the attributes it inherits from its base class ('Policy') this type of class contains the following association and attribute:</body>
        </ownedComment>
        <generalization xmi:id="_RWnWIHS5Ed-Bj4191_mrEA" general="_hTmc4G9LEd-NmaNtnOnl0g"/>
        <ownedAttribute xmi:id="_UmeNgG9MEd-NmaNtnOnl0g" name="combiningAlgorythm" visibility="public">
          <ownedComment xmi:id="_ZER1kG9MEd-NmaNtnOnl0g" annotatedElement="_UmeNgG9MEd-NmaNtnOnl0g">
            <body>This attribute is used to specify the policy combining algorithm that is used to process the contained policies.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vBjy8G6dEeS25q3D6U-JoQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vBloIG6dEeS25q3D6U-JoQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6PY1gHSwEd-Bj4191_mrEA" name="containedPolicy" visibility="public" type="_fPv5UG9MEd-NmaNtnOnl0g" aggregation="composite" association="_6PPrkHSwEd-Bj4191_mrEA">
          <ownedComment xmi:id="_uPydkHsfEd-46pruQ3sQtQ" annotatedElement="_6PY1gHSwEd-Bj4191_mrEA">
            <body>This association specifies the policies contained in a CompositionPolicy.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6PY1gXSwEd-Bj4191_mrEA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6PY1gnSwEd-Bj4191_mrEA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4_YcEG6fEeS25q3D6U-JoQ" name="zz_SecurityPolicyInformationFile" visibility="public" type="_l9QYkA6wEeS8G4zILwlveA" association="_4_RuYG6fEeS25q3D6U-JoQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4_bfYG6fEeS25q3D6U-JoQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4_cGcG6fEeS25q3D6U-JoQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_fPv5UG9MEd-NmaNtnOnl0g" name="AtomicSecurityPolicy" isAbstract="true">
        <ownedComment xmi:id="_hsEKwG9MEd-NmaNtnOnl0g" annotatedElement="_fPv5UG9MEd-NmaNtnOnl0g">
          <body>+(renamed from BasicPolicy 11/2014 as part of high-level refactoring)&#xD;
&#xD;
This is the base class for a variety of policy types. It extends the abstract Policy class and provides additional attributes. This class may be used to instantiate specific policies. ISO-22600 specifies a security policy as 'plan or course of action adopted for providing computer security'. BasicPolicy a specialization of the abstract Policy class and thus inherits all its attributes. It also defines additional attributes and associations:</body>
        </ownedComment>
        <generalization xmi:id="_r-SrsG6cEeS25q3D6U-JoQ" general="_YmxWAFY1EeS4Ftcws1EIJA"/>
        <ownedAttribute xmi:id="_KaZ-sXTJEd-Bj4191_mrEA" name="informationReference" visibility="public" type="_0XuewHJkEd-yL6kuw0jWHQ" association="_KaZ-sHTJEd-Bj4191_mrEA">
          <ownedComment xmi:id="_RKpTYHsfEd-46pruQ3sQtQ" annotatedElement="_KaZ-sXTJEd-Bj4191_mrEA">
            <body>This association references the attributes of the information referenced in the policy. </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KaZ-snTJEd-Bj4191_mrEA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KaZ-s3TJEd-Bj4191_mrEA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-AXpcHJjEd-yL6kuw0jWHQ" name="operationType (delete??)" visibility="public" type="_xI6QAHAMEd-l74iZViAVdw" association="_-AOfgHJjEd-yL6kuw0jWHQ">
          <ownedComment xmi:id="_ULUPEHsfEd-46pruQ3sQtQ" annotatedElement="_-AXpcHJjEd-yL6kuw0jWHQ">
            <body>This association refers to the operation associated with the policy.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-AXpcXJjEd-yL6kuw0jWHQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-AXpcnJjEd-yL6kuw0jWHQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_ipBb0HAIEd-l74iZViAVdw" name="AuthorizationPolicy">
        <ownedComment xmi:id="_kgO1EHAIEd-l74iZViAVdw" annotatedElement="_ipBb0HAIEd-l74iZViAVdw">
          <body>This class is used to describe an authorization policy that may be exchanged across domains. An AuthorizationPolicy instance specifies 'permitted actions' according to ISO 22600-2. A positive/negative authorization policy defines the actions ( 'OperationType ') that a subject is permitted/forbidden to perform on a target. Actions encoded using the 'OperationType ' class represent the operations defined in the interface of a target object contrary to obligations/refrain policies, which are interpreted by the subject while the object might be open in this perspective.  The following are the attributes of an AuthorizationPolicy: </body>
        </ownedComment>
        <generalization xmi:id="_yyuDQHAIEd-l74iZViAVdw" general="_fPv5UG9MEd-NmaNtnOnl0g"/>
        <ownedAttribute xmi:id="_c8aU8CigEeS23qH9Mw5WGA" name="authorizationPolicyType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_c8aU8iigEeS23qH9Mw5WGA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_c8aU8SigEeS23qH9Mw5WGA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5ChNYHAIEd-l74iZViAVdw" name="enablesAuthorization" visibility="public">
          <ownedComment xmi:id="_9kC30HAIEd-l74iZViAVdw" annotatedElement="_5ChNYHAIEd-l74iZViAVdw">
            <body>This attribute is used to specify if the policy enables or declines an authorization. If this attribute is set to 'true' the policy authorizes the actions and conditions pertaining to the resources referenced by the policy. Otherwise the authorization is declined.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <defaultValue xmi:type="uml:LiteralBoolean" xmi:id="_B-axYHAJEd-l74iZViAVdw">
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          </defaultValue>
        </ownedAttribute>
        <ownedAttribute xmi:id="_mzJ58HAIEd-l74iZViAVdw" name="levelOfAssurance" visibility="public">
          <ownedComment xmi:id="_wkaYoHAIEd-l74iZViAVdw" annotatedElement="_mzJ58HAIEd-l74iZViAVdw">
            <body> Level of Assurance (LoA) refers to the degree of certainty that (1) a resource owner has that a person's physical self has been adequately verified before credentials are issued by a registration authority, and (2) a user indeed owns the credentials they are subsequently presenting to access the resource.  The requirements for the level of certainty at both ends of that set of transactions should be driven by a risk assessment based on the value of the resources being protected. LoA is relevant to authentication, authorization, and access control in an SOA environment. Relevant references: 'InCommon Credential Assessment Profile r0.3', 'NIST 800-63: Electronic Authentication Guideline', and 'NIST 800-53: Recommended Security Controls for Federal Information Systems'. Access may only be granted when authentication mechanisms of at least a given strength are used. That is indicated using the Level of Assurance. </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_mDT30G9MEd-NmaNtnOnl0g" name="allowableAccessTime" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_J2VPQG9NEd-NmaNtnOnl0g" annotatedElement="_mDT30G9MEd-NmaNtnOnl0g">
            <body>An access may be allowed only during specific time periods of the day (e.g., 9 am to 5 pm).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kl2l4G9NEd-NmaNtnOnl0g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kl2l4W9NEd-NmaNtnOnl0g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rR0HkG9NEd-NmaNtnOnl0g" name="route" visibility="public">
          <ownedComment xmi:id="_An7JgG9OEd-NmaNtnOnl0g" annotatedElement="_rR0HkG9NEd-NmaNtnOnl0g">
            <body>This attribute specifies whether access to protected information may only be granted for a specified route of access.  For example, access may be restricted to remote users using a Virtual Private Network (VPN). The route is a context qualifier as specified by ISO/IEC 10164-9.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_GS1z8HAJEd-l74iZViAVdw" name="DelegationPolicy">
        <ownedComment xmi:id="_KV-SMHAJEd-l74iZViAVdw" annotatedElement="_GS1z8HAJEd-l74iZViAVdw">
          <body>A delegation policy is intended to delegate access rights to a specific individual or organization (a grantee). ISO 22600-2 defines delegation as 'conveyance of privilege from one entity that holds such privilege, to another entity' and a DelegationPolicy as 'defines what authorizations can be delegated to whom'.</body>
        </ownedComment>
        <generalization xmi:id="_axLOcHALEd-l74iZViAVdw" general="_fPv5UG9MEd-NmaNtnOnl0g"/>
        <ownedAttribute xmi:id="_N9Fi0HAJEd-l74iZViAVdw" name="accessRight" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Qx_TYHAJEd-l74iZViAVdw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Qx_TYXAJEd-l74iZViAVdw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fa2W0XTCEd-Bj4191_mrEA" name="grantee" visibility="public" type="_owU90HJkEd-yL6kuw0jWHQ" association="_fa2W0HTCEd-Bj4191_mrEA">
          <ownedComment xmi:id="_R0rngHsiEd-46pruQ3sQtQ" annotatedElement="_fa2W0XTCEd-Bj4191_mrEA">
            <body>Designates who/what has been delegated a specific right.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fbAH0HTCEd-Bj4191_mrEA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fbAH0XTCEd-Bj4191_mrEA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jH_tcCigEeS23qH9Mw5WGA" name="deligationPolicyType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jH_tciigEeS23qH9Mw5WGA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jH_tcSigEeS23qH9Mw5WGA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_kWzr8HALEd-l74iZViAVdw" name="Authority">
        <ownedComment xmi:id="_ohY2AHALEd-l74iZViAVdw" annotatedElement="_kWzr8HALEd-l74iZViAVdw">
          <body>This abstract class is used to designate the authority that issues the policy.  Authority is an organization (either Jurisdictional or Provider) that is responsible for the Privacy Policy.  This is the authority that grants authorization described in the privacy policy. This class is consistent with the “Security Authority” specified by the ISO/IEC 15816 standard as “The entity accountable for the administration of a security policy within a security domain”.&#xD;
&#xD;
&#xD;
11/18/14:  The Authority is source of the Policy.  Authority is used for both Privacy and Security policies.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_iw87oCk-EeSWGNB-ZzXnBA" name="authorityType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iw87oik-EeSWGNB-ZzXnBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iw87oSk-EeSWGNB-ZzXnBA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pWIssHALEd-l74iZViAVdw" name="domain" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ym6UgHALEd-l74iZViAVdw" annotatedElement="_pWIssHALEd-l74iZViAVdw">
            <body>The registered domain name of the healthcare organization that issues a specific privacy policy, used to uniquely identify the Authority.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0DSy8HALEd-l74iZViAVdw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0DSy8XALEd-l74iZViAVdw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_105M4XTAEd-Bj4191_mrEA" name="jurisdiction" visibility="public" type="_NefmUHS_Ed-Bj4191_mrEA" association="_105M4HTAEd-Bj4191_mrEA">
          <ownedComment xmi:id="_3OXXkHseEd-46pruQ3sQtQ" annotatedElement="_105M4XTAEd-Bj4191_mrEA">
            <body>Represents a territorial authority organization that may be issuing privacy policies for a territory.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_105M4nTAEd-Bj4191_mrEA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_105M43TAEd-Bj4191_mrEA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2V95oXTAEd-Bj4191_mrEA" name="organizationalProvider" visibility="public" type="_HC458BscEd--ZY2-pbJ-Pw" association="_2V95oHTAEd-Bj4191_mrEA">
          <ownedComment xmi:id="_Gdo-IHsfEd-46pruQ3sQtQ" annotatedElement="_2V95oXTAEd-Bj4191_mrEA">
            <body>Specifies a healthcare organization that which will promulgate privacy policies for use within its organization.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2V95onTAEd-Bj4191_mrEA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2V95o3TAEd-Bj4191_mrEA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_c5d0wClHEeSWGNB-ZzXnBA" name="person" visibility="public" type="_420A62FD03B6425125E800E0" association="_c5cmoClHEeSWGNB-ZzXnBA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_c5d0wSlHEeSWGNB-ZzXnBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_c5d0wilHEeSWGNB-ZzXnBA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_-fnA0HALEd-l74iZViAVdw" name="policy_authority" memberEnd="_-fwx0HALEd-l74iZViAVdw _-fwx03ALEd-l74iZViAVdw">
        <ownedEnd xmi:id="_-fwx03ALEd-l74iZViAVdw" name="" visibility="public" type="_hTmc4G9LEd-NmaNtnOnl0g" association="_-fnA0HALEd-l74iZViAVdw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_xI6QAHAMEd-l74iZViAVdw" name="PrivacyOperation">
        <ownedComment xmi:id="_3BBS4HAMEd-l74iZViAVdw" annotatedElement="_xI6QAHAMEd-l74iZViAVdw">
          <body>This abstract class specifies the permission that is assigned by the consenter to specific users of client health record information. The permission may control collection, access, use, or disclosure of a specific type of protected information (including IIHI).    Note that this class was named 'OperationType' in the original DAM.&#xD;
Note that these are RBAC operations</body>
        </ownedComment>
        <ownedAttribute xmi:id="_4W_nUHAMEd-l74iZViAVdw" name="operationCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_jMADMHsjEd-46pruQ3sQtQ" annotatedElement="_4W_nUHAMEd-l74iZViAVdw">
            <body>This attribute identifies the operation that is either allowed or prohibited by the permission.    Note that this property was named 'OperationCode' in the original DAM.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6TTh0HJjEd-yL6kuw0jWHQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6TTh0XJjEd-yL6kuw0jWHQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_-AOfgHJjEd-yL6kuw0jWHQ" name="basicPolicy_operationType" memberEnd="_-AXpcHJjEd-yL6kuw0jWHQ _-AXpc3JjEd-yL6kuw0jWHQ">
        <ownedEnd xmi:id="_-AXpc3JjEd-yL6kuw0jWHQ" name="" visibility="public" type="_fPv5UG9MEd-NmaNtnOnl0g" association="_-AOfgHJjEd-yL6kuw0jWHQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-AhacHJjEd-yL6kuw0jWHQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-AhacXJjEd-yL6kuw0jWHQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_QQmfkHJkEd-yL6kuw0jWHQ" name="ObligationPolicy">
        <ownedComment xmi:id="_QQmfkXJkEd-yL6kuw0jWHQ" annotatedElement="_QQmfkHJkEd-yL6kuw0jWHQ">
          <body>An obligation policy may be used to specify additional privacy preferences specified by a client/patient. An obligation policy may be specified in addition to a ConstraintPolicy to fully describe a patient's access control preferences. In some cases an obligation policy may be used to indicate that the receiver of an information object may not be allowed to re-disclose it or persist that information object indefinitely. According to ISO 22600-2, ObligationPolicy instances 'are event-triggered and define actions to be performed by manager agent'.</body>
        </ownedComment>
        <generalization xmi:id="_VKg_MHSxEd-Bj4191_mrEA" general="_fPv5UG9MEd-NmaNtnOnl0g"/>
        <ownedAttribute xmi:id="_QQmfk3JkEd-yL6kuw0jWHQ" name="obligationPolicyType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_QQmflHJkEd-yL6kuw0jWHQ" annotatedElement="_QQmfk3JkEd-yL6kuw0jWHQ">
            <body>This attribute identifies the action required before completing the step in the workflow. We assume it is coded concept but in today's implementations it's primarily an ad-hoc rule reference (e.g., the name of a data base stored procedure). An obligation may be associated with the release of an object. For example, it may require a signature. This information is passed as rule for an application to enforce. In other cases it may require that an audit record be created.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QQmflnJkEd-yL6kuw0jWHQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QQmflXJkEd-yL6kuw0jWHQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_erjtQHJkEd-yL6kuw0jWHQ" name="RefrainPolicy">
        <ownedComment xmi:id="_erjtQXJkEd-yL6kuw0jWHQ" annotatedElement="_erjtQHJkEd-yL6kuw0jWHQ">
          <body>A refrain policy is used to indicate that a specific action is prohibited based on specific access control attributes (e.g., purpose, information type, user role, etc.). It is a specialization of  BasicPolicy  class. It does not have any additional attributes but implies a different behavior. ISO 22600-2 species that a RefrainPolicy 'defines actions the subjects must refrain from performing'.</body>
        </ownedComment>
        <generalization xmi:id="_V7-4YHSxEd-Bj4191_mrEA" general="_fPv5UG9MEd-NmaNtnOnl0g"/>
        <ownedAttribute xmi:id="_1ar3QA6tEeS8G4zILwlveA" name="refrainPolicyType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_owU90HJkEd-yL6kuw0jWHQ" name="Grantee">
        <ownedComment xmi:id="_owU90XJkEd-yL6kuw0jWHQ" annotatedElement="_owU90HJkEd-yL6kuw0jWHQ">
          <body>This class is used to designate who/what has been delegated a specific right. For example, in the case of substance abuse related information, under certain conditions the authority to grant, withhold, or withdraw consent to the disclosure of the information, is granted to the client.  In another example, a Clearinghouse may act an agent/proxy for a provider organization as an intermediary and therefore can be a grantee as well.    </body>
        </ownedComment>
        <ownedAttribute xmi:id="_g4ahAXTCEd-Bj4191_mrEA" name="organizationalProvider" visibility="public" type="_HC458BscEd--ZY2-pbJ-Pw" association="_g4ahAHTCEd-Bj4191_mrEA">
          <ownedComment xmi:id="_hJeAMHsiEd-46pruQ3sQtQ" annotatedElement="_g4ahAXTCEd-Bj4191_mrEA">
            <body>Additional information about the grantee when the grantee is an organizational provider.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_g4kSAHTCEd-Bj4191_mrEA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_g4kSAXTCEd-Bj4191_mrEA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YMnzEXr4Ed-JS-dJS9jZTw" name="clearingHouse" visibility="public" type="_QqgFcHr4Ed-JS-dJS9jZTw" association="_YMnzEHr4Ed-JS-dJS9jZTw">
          <ownedComment xmi:id="_bK9aYHsiEd-46pruQ3sQtQ" annotatedElement="_YMnzEXr4Ed-JS-dJS9jZTw">
            <body>Additional information about the grantee when the grantee is a clearinghouse.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YMnzEnr4Ed-JS-dJS9jZTw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YMnzE3r4Ed-JS-dJS9jZTw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bjncIClHEeSWGNB-ZzXnBA" name="authority" visibility="public" type="_kWzr8HALEd-l74iZViAVdw" association="_bjmOAClHEeSWGNB-ZzXnBA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bjoDMClHEeSWGNB-ZzXnBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bjoqQClHEeSWGNB-ZzXnBA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_0XuewHJkEd-yL6kuw0jWHQ" name="InformationTarget">
        <ownedComment xmi:id="_0XuewXJkEd-yL6kuw0jWHQ" annotatedElement="_0XuewHJkEd-yL6kuw0jWHQ">
          <body>+(renamed from InformationReference 11/2014 as part of high-level refactoring)&#xD;
&#xD;
This class and it associations specify the attributes of the protected information referenced by a policy (e.g., IIHI).</body>
        </ownedComment>
        <ownedAttribute xmi:id="_0XuewnJkEd-yL6kuw0jWHQ" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_0Xuew3JkEd-yL6kuw0jWHQ" annotatedElement="_0XuewnJkEd-yL6kuw0jWHQ">
            <body>Information category (e.g. medication, allergies, laboratory).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0XuexXJkEd-yL6kuw0jWHQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0XuexHJkEd-yL6kuw0jWHQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0XuexnJkEd-yL6kuw0jWHQ" name="confidentialityIndicator" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_0Xuex3JkEd-yL6kuw0jWHQ" annotatedElement="_0XuexnJkEd-yL6kuw0jWHQ">
            <body>The confidentiality indicator is a coded attribute that assigns access controls on client health records based on the information or type of access.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0XueyXJkEd-yL6kuw0jWHQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0XueyHJkEd-yL6kuw0jWHQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YSJCMXJmEd-yL6kuw0jWHQ" name="informationObject" visibility="public" type="_MD15UHJmEd-yL6kuw0jWHQ" aggregation="composite" association="_YSJCMHJmEd-yL6kuw0jWHQ">
          <ownedComment xmi:id="_GjntgHsjEd-46pruQ3sQtQ" annotatedElement="_YSJCMXJmEd-yL6kuw0jWHQ">
            <body>A reference to specific type of information object that may be referenced by a policy or consent directive (e.g., document, order, etc.).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YSJCMnJmEd-yL6kuw0jWHQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YSJCM3JmEd-yL6kuw0jWHQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ozR-QXSgEd-Bj4191_mrEA" name="subjectOfRecord" visibility="public" type="_bhG9kHSgEd-Bj4191_mrEA" association="_ozR-QHSgEd-Bj4191_mrEA">
          <ownedComment xmi:id="_1q_jgHsiEd-46pruQ3sQtQ" annotatedElement="_ozR-QXSgEd-Bj4191_mrEA">
            <body>This class represents the patient or population that is the subject of the record in question.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ozR-QnSgEd-Bj4191_mrEA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ozR-Q3SgEd-Bj4191_mrEA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QeFi8XTKEd-Bj4191_mrEA" name="InformationReference" visibility="public" type="_HC458BscEd--ZY2-pbJ-Pw" association="_QeFi8HTKEd-Bj4191_mrEA">
          <ownedComment xmi:id="_KkN1IHsjEd-46pruQ3sQtQ" annotatedElement="_QeFi8XTKEd-Bj4191_mrEA">
            <body>Identifies the organizational provider that is the custodian of the record in question.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QeFi8nTKEd-Bj4191_mrEA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QeFi83TKEd-Bj4191_mrEA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kOa54XTKEd-Bj4191_mrEA" name="coverageType" visibility="public" type="_hfoYYHTKEd-Bj4191_mrEA" association="_kOa54HTKEd-Bj4191_mrEA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kOa54nTKEd-Bj4191_mrEA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kOa543TKEd-Bj4191_mrEA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PPAF4Xr6Ed-JS-dJS9jZTw" name="informationRecipient" visibility="public" type="_HC458BscEd--ZY2-pbJ-Pw" association="_PPAF4Hr6Ed-JS-dJS9jZTw">
          <ownedComment xmi:id="_CRl3oHsjEd-46pruQ3sQtQ" annotatedElement="_PPAF4Xr6Ed-JS-dJS9jZTw">
            <body>Identifies the organizational provider that is the intended recipient of the record in question.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PPAF4nr6Ed-JS-dJS9jZTw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PPAF43r6Ed-JS-dJS9jZTw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_MD15UHJmEd-yL6kuw0jWHQ" name="InformationObject">
        <ownedComment xmi:id="_MD15UXJmEd-yL6kuw0jWHQ" annotatedElement="_MD15UHJmEd-yL6kuw0jWHQ">
          <body>This class represents a reference to specific type of information object that may be referenced by a policy or consent directive (e.g., document, order, etc.). This information object refers to the types of objects that may be used in a permission.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_MD15UnJmEd-yL6kuw0jWHQ" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MD15U3JmEd-yL6kuw0jWHQ" annotatedElement="_MD15UnJmEd-yL6kuw0jWHQ">
            <body>Coded attribute that identifies the type of object referenced in the policy.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MD15VXJmEd-yL6kuw0jWHQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MD15VHJmEd-yL6kuw0jWHQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pKeRUBQoEeS4r_U16CXjgw" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pKeRUhQoEeS4r_U16CXjgw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pKeRURQoEeS4r_U16CXjgw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rXErwBQoEeS4r_U16CXjgw" name="sensitivity" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rXErwhQoEeS4r_U16CXjgw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rXErwRQoEeS4r_U16CXjgw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_YSJCMHJmEd-yL6kuw0jWHQ" name="informationReference_informationObject" memberEnd="_YSJCMXJmEd-yL6kuw0jWHQ _YSJCNHJmEd-yL6kuw0jWHQ">
        <ownedEnd xmi:id="_YSJCNHJmEd-yL6kuw0jWHQ" name="" visibility="public" type="_0XuewHJkEd-yL6kuw0jWHQ" association="_YSJCMHJmEd-yL6kuw0jWHQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YSSzMHJmEd-yL6kuw0jWHQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YSSzMXJmEd-yL6kuw0jWHQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_bhG9kHSgEd-Bj4191_mrEA" name="SubjectOfRecord">
        <ownedComment xmi:id="_lVRmUHSgEd-Bj4191_mrEA" annotatedElement="_bhG9kHSgEd-Bj4191_mrEA">
          <body>This class represents the type of subject of record: patient or population.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_uDuNEXS0Ed-Bj4191_mrEA" name="patient" visibility="public" type="_420A62FD03B6425125E800E0" association="_uDuNEHS0Ed-Bj4191_mrEA">
          <ownedComment xmi:id="_F-GE8HsrEd-46pruQ3sQtQ" annotatedElement="_uDuNEXS0Ed-Bj4191_mrEA">
            <body>Captures the properties of a Consenter/Client or 'Patient'. See 'Actors' specified in the Use Case Analysis for additional detail. A consenter may be the person whose preferences it represents  or their designated Substitute Decision Maker (SDM).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uDuNEnS0Ed-Bj4191_mrEA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uDuNE3S0Ed-Bj4191_mrEA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7lCVoXS3Ed-Bj4191_mrEA" name="population" visibility="public" type="_9qFd8HS0Ed-Bj4191_mrEA" association="_7lCVoHS3Ed-Bj4191_mrEA">
          <ownedComment xmi:id="_Asb-EHsrEd-46pruQ3sQtQ" annotatedElement="_7lCVoXS3Ed-Bj4191_mrEA">
            <body>Specifies that the target of a policy may be an entire population.  This class may be used to specify a privacy policy that applies to a specific group or population.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7lCVonS3Ed-Bj4191_mrEA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7lCVo3S3Ed-Bj4191_mrEA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wHhagClGEeSWGNB-ZzXnBA" name="sensitivity" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wHhagilGEeSWGNB-ZzXnBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wHhagSlGEeSWGNB-ZzXnBA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ozR-QHSgEd-Bj4191_mrEA" name="informationReference_subjectOfRecord" memberEnd="_ozR-QXSgEd-Bj4191_mrEA _ozR-RHSgEd-Bj4191_mrEA">
        <ownedEnd xmi:id="_ozR-RHSgEd-Bj4191_mrEA" name="" visibility="public" type="_0XuewHJkEd-yL6kuw0jWHQ" association="_ozR-QHSgEd-Bj4191_mrEA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_6PPrkHSwEd-Bj4191_mrEA" name="compositePolicy_containedPolicy" memberEnd="_6PY1gHSwEd-Bj4191_mrEA _6PY1g3SwEd-Bj4191_mrEA">
        <ownedEnd xmi:id="_6PY1g3SwEd-Bj4191_mrEA" name="" visibility="public" type="_PwFGUG9MEd-NmaNtnOnl0g" association="_6PPrkHSwEd-Bj4191_mrEA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6PY1hHSwEd-Bj4191_mrEA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6PY1hXSwEd-Bj4191_mrEA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_FiObsHSxEd-Bj4191_mrEA" name="policy_securityRole" memberEnd="_FiObsXSxEd-Bj4191_mrEA _FiYMsnSxEd-Bj4191_mrEA">
        <ownedEnd xmi:id="_FiYMsnSxEd-Bj4191_mrEA" name="" visibility="public" type="_hTmc4G9LEd-NmaNtnOnl0g" association="_FiObsHSxEd-Bj4191_mrEA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FiYMs3SxEd-Bj4191_mrEA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FiYMtHSxEd-Bj4191_mrEA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_7wMEcHSxEd-Bj4191_mrEA" name="PermissionCatalog">
        <ownedComment xmi:id="_IsoFsHSyEd-Bj4191_mrEA" annotatedElement="_7wMEcHSxEd-Bj4191_mrEA">
          <body>The permission catalog specifies a set of standard permissions. The permission catalog is the subject of separate HL7 standards. This reference is intended to show it relates to the rest of the information classes required to support the use cases.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_AbU8QFShEeSdGuCalFJk2Q" name="name" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_90e3cHSxEd-Bj4191_mrEA" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Y7dyEHskEd-46pruQ3sQtQ" annotatedElement="_90e3cHSxEd-Bj4191_mrEA">
            <body>Identifies the current state of the Permission.  The state should correspond to the HL7 Act State machine.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="__BMiMHSxEd-Bj4191_mrEA" name="version" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZkkTMHSyEd-Bj4191_mrEA" name="permission" visibility="public" type="_UHowcHSyEd-Bj4191_mrEA" aggregation="composite" association="_ZkbJQHSyEd-Bj4191_mrEA">
          <ownedComment xmi:id="_PBus0HskEd-46pruQ3sQtQ" annotatedElement="_ZkkTMHSyEd-Bj4191_mrEA">
            <body>A Role-Based Access Control (RBAC) permission. It specifies an information object and action/operation allowed on that object. A permission contains one operation and precisely one information reference. </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZkkTMXSyEd-Bj4191_mrEA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZkkTMnSyEd-Bj4191_mrEA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_UHowcHSyEd-Bj4191_mrEA" name="Permission">
        <ownedComment xmi:id="_tfgXoHSyEd-Bj4191_mrEA" annotatedElement="_UHowcHSyEd-Bj4191_mrEA">
          <body>This class corresponds to a Role-Based Access Control (RBAC) permission. It specifies an information object and action/operation allowed on that object. A permission contains one operation and precisely one information reference. </body>
        </ownedComment>
        <ownedAttribute xmi:id="_El12wBQoEeS4r_U16CXjgw" name="description" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_El12whQoEeS4r_U16CXjgw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_El12wRQoEeS4r_U16CXjgw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_d52RYHSyEd-Bj4191_mrEA" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_iVO3kHSyEd-Bj4191_mrEA" annotatedElement="_d52RYHSyEd-Bj4191_mrEA">
            <body>This attribute is used to specify the unique identifier of the permission.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_EtnSsBQoEeS4r_U16CXjgw" name="version" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Etn5wBQoEeS4r_U16CXjgw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EtnSsRQoEeS4r_U16CXjgw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_B_GBQHSzEd-Bj4191_mrEA" name="informationObject" visibility="public" type="_MD15UHJmEd-yL6kuw0jWHQ" aggregation="shared" association="_B-83UHSzEd-Bj4191_mrEA">
          <ownedComment xmi:id="_C6Ry0HskEd-46pruQ3sQtQ" annotatedElement="_B_GBQHSzEd-Bj4191_mrEA">
            <body>This association identifies the information resources specified by a permission.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_B_GBQXSzEd-Bj4191_mrEA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_B_GBQnSzEd-Bj4191_mrEA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2AFRkHSyEd-Bj4191_mrEA" name="operationType" visibility="public" type="_xI6QAHAMEd-l74iZViAVdw" aggregation="composite" association="_1_7gkHSyEd-Bj4191_mrEA">
          <ownedComment xmi:id="_HH_JYHskEd-46pruQ3sQtQ" annotatedElement="_2AFRkHSyEd-Bj4191_mrEA">
            <body>This association identifies the action or operation that is specified by a permission.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2AFRkXSyEd-Bj4191_mrEA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2AFRknSyEd-Bj4191_mrEA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_sbeHwaJhEeSNCv3P4GXF3Q" name="securityOperation (CRUDE)" visibility="public" type="_HpEzYGE5EeSPK9L19J4xlQ" association="_sbeHwKJhEeSNCv3P4GXF3Q">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_sbeHwqJhEeSNCv3P4GXF3Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_sbn4wKJhEeSNCv3P4GXF3Q" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ZkbJQHSyEd-Bj4191_mrEA" name="permissionCatalog_permission" memberEnd="_ZkkTMHSyEd-Bj4191_mrEA _ZkkTM3SyEd-Bj4191_mrEA">
        <ownedEnd xmi:id="_ZkkTM3SyEd-Bj4191_mrEA" name="" visibility="public" type="_7wMEcHSxEd-Bj4191_mrEA" association="_ZkbJQHSyEd-Bj4191_mrEA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZkkTNHSyEd-Bj4191_mrEA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZkkTNXSyEd-Bj4191_mrEA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_1_7gkHSyEd-Bj4191_mrEA" name="permission_operationType" memberEnd="_2AFRkHSyEd-Bj4191_mrEA _2AFRk3SyEd-Bj4191_mrEA">
        <ownedEnd xmi:id="_2AFRk3SyEd-Bj4191_mrEA" name="" visibility="public" type="_UHowcHSyEd-Bj4191_mrEA" association="_1_7gkHSyEd-Bj4191_mrEA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2AFRlHSyEd-Bj4191_mrEA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2AFRlXSyEd-Bj4191_mrEA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_B-83UHSzEd-Bj4191_mrEA" name="permission_informationObject" memberEnd="_B_GBQHSzEd-Bj4191_mrEA _B_GBQ3SzEd-Bj4191_mrEA">
        <ownedEnd xmi:id="_B_GBQ3SzEd-Bj4191_mrEA" name="" visibility="public" type="_UHowcHSyEd-Bj4191_mrEA" association="_B-83UHSzEd-Bj4191_mrEA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_B_GBRHSzEd-Bj4191_mrEA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_B_GBRXSzEd-Bj4191_mrEA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_uDuNEHS0Ed-Bj4191_mrEA" name="subjectOfRecord_patient" memberEnd="_uDuNEXS0Ed-Bj4191_mrEA _uDuNFHS0Ed-Bj4191_mrEA">
        <ownedEnd xmi:id="_uDuNFHS0Ed-Bj4191_mrEA" name="" visibility="public" type="_bhG9kHSgEd-Bj4191_mrEA" association="_uDuNEHS0Ed-Bj4191_mrEA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_7lCVoHS3Ed-Bj4191_mrEA" name="subjectOfRecord_population" memberEnd="_7lCVoXS3Ed-Bj4191_mrEA _7lCVpHS3Ed-Bj4191_mrEA">
        <ownedEnd xmi:id="_7lCVpHS3Ed-Bj4191_mrEA" name="" visibility="public" type="_bhG9kHSgEd-Bj4191_mrEA" association="_7lCVoHS3Ed-Bj4191_mrEA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_105M4HTAEd-Bj4191_mrEA" name="authority_jurisdiction" memberEnd="_105M4XTAEd-Bj4191_mrEA _105M5HTAEd-Bj4191_mrEA">
        <ownedEnd xmi:id="_105M5HTAEd-Bj4191_mrEA" name="" visibility="public" type="_kWzr8HALEd-l74iZViAVdw" association="_105M4HTAEd-Bj4191_mrEA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_2V95oHTAEd-Bj4191_mrEA" name="authority_organizationalProvider" memberEnd="_2V95oXTAEd-Bj4191_mrEA _2V95pHTAEd-Bj4191_mrEA">
        <ownedEnd xmi:id="_2V95pHTAEd-Bj4191_mrEA" name="" visibility="public" type="_kWzr8HALEd-l74iZViAVdw" association="_2V95oHTAEd-Bj4191_mrEA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_fa2W0HTCEd-Bj4191_mrEA" name="delegationPolicy_grantee" memberEnd="_fa2W0XTCEd-Bj4191_mrEA _fbAH0nTCEd-Bj4191_mrEA">
        <ownedEnd xmi:id="_fbAH0nTCEd-Bj4191_mrEA" name="" visibility="public" type="_GS1z8HAJEd-l74iZViAVdw" association="_fa2W0HTCEd-Bj4191_mrEA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_g4ahAHTCEd-Bj4191_mrEA" name="grantee_organizationalProvider" memberEnd="_g4ahAXTCEd-Bj4191_mrEA _g4kSAnTCEd-Bj4191_mrEA">
        <ownedEnd xmi:id="_g4kSAnTCEd-Bj4191_mrEA" name="" visibility="public" type="_owU90HJkEd-yL6kuw0jWHQ" association="_g4ahAHTCEd-Bj4191_mrEA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_KaZ-sHTJEd-Bj4191_mrEA" name="basicPolicy_informationReference" memberEnd="_KaZ-sXTJEd-Bj4191_mrEA _KaZ-tHTJEd-Bj4191_mrEA">
        <ownedEnd xmi:id="_KaZ-tHTJEd-Bj4191_mrEA" name="" visibility="public" type="_fPv5UG9MEd-NmaNtnOnl0g" association="_KaZ-sHTJEd-Bj4191_mrEA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_QeFi8HTKEd-Bj4191_mrEA" name="informationReference_organizationalProvider" memberEnd="_QeFi8XTKEd-Bj4191_mrEA _QeFi9HTKEd-Bj4191_mrEA">
        <ownedEnd xmi:id="_QeFi9HTKEd-Bj4191_mrEA" name="" visibility="public" type="_0XuewHJkEd-yL6kuw0jWHQ" association="_QeFi8HTKEd-Bj4191_mrEA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_hfoYYHTKEd-Bj4191_mrEA" name="PolicyProgramSource">
        <ownedComment xmi:id="_TdvUMHsbEd-46pruQ3sQtQ" annotatedElement="_hfoYYHTKEd-Bj4191_mrEA">
          <body>Specifies the source of payment for the healthcare services documented by electronic health records. In order to meet specific privacy policy needs, it is necessary to specify if the information protected by the rule was produced through public healthcare or other type of insurance.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_q6NF0HrzEd-JS-dJS9jZTw" name="policyCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_72B3gHskEd-46pruQ3sQtQ" annotatedElement="_q6NF0HrzEd-JS-dJS9jZTw">
            <body>The HL7 DAM contains two subclasses to illustrate the type of security/privacy policies that are inherent from the healthcare payment source.  Those two subclasses are examples of many potential kinds of policies, and would be 'fleshed out' in the terminology referenced by this code.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_kOa54HTKEd-Bj4191_mrEA" name="informationReference_coverageType" memberEnd="_kOa54XTKEd-Bj4191_mrEA _kOa55HTKEd-Bj4191_mrEA">
        <ownedEnd xmi:id="_kOa55HTKEd-Bj4191_mrEA" name="" visibility="public" type="_0XuewHJkEd-yL6kuw0jWHQ" association="_kOa54HTKEd-Bj4191_mrEA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_kr6jkHWNEd-2SM6vxH_lvw" name="consentDirective_subjectOfConsent" memberEnd="_ksEUkHWNEd-2SM6vxH_lvw _ksEUk3WNEd-2SM6vxH_lvw">
        <ownedEnd xmi:id="_ksEUk3WNEd-2SM6vxH_lvw" name="" visibility="public" type="_I24ZYF9zEd-WjrW-OJ9BNQ" association="_kr6jkHWNEd-2SM6vxH_lvw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Q2xvsHWOEd-2SM6vxH_lvw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Q2xvsXWOEd-2SM6vxH_lvw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_M-u0wHrsEd-JS-dJS9jZTw" name="workstationLocation_organizationalProvider" memberEnd="_M-u0wXrsEd-JS-dJS9jZTw _M-4lwnrsEd-JS-dJS9jZTw">
        <ownedEnd xmi:id="_M-4lwnrsEd-JS-dJS9jZTw" name="" visibility="public" type="_nIw2QG9HEd-uDMQ5GLSKhg" association="_M-u0wHrsEd-JS-dJS9jZTw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Y2fzUHr0Ed-JS-dJS9jZTw" name="ProtectedCondition">
        <ownedComment xmi:id="_7u4SMHsaEd-46pruQ3sQtQ" annotatedElement="_Y2fzUHr0Ed-JS-dJS9jZTw">
          <body>The health condition(s) associated with the policy. Conditions when specified, are coded concepts expressed in a standard vocabulary (e.g., LOINC, SNOMED CT, etc.). These may include indications of 'substance abuse' or 'HIV-related' illnesses, etc. An obligationCode may be implemented as a 'condition'.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_qhsCsHr0Ed-JS-dJS9jZTw" name="condition" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_n54EYHsfEd-46pruQ3sQtQ" annotatedElement="_qhsCsHr0Ed-JS-dJS9jZTw">
            <body>Categorizes the health condition associated with the policy. Conditions when specified, are coded concepts expressed in a standard vocabulary (e.g., LOINC, SNOMED CT, etc.). These may include indications of 'substance abuse' or 'HIV-related' illnesses, etc.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_c_qoIHr0Ed-JS-dJS9jZTw" name="informationReference_relatedCondition" memberEnd="_c_qoIXr0Ed-JS-dJS9jZTw _c_qoJHr0Ed-JS-dJS9jZTw">
        <ownedEnd xmi:id="_c_qoJHr0Ed-JS-dJS9jZTw" name="" visibility="public" type="_j7k3UF-KEd-WjrW-OJ9BNQ" association="_c_qoIHr0Ed-JS-dJS9jZTw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_QqgFcHr4Ed-JS-dJS9jZTw" name="Intermediary">
        <ownedComment xmi:id="_c3iqQHsdEd-46pruQ3sQtQ" annotatedElement="_QqgFcHr4Ed-JS-dJS9jZTw">
          <body>+(renamed from ClearingHouse 11/2014 as part of high-level refactoring)&#xD;
&#xD;
An organization such as a clearing house (which is an organization that consolidates medical claims from various providers for electronic submission to and payment from various payers) or a Health Information Exchange (HIE) which may need to obtain evidence of patient consent from a requestor of health information.</body>
        </ownedComment>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_YMnzEHr4Ed-JS-dJS9jZTw" name="grantee_clearingHouse" memberEnd="_YMnzEXr4Ed-JS-dJS9jZTw _YMnzFHr4Ed-JS-dJS9jZTw">
        <ownedEnd xmi:id="_YMnzFHr4Ed-JS-dJS9jZTw" name="" visibility="public" type="_owU90HJkEd-yL6kuw0jWHQ" association="_YMnzEHr4Ed-JS-dJS9jZTw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Op64UHr5Ed-JS-dJS9jZTw" name="consenter_grantee" memberEnd="_Op64UXr5Ed-JS-dJS9jZTw _Op64VHr5Ed-JS-dJS9jZTw">
        <ownedEnd xmi:id="_Op64VHr5Ed-JS-dJS9jZTw" name="" visibility="public" type="_XluxcF-JEd-WjrW-OJ9BNQ" association="_Op64UHr5Ed-JS-dJS9jZTw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_PPAF4Hr6Ed-JS-dJS9jZTw" name="informationReference_informationRecipient" memberEnd="_PPAF4Xr6Ed-JS-dJS9jZTw _PPAF5Hr6Ed-JS-dJS9jZTw">
        <ownedEnd xmi:id="_PPAF5Hr6Ed-JS-dJS9jZTw" name="" visibility="public" type="_0XuewHJkEd-yL6kuw0jWHQ" association="_PPAF4Hr6Ed-JS-dJS9jZTw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_xro5MHr6Ed-JS-dJS9jZTw" name="UserRole">
        <ownedComment xmi:id="_xro5MXr6Ed-JS-dJS9jZTw" annotatedElement="_xro5MHr6Ed-JS-dJS9jZTw">
          <body>This class is used to specify the role of a user of a computer system. The role is typically associated with the Information Requester and specifies what capabilities are available to a specific type of computer user (i.e., in the Windows operating system, a user may have the role of Administrator which enables the capability to add new users). </body>
        </ownedComment>
        <ownedAttribute xmi:id="_xro5Qnr6Ed-JS-dJS9jZTw" name="allowedSensitivity" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_xro5Q3r6Ed-JS-dJS9jZTw" annotatedElement="_xro5Qnr6Ed-JS-dJS9jZTw">
            <body>Coded attribute that describes the level sensitivity of the protected information (including IIHI) that the user may access or use. Sensitivity is a characteristic of a resource which implies its value or importance.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xro5RXr6Ed-JS-dJS9jZTw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xro5RHr6Ed-JS-dJS9jZTw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xro5Nnr6Ed-JS-dJS9jZTw" name="name" visibility="public">
          <ownedComment xmi:id="_xro5N3r6Ed-JS-dJS9jZTw" annotatedElement="_xro5Nnr6Ed-JS-dJS9jZTw">
            <body>This attribute is used to specify the role name, if available.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xro5OXr6Ed-JS-dJS9jZTw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xro5OHr6Ed-JS-dJS9jZTw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xro5Pnr6Ed-JS-dJS9jZTw" name="roleCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_xro5P3r6Ed-JS-dJS9jZTw" annotatedElement="_xro5Pnr6Ed-JS-dJS9jZTw">
            <body>This coded descriptor is used to specify a user role. It is an identifier of a hierarchical group in which membership is asserted, for example, organizational position. Structural roles provide authorizations on objects at a global level without regard to internal details (ASTM E2595). Examples include authorization to participate in a session, connect authorization to a database, authorization to participate in an order workflow, or connection to a protected uniform resource locator (URL). A structural role applies to the business process task as a group. This attribute refers to a coded structural role specified by an external coding system.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xro5QXr6Ed-JS-dJS9jZTw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xro5QHr6Ed-JS-dJS9jZTw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_xro5Mnr6Ed-JS-dJS9jZTw" name="roleId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_xro5M3r6Ed-JS-dJS9jZTw" annotatedElement="_xro5Mnr6Ed-JS-dJS9jZTw">
            <body>This attribute is used to represent a unique role identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xro5NXr6Ed-JS-dJS9jZTw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_xro5NHr6Ed-JS-dJS9jZTw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0weGsXr7Ed-JS-dJS9jZTw" name="functionalRole" visibility="public" type="_amKV8Hr7Ed-JS-dJS9jZTw" association="_0weGsHr7Ed-JS-dJS9jZTw">
          <ownedComment xmi:id="_3pilkHr7Ed-JS-dJS9jZTw" annotatedElement="_0weGsXr7Ed-JS-dJS9jZTw">
            <body>This attribute refers to a coded structural role specified by an external coding system.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0weGsnr7Ed-JS-dJS9jZTw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0wnQoHr7Ed-JS-dJS9jZTw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_OThfoXr7Ed-JS-dJS9jZTw" name="organizationalProvider" visibility="public" type="_HC458BscEd--ZY2-pbJ-Pw" association="_OThfoHr7Ed-JS-dJS9jZTw">
          <ownedComment xmi:id="_nFBpkHsrEd-46pruQ3sQtQ" annotatedElement="_OThfoXr7Ed-JS-dJS9jZTw">
            <body>The organizational provider with which the user is associated.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OThfonr7Ed-JS-dJS9jZTw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OThfo3r7Ed-JS-dJS9jZTw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_OThfoHr7Ed-JS-dJS9jZTw" name="userRole_organizationalProvider" memberEnd="_OThfoXr7Ed-JS-dJS9jZTw _OThfpHr7Ed-JS-dJS9jZTw">
        <ownedEnd xmi:id="_OThfpHr7Ed-JS-dJS9jZTw" name="" visibility="public" type="_xro5MHr6Ed-JS-dJS9jZTw" association="_OThfoHr7Ed-JS-dJS9jZTw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_amKV8Hr7Ed-JS-dJS9jZTw" name="FunctionalRole">
        <ownedComment xmi:id="_amKV8Xr7Ed-JS-dJS9jZTw" annotatedElement="_amKV8Hr7Ed-JS-dJS9jZTw">
          <body>Functional Roles can be grouped according to their authorization to access IIHI and perform various operations on health care information. E.g., A health care provider in Organization A is authorized to access protected information (including IIHI) from Organization B (when Organization A &amp;amp;amp;amp; B have entered into a trusted relationship) if that provider is associated with the Functional Group whose permissions grant access per that FunctionalRole. In summary, the functional role defines the access control decision. A functional role is bound to a policy. </body>
        </ownedComment>
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            <body>This attribute is used to represent the user role name, if specified.      </body>
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            <body>The functional role may specify that the user is part of the healthcare team that is directly involved in the client s care. This attribute refers to a functional role assigned by an organization to computer users.</body>
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          <body>xxx&#xD;
&#xD;
Note that this role is called a &quot;Session Role&quot; in ANSI INCITES</body>
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          <body>$$ (from notes (6/13): An older name for &quot;Initiator&quot; is &quot;Authorized Service Endpoint&quot;)</body>
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          <body>This class represents a project or some kind of grouping to which a person must belong in order to be granted access to a particular set of resources.  For example, a person might play the Structural Role of Pharmacist, a Functional Role of Lead Pharmacist for VA isolation unit facility, but would need to belong to the Compartment of “national ebola research” in order to access.  The Compartment clearance allows the ability to restrict access to those persons who are involved in the project.&#xD;
&#xD;
Renamed from &quot;Group&quot;</body>
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            <body>This attribute is used to specify the policy combining algorithm that is used to process the contained policies.</body>
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          <body>*(added 11/2014 as part of high-level refactoring)</body>
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          <body>*(added 11/2014 as part of high-level refactoring)</body>
        </ownedComment>
        <generalization xmi:id="_8Qfu4G6cEeS25q3D6U-JoQ" general="_fPv5UG9MEd-NmaNtnOnl0g"/>
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OwnyIHAREeSFaYSDg0j3Bg" value="*"/>
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          <body>*(added 11/2014 as part of high-level refactoring)</body>
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        <generalization xmi:id="_fjXsAGw_EeSoMeT7McMAzQ" general="_Q94CQGw_EeSoMeT7McMAzQ"/>
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        <ownedEnd xmi:id="_OwqOYHAREeSFaYSDg0j3Bg" name="" visibility="public" type="_Q94CQGw_EeSoMeT7McMAzQ" association="_OwhEcHAREeSFaYSDg0j3Bg"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_PUyPIHAREeSFaYSDg0j3Bg" memberEnd="_PU0rYHAREeSFaYSDg0j3Bg _PU4VwHAREeSFaYSDg0j3Bg">
        <ownedEnd xmi:id="_PU4VwHAREeSFaYSDg0j3Bg" name="" visibility="public" type="_gH_BAEs6EeSHq5IIag-zlA" association="_PUyPIHAREeSFaYSDg0j3Bg"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_Yk-BEHAREeSFaYSDg0j3Bg" memberEnd="_Yk_PMHAREeSFaYSDg0j3Bg _YlBEYHAREeSFaYSDg0j3Bg">
        <ownedEnd xmi:id="_YlBEYHAREeSFaYSDg0j3Bg" name="" visibility="public" type="_Nm_e8B8wEeSrlMufRtJwjg" association="_Yk-BEHAREeSFaYSDg0j3Bg"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_i-jlwHGrEeSUPN3DMaTGrQ" memberEnd="_i-kz4HGrEeSUPN3DMaTGrQ _i-oeQHGrEeSUPN3DMaTGrQ">
        <ownedEnd xmi:id="_i-oeQHGrEeSUPN3DMaTGrQ" name="" visibility="public" type="_8Rx4QHAQEeSFaYSDg0j3Bg" association="_i-jlwHGrEeSUPN3DMaTGrQ"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_Y3-SIHG9EeSUPN3DMaTGrQ" memberEnd="_Y4AHUHG9EeSUPN3DMaTGrQ _Y4CjkHG9EeSUPN3DMaTGrQ">
        <ownedEnd xmi:id="_Y4CjkHG9EeSUPN3DMaTGrQ" name="" visibility="public" type="_nIw2QG9HEd-uDMQ5GLSKhg" association="_Y3-SIHG9EeSUPN3DMaTGrQ"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_16zvMHG9EeSUPN3DMaTGrQ" memberEnd="_1609UHG9EeSUPN3DMaTGrQ _162ygHG9EeSUPN3DMaTGrQ">
        <ownedEnd xmi:id="_162ygHG9EeSUPN3DMaTGrQ" name="" visibility="public" type="_QdJAMO2tEeOQj9rMQfa4kA" association="_16zvMHG9EeSUPN3DMaTGrQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_R9HVEH_wEeSDnJHG5e-w4A" name="Signer">
        <ownedAttribute xmi:id="_UgyywH_wEeSDnJHG5e-w4A" name="signature" visibility="public">
          <ownedComment xmi:id="_gHizcH_wEeSDnJHG5e-w4A" annotatedElement="_UgyywH_wEeSDnJHG5e-w4A">
            <body>The DSIG signature contents in Base64.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#UnlimitedNatural"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jLDnwH_wEeSDnJHG5e-w4A" name="type" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_Y-QckH_wEeSDnJHG5e-w4A" memberEnd="_Y-UG8H_wEeSDnJHG5e-w4A _Y-XKQH_wEeSDnJHG5e-w4A">
        <ownedEnd xmi:id="_Y-XKQH_wEeSDnJHG5e-w4A" name="" visibility="public" type="_hTmc4G9LEd-NmaNtnOnl0g" association="_Y-QckH_wEeSDnJHG5e-w4A"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_H_VLYH_yEeSDnJHG5e-w4A" memberEnd="_H_WZgH_yEeSDnJHG5e-w4A _H_YOsH_yEeSDnJHG5e-w4A">
        <ownedEnd xmi:id="_H_YOsH_yEeSDnJHG5e-w4A" name="" visibility="public" type="_hTmc4G9LEd-NmaNtnOnl0g" association="_H_VLYH_yEeSDnJHG5e-w4A"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_3s7bAIVvEeS3cbjm-3wXHw" name="Contract"/>
      <packagedElement xmi:type="uml:Realization" xmi:id="_5zyZ0IVvEeS3cbjm-3wXHw" name="PolicyRealizesContract" client="_hTmc4G9LEd-NmaNtnOnl0g" supplier="_3s7bAIVvEeS3cbjm-3wXHw"/>
      <packagedElement xmi:type="uml:Class" xmi:id="_ctjYkIVxEeS3cbjm-3wXHw" name="FinancialContract">
        <generalization xmi:id="_epjyQIVxEeS3cbjm-3wXHw" general="_3s7bAIVvEeS3cbjm-3wXHw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_sbeHwKJhEeSNCv3P4GXF3Q" memberEnd="_sbeHwaJhEeSNCv3P4GXF3Q _sbn4waJhEeSNCv3P4GXF3Q">
        <ownedEnd xmi:id="_sbn4waJhEeSNCv3P4GXF3Q" name="" visibility="public" type="_UHowcHSyEd-Bj4191_mrEA" association="_sbeHwKJhEeSNCv3P4GXF3Q"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_usXHIKJzEeSYTttHyxdIIA" name="ConstraintPolicy">
        <generalization xmi:id="_1QoscKJzEeSYTttHyxdIIA" general="_YmxWAFY1EeS4Ftcws1EIJA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_UsZTQKJ1EeSYTttHyxdIIA" name="AuthorizationManager"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_flqJcKZzEeSJx_F2WOFQtA" memberEnd="_flvpAKZzEeSJx_F2WOFQtA _flzTYKZzEeSJx_F2WOFQtA">
        <ownedEnd xmi:id="_flzTYKZzEeSJx_F2WOFQtA" name="" visibility="public" type="_QdJAMO2tEeOQj9rMQfa4kA" association="_flqJcKZzEeSJx_F2WOFQtA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Z1qZYKZ2EeSJx_F2WOFQtA" name="SecurityRoleRelationship">
        <ownedAttribute xmi:id="_dJ3VEKZ2EeSJx_F2WOFQtA" name="securityRole" visibility="public" type="_VIZkIGqREd-YrKaDhqmtYg" association="_dJ2G8KZ2EeSJx_F2WOFQtA">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dJ38IaZ2EeSJx_F2WOFQtA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_cng18KZ2EeSJx_F2WOFQtA" memberEnd="_cniEEKZ2EeSJx_F2WOFQtA _cnj5QKZ2EeSJx_F2WOFQtA">
        <ownedEnd xmi:id="_cnj5QKZ2EeSJx_F2WOFQtA" name="" visibility="public" type="_VIZkIGqREd-YrKaDhqmtYg" association="_cng18KZ2EeSJx_F2WOFQtA"/>
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        <ownedEnd xmi:id="_dJ4jMKZ2EeSJx_F2WOFQtA" name="" visibility="public" type="_Z1qZYKZ2EeSJx_F2WOFQtA" association="_dJ2G8KZ2EeSJx_F2WOFQtA"/>
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      <packagedElement xmi:type="uml:Class" xmi:id="_JsVzIA92EeWoV9cUIboUNw" name="SensitivityPolicy">
        <generalization xmi:id="_LCBzsA92EeWoV9cUIboUNw" general="_5dPvYF-SEd-WjrW-OJ9BNQ"/>
        <ownedAttribute xmi:id="_cTWxkA92EeWoV9cUIboUNw" name="sensitivityCode" visibility="public" type="_aGTrMA92EeWoV9cUIboUNw" association="_cTTuQA92EeWoV9cUIboUNw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cTX_sA92EeWoV9cUIboUNw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cTYmwA92EeWoV9cUIboUNw" value="*"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Enumeration" xmi:id="_aGTrMA92EeWoV9cUIboUNw" name="SensitivityCode"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_cTTuQA92EeWoV9cUIboUNw" memberEnd="_cTWxkA92EeWoV9cUIboUNw _cTZ04A92EeWoV9cUIboUNw">
        <ownedEnd xmi:id="_cTZ04A92EeWoV9cUIboUNw" name="" visibility="public" type="_JsVzIA92EeWoV9cUIboUNw" association="_cTTuQA92EeWoV9cUIboUNw"/>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B64602A626015B" name="SocialWork">
      <eAnnotations xmi:id="_QJnQMOLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_QJnQM-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <packagedElement xmi:type="uml:Class" xmi:id="_POS6kPTBEduBs7kF_kF7Xg" name="SocialWorkCase">
        <eAnnotations xmi:id="_64qmoPjQEduqtvcfRHOmNA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_hwvacPpFEduMF_PxJGNijA" annotatedElement="_POS6kPTBEduBs7kF_kF7Xg">
          <body> Various professional services, activities, or methods concretely concerned with the support, treatment, and material  designed to aid and to increase the welfare of the patient.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_HVGAMPjTEduqtvcfRHOmNA" name="costCenter" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_87ZM4PpQEduMF_PxJGNijA" annotatedElement="_HVGAMPjTEduqtvcfRHOmNA">
            <body>Contains information that is used for the Cost Distribution Center section of the patient.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FP200P1vEdumGKpKzIuMpg" name="dateCaseClosed" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_bQ8GYP1vEdumGKpKzIuMpg" annotatedElement="_FP200P1vEdumGKpKzIuMpg">
            <body>Contains the date closed to a particular social worker.   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3KK6sPgXEdu6UehTCAru1g" name="dateCaseOpened" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_2g6cwPpQEduMF_PxJGNijA" annotatedElement="_3KK6sPgXEdu6UehTCAru1g">
            <body>Contains the date the case was opened to the Social Work service.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Nxu7sJTaEd-qjNeFpnkKuw" name="diagnosticCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_WjOXwJTgEd-qjNeFpnkKuw" annotatedElement="_Nxu7sJTaEd-qjNeFpnkKuw">
            <body>A categorization of the patient's diagnosis, typically used for Residential Care Homes.  Possible values include: Medical/Surgical, Psychosis, Organic and Senile Brain Disease, Substance Abuse, etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_H6DucPjTEduqtvcfRHOmNA" name="dispositionFromRch" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NL8i4PpUEduMF_PxJGNijA" annotatedElement="_H6DucPjTEduqtvcfRHOmNA">
            <body>Contains the codes that identify the patient's disposition from the residential care home.  '1' FOR INDIVIDUAL; '2' FOR HOSPITAL; '3' FOR OTHER INSTITUTIONAL; '4' FOR DEATH; '5' FOR TRANSFER;  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4-gZ0JTYEd-qjNeFpnkKuw" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_AWtHsJTfEd-qjNeFpnkKuw" annotatedElement="_4-gZ0JTYEd-qjNeFpnkKuw">
            <body>This is the unique Id number to identify each case that is opened.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Hs4OEPjTEduqtvcfRHOmNA" name="isConsultationOnly" visibility="public">
          <ownedComment xmi:id="_PCEzgPpTEduMF_PxJGNijA" annotatedElement="_Hs4OEPjTEduqtvcfRHOmNA">
            <body>This field is used to indicate if the case is for consultation purposes only.  '1' FOR YES; '0' FOR NO;  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Hp06EPjTEduqtvcfRHOmNA" name="isPatientCompetent" visibility="public">
          <ownedComment xmi:id="_I9eMwPpTEduMF_PxJGNijA" annotatedElement="_Hp06EPjTEduqtvcfRHOmNA">
            <body>Indicates  the competency status of the residential care home patient.  'I' FOR INCOMPETENT; '0' FOR COMPETENT;  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HvQzsPjTEduqtvcfRHOmNA" name="levelOfCare" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_XKrSUPpTEduMF_PxJGNijA" annotatedElement="_HvQzsPjTEduqtvcfRHOmNA">
            <body>Contains information used to show the level of care that a patient receives while in the residential care home program.  '1' FOR LIGHT; '2' FOR MODERATE; '3' FOR HEAVY;  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_H33WEPjTEduqtvcfRHOmNA" name="priorLivingArrangement" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_0i37YPpTEduMF_PxJGNijA" annotatedElement="_H33WEPjTEduqtvcfRHOmNA">
            <body>Contains information that identifies the location of the patient prior to being placed in a residential care home.  (RCH only).  '1' FOR OWN HOME; '2' FOR VA NHCU;   '3' FOR VA HOSPITAL- EXCESS OF 60 DAYS; '4' FOR NON-VA HOSPITAL; '5' FOR VA DOMICILIARY; '6' FOR VA CONTRACT NH; '7' FOR NON-VA NH; '8' FOR NON-VA RESIDENTIAL RESOURCE; '9' FOR VA CONTRACT CARE (NON NH); '10' FOR OTHER;&quot;   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_H8WNcPjTEduqtvcfRHOmNA" name="reasonCaseOpened" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Wz24UPpUEduMF_PxJGNijA" annotatedElement="_H8WNcPjTEduqtvcfRHOmNA">
            <body>Contains a short textual description of why the case was opened.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uBSx8PjYEduqtvcfRHOmNA" name="remarks" visibility="public">
          <ownedComment xmi:id="_F4vvIPphEduioe_m2cuIZA" annotatedElement="_uBSx8PjYEduqtvcfRHOmNA">
            <body>Contains information that allows workers to enter identifying information on certain cases. For instance, if a patient is placed in a contract nursing home, the worker can use this field to abbreviate the name of the nursing home - Civic Center would be Civic.  This field can be used as a ready reference to where their cases are.  It can be used to identify special categories on wards such as POW, Agent Orange, etc.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_gakdkPjYEduqtvcfRHOmNA" name="specialPopulationCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_mi2WMPpTEduMF_PxJGNijA" annotatedElement="_gakdkPjYEduqtvcfRHOmNA">
            <body>Contains information that is used to show what special population the patient may be a member of, for example, HIV, Homeless, RCH, etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kYK-wPjcEduqtvcfRHOmNA" name="wereResourcesOrReferralsAssigned" visibility="public">
          <ownedComment xmi:id="_7esyIPpgEduioe_m2cuIZA" annotatedElement="_kYK-wPjcEduqtvcfRHOmNA">
            <body>Indicates if any resources/referrals are being assigned.  '1' FOR YES; '0' FOR NO;  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tJdgIQnxEdyXPekXF4ppBg" name="accomondationArrangement" visibility="public" type="_xBxD4AnwEdyXPekXF4ppBg" isUnique="false" association="_tJdgIAnxEdyXPekXF4ppBg">
          <ownedComment xmi:id="_iAC6wC6JEd6RGqZb7W4v4w" annotatedElement="_tJdgIQnxEdyXPekXF4ppBg">
            <body>This is the association to the social workers placement of the patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tJjmwAnxEdyXPekXF4ppBg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tJjmwQnxEdyXPekXF4ppBg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MfJbMPo8EduMF_PxJGNijA" name="directServiceProvided" visibility="public" type="_macVAPo7EduMF_PxJGNijA" isUnique="false" association="_MfDUkPo8EduMF_PxJGNijA">
          <ownedComment xmi:id="_S3wRUPpjEduioe_m2cuIZA" annotatedElement="_MfJbMPo8EduMF_PxJGNijA">
            <body>Contains information of the various directed professional services, activities, or methods concretely concerned with the support, treatment, and material designed to aid and to increase the welfare of the patient.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MfJbMfo8EduMF_PxJGNijA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MfJbMvo8EduMF_PxJGNijA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YBM-kPo7EduMF_PxJGNijA" name="problemsEncountered" visibility="public" type="_1O5hwPjQEduqtvcfRHOmNA" isUnique="false" association="_YBG38Po7EduMF_PxJGNijA">
          <ownedComment xmi:id="_KfDgMC6KEd6RGqZb7W4v4w" annotatedElement="_YBM-kPo7EduMF_PxJGNijA">
            <body>This the association to the information about problems encountered for the patients case.    </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YBM-kfo7EduMF_PxJGNijA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YBM-kvo7EduMF_PxJGNijA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_02pqcfo8EduMF_PxJGNijA" name="resourceOrReferral" visibility="public" type="_XxKiAPo8EduMF_PxJGNijA" isUnique="false" association="_02pqcPo8EduMF_PxJGNijA">
          <ownedComment xmi:id="_pTDOUC6JEd6RGqZb7W4v4w" annotatedElement="_02pqcfo8EduMF_PxJGNijA">
            <body>This is the association to the  information about the resources or referrals that were made for this case.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_02vxEPo8EduMF_PxJGNijA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_02vxEfo8EduMF_PxJGNijA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0oMg4ZTYEd-qjNeFpnkKuw" name="socialWorker" visibility="public" type="_420A62FD03B6418A6B760063" association="_0oMg4JTYEd-qjNeFpnkKuw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0oMg4pTYEd-qjNeFpnkKuw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0oMg45TYEd-qjNeFpnkKuw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_33z94ZTgEd-qjNeFpnkKuw" name="socialWorkPatient" visibility="public" type="_PyblkPTFEduBs7kF_kF7Xg" association="_33z94JTgEd-qjNeFpnkKuw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_33z94pTgEd-qjNeFpnkKuw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_33z945TgEd-qjNeFpnkKuw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_PyblkPTFEduBs7kF_kF7Xg" name="SocialWorkPatient">
        <eAnnotations xmi:id="_pbpqQPjdEduqtvcfRHOmNA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_m4s7UPpcEduioe_m2cuIZA" annotatedElement="_PyblkPTFEduBs7kF_kF7Xg">
          <body> Patient that is receiving various professional services, activities, or methods concretely concerned with the support, treatment, and material  designed to aid and to increase their welfare as recommended by a Social Worker.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_uvbjAPgXEdu6UehTCAru1g" name="datePlacedInRchProgram" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_iShZMPpCEduMF_PxJGNijA" annotatedElement="_uvbjAPgXEdu6UehTCAru1g">
            <body>Contains the date patient was placed in RCH.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FhDEIPjdEduqtvcfRHOmNA" name="dateRemovedFromRchProgram" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_S1LV4PpMEduMF_PxJGNijA" annotatedElement="_FhDEIPjdEduqtvcfRHOmNA">
            <body>Contains the date in which the patient was removed from the home.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wh4GEPjdEduqtvcfRHOmNA" name="isFalseHighRisk" visibility="public">
          <eAnnotations xmi:id="_x8UDwPjdEduqtvcfRHOmNA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_Lv8bwPpQEduMF_PxJGNijA" annotatedElement="_wh4GEPjdEduqtvcfRHOmNA">
            <body>This contains information used to indicate that the patient was not a high-risk case.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Fpi40PjdEduqtvcfRHOmNA" name="isPatientHighRisk" visibility="public">
          <ownedComment xmi:id="_mh1twPpMEduMF_PxJGNijA" annotatedElement="_Fpi40PjdEduqtvcfRHOmNA">
            <body>Contains textual informaion that when patients should they be found to be a possible high-risk case.    </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wtVvMPjdEduqtvcfRHOmNA" name="wasSeenBySocialWorkService" visibility="public">
          <ownedComment xmi:id="_CDzN8PpNEduMF_PxJGNijA" annotatedElement="_wtVvMPjdEduqtvcfRHOmNA">
            <body>Contains information to indicate if the patient was seen by the Social Work Service after being identified as a possible high-risk patient.    </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wwrXEPjdEduqtvcfRHOmNA" name="wasPatientRemoved" visibility="public">
          <ownedComment xmi:id="_SOsIMPpNEduMF_PxJGNijA" annotatedElement="_wwrXEPjdEduqtvcfRHOmNA">
            <body>Identifies whether the patient was removed from the RCH placement.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8rOCgJTgEd-qjNeFpnkKuw" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_8rERgJTgEd-qjNeFpnkKuw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8rOCgZTgEd-qjNeFpnkKuw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8rOCgpTgEd-qjNeFpnkKuw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PxEpgfo9EduMF_PxJGNijA" name="rchPlacement " visibility="public" type="_jbmeUPgXEdu6UehTCAru1g" isUnique="false" association="_PxEpgPo9EduMF_PxJGNijA">
          <ownedComment xmi:id="_YlnyQC6KEd6RGqZb7W4v4w" annotatedElement="_PxEpgfo9EduMF_PxJGNijA">
            <body>This is the association to the  information used to show and determine what the monthly rate is being paid for residential care home stay</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PxEpgvo9EduMF_PxJGNijA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PxEpg_o9EduMF_PxJGNijA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_jbmeUPgXEdu6UehTCAru1g" name="ResidentialCareHomePlacement">
        <eAnnotations xmi:id="_bYnloPjjEduqtvcfRHOmNA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_2BazcPpHEduMF_PxJGNijA" annotatedElement="_jbmeUPgXEdu6UehTCAru1g">
          <body>Contains information used to show and determine what the monthly rate is being paid for residential care home stay.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_FxkMYPjdEduqtvcfRHOmNA" name="datePlacedInHome" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_1cUJAPpMEduMF_PxJGNijA" annotatedElement="_FxkMYPjdEduqtvcfRHOmNA">
            <body>Contains the date in which the patient was placed in the home.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_F7N3oPjdEduqtvcfRHOmNA" name="dateRemovedFromHome" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_wBgC8PpIEduMF_PxJGNijA" annotatedElement="_F7N3oPjdEduqtvcfRHOmNA">
            <body>Contains the date in which the patient was removed from the home.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Fu_ZgPjdEduqtvcfRHOmNA" name="id" visibility="public">
          <ownedComment xmi:id="_cPjokP1gEdumGKpKzIuMpg" annotatedElement="_Fu_ZgPjdEduqtvcfRHOmNA">
            <body>Unique identifier for residential care home placement record  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_F0JmUPjdEduqtvcfRHOmNA" name="wasPatientRemovedFromHome" visibility="public">
          <ownedComment xmi:id="_molLwPpIEduMF_PxJGNijA" annotatedElement="_F0JmUPjdEduqtvcfRHOmNA">
            <body>Contains information to determine if  the patient was removed from home.  '1' FOR YES; '0' FOR NO;  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_G6G3kPo3EduMF_PxJGNijA" name="wasTransferedUnderCurrentCase" visibility="public">
          <ownedComment xmi:id="_Mdo28PpKEduMF_PxJGNijA" annotatedElement="_G6G3kPo3EduMF_PxJGNijA">
            <body>Contains information to show that the patient was transferred from home without opening a new case.  '1' FOR YES; '0' FOR NO;  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oNlqcfo3EduMF_PxJGNijA" name="rchRate" visibility="public" type="_4K-TgPjfEduqtvcfRHOmNA" isUnique="false" association="_oNlqcPo3EduMF_PxJGNijA">
          <ownedComment xmi:id="_e_HD4C6KEd6RGqZb7W4v4w" annotatedElement="_oNlqcfo3EduMF_PxJGNijA">
            <body>This is the association to the the monthly rate being paid for residential care home stay based on the effective date.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oNrxEPo3EduMF_PxJGNijA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oNrxEfo3EduMF_PxJGNijA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_baogsJTiEd-qjNeFpnkKuw" name="residentialCareHome" visibility="public" type="_OhjVcJTiEd-qjNeFpnkKuw" association="_baevsJTiEd-qjNeFpnkKuw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_baogsZTiEd-qjNeFpnkKuw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_baogspTiEd-qjNeFpnkKuw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_1O5hwPjQEduqtvcfRHOmNA" name="ProblemsEncountered">
        <eAnnotations xmi:id="_jizLEPjeEduqtvcfRHOmNA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Wbjo4PpbEduioe_m2cuIZA" annotatedElement="_1O5hwPjQEduqtvcfRHOmNA">
          <body>Contains information about problems encountered for the patients case.      </body>
        </ownedComment>
        <ownedAttribute xmi:id="_BdKw8Po7EduMF_PxJGNijA" name="outcomeCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_185vwPpbEduioe_m2cuIZA" annotatedElement="_BdKw8Po7EduMF_PxJGNijA">
            <body>Unique Identifier for the problem resolution for each problem.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_99bPwPjeEduqtvcfRHOmNA" name="problemCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_vKpY0PpbEduioe_m2cuIZA" annotatedElement="_99bPwPjeEduqtvcfRHOmNA">
            <body>Contains a unique identifier for each problem encountered for the case.  The problem describes issues encountered.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_4K-TgPjfEduqtvcfRHOmNA" name="ResidentialCareHomeRate">
        <eAnnotations xmi:id="_9fcd0PjfEduqtvcfRHOmNA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Oxpy4PpIEduMF_PxJGNijA" annotatedElement="_4K-TgPjfEduqtvcfRHOmNA">
          <body>Contains the monthly rate being paid for residential care home stay based on the effective date.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_dA-x8PjgEduqtvcfRHOmNA" name="duration" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_C700YPpIEduMF_PxJGNijA" annotatedElement="_dA-x8PjgEduqtvcfRHOmNA">
            <body>Effective date range during which the particular montly rate for the Residential Care Home is used.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_640l4JTiEd-qjNeFpnkKuw" name="monthlyRatePaid" visibility="public" type="_420A62FD03B641886F630160">
          <ownedComment xmi:id="_YJTdYJTjEd-qjNeFpnkKuw" annotatedElement="_640l4JTiEd-qjNeFpnkKuw">
            <body>Monthly rate paid while in home.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_oNlqcPo3EduMF_PxJGNijA" name="residentialCareHomePlacement_rchRate" memberEnd="_oNlqcfo3EduMF_PxJGNijA _oNx3sPo3EduMF_PxJGNijA">
        <ownedComment xmi:id="_E8wKUPpIEduMF_PxJGNijA" annotatedElement="_oNlqcPo3EduMF_PxJGNijA">
          <body>Rate paid while in home.</body>
        </ownedComment>
        <ownedEnd xmi:id="_oNx3sPo3EduMF_PxJGNijA" name="" visibility="public" type="_jbmeUPgXEdu6UehTCAru1g" association="_oNlqcPo3EduMF_PxJGNijA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oN3-UPo3EduMF_PxJGNijA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oN3-Ufo3EduMF_PxJGNijA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_YBG38Po7EduMF_PxJGNijA" name="socialWorkCase_problemsEncountered" memberEnd="_YBM-kPo7EduMF_PxJGNijA _YBM-k_o7EduMF_PxJGNijA">
        <ownedComment xmi:id="_69tXMPpbEduioe_m2cuIZA" annotatedElement="_YBG38Po7EduMF_PxJGNijA">
          <body>Identifies information about problems encountered for the patients case.    </body>
        </ownedComment>
        <ownedEnd xmi:id="_YBM-k_o7EduMF_PxJGNijA" name="" visibility="public" type="_POS6kPTBEduBs7kF_kF7Xg" association="_YBG38Po7EduMF_PxJGNijA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YBM-lPo7EduMF_PxJGNijA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YBTFMPo7EduMF_PxJGNijA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_macVAPo7EduMF_PxJGNijA" name="ServiceProvision">
        <eAnnotations xmi:id="_K_XDcPo8EduMF_PxJGNijA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_88rWkPphEduioe_m2cuIZA" annotatedElement="_macVAPo7EduMF_PxJGNijA">
          <body>Contains information of the various directed professional services, activities, or methods concretely concerned with the support, treatment, and material designed to aid and to increase the welfare of the patient.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_vZkMIPo7EduMF_PxJGNijA" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_HoNFIPpiEduioe_m2cuIZA" annotatedElement="_vZkMIPo7EduMF_PxJGNijA">
            <body>Contains the unique identifier for direct service category provided.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CUeW8Po8EduMF_PxJGNijA" name="nbrOfHours" visibility="public">
          <ownedComment xmi:id="_CWy14PpiEduioe_m2cuIZA" annotatedElement="_CUeW8Po8EduMF_PxJGNijA">
            <body>Contains the number of hours for the directed services provided</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_MfDUkPo8EduMF_PxJGNijA" name="socialWorkCase_directServiceProvided" memberEnd="_MfJbMPo8EduMF_PxJGNijA _MfPh0Po8EduMF_PxJGNijA">
        <ownedComment xmi:id="_2hbxcPphEduioe_m2cuIZA" annotatedElement="_MfDUkPo8EduMF_PxJGNijA">
          <body>Identifies the various professional services, activities, or methods concretely concerned with the support, treatment, and material designed to aid and to increase the welfare of the patient.  </body>
        </ownedComment>
        <ownedEnd xmi:id="_MfPh0Po8EduMF_PxJGNijA" name="" visibility="public" type="_POS6kPTBEduBs7kF_kF7Xg" association="_MfDUkPo8EduMF_PxJGNijA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MfPh0fo8EduMF_PxJGNijA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MfPh0vo8EduMF_PxJGNijA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_XxKiAPo8EduMF_PxJGNijA" name="ResourceOrReferral">
        <eAnnotations xmi:id="_bGbNoPo8EduMF_PxJGNijA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_1B2YkPpiEduioe_m2cuIZA" annotatedElement="_XxKiAPo8EduMF_PxJGNijA">
          <body>Contains information about the resources or referrals that were made for this case.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_i9EZwPo8EduMF_PxJGNijA" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_KntGsPpjEduioe_m2cuIZA" annotatedElement="_i9EZwPo8EduMF_PxJGNijA">
            <body>Contains the unique id for the resource and or referral for the case.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_utvLcPo8EduMF_PxJGNijA" name="nbrOfReferrals" visibility="public">
          <ownedComment xmi:id="_7PoJcPpiEduioe_m2cuIZA" annotatedElement="_utvLcPo8EduMF_PxJGNijA">
            <body>Contains the number of referrals.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wO7y4JTeEd-qjNeFpnkKuw" name="wasAbleToAccess" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_02pqcPo8EduMF_PxJGNijA" name="socialWorkCase_resourceOrReferral" memberEnd="_02pqcfo8EduMF_PxJGNijA _02vxEvo8EduMF_PxJGNijA">
        <ownedComment xmi:id="_FgswoPpjEduioe_m2cuIZA" annotatedElement="_02pqcPo8EduMF_PxJGNijA">
          <body>Contains the information for the resources and referrals for the case.</body>
        </ownedComment>
        <ownedEnd xmi:id="_02vxEvo8EduMF_PxJGNijA" name="" visibility="public" type="_POS6kPTBEduBs7kF_kF7Xg" association="_02pqcPo8EduMF_PxJGNijA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_02vxE_o8EduMF_PxJGNijA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_02vxFPo8EduMF_PxJGNijA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_PxEpgPo9EduMF_PxJGNijA" name="socialWorkPatient_rchPlacement " memberEnd="_PxEpgfo9EduMF_PxJGNijA _PxKwIPo9EduMF_PxJGNijA">
        <ownedComment xmi:id="_ZR8GgPpjEduioe_m2cuIZA" annotatedElement="_PxEpgPo9EduMF_PxJGNijA">
          <body>Contains information used to show and determine what the monthly rate is being paid for residential care home stay.</body>
        </ownedComment>
        <ownedEnd xmi:id="_PxKwIPo9EduMF_PxJGNijA" name="" visibility="public" type="_PyblkPTFEduBs7kF_kF7Xg" association="_PxEpgPo9EduMF_PxJGNijA">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PxKwIfo9EduMF_PxJGNijA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PxKwIvo9EduMF_PxJGNijA" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_xBxD4AnwEdyXPekXF4ppBg" name="SocialWorkPlacement">
        <eAnnotations xmi:id="_PFPCEAnyEdyXPekXF4ppBg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_CWrgUC6JEd6RGqZb7W4v4w" annotatedElement="_xBxD4AnwEdyXPekXF4ppBg">
          <body>This class contains the social workers placement of the patient.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_HzFjwPjTEduqtvcfRHOmNA" name="placementCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_7p9S0PpTEduMF_PxJGNijA" annotatedElement="_HzFjwPjTEduqtvcfRHOmNA">
            <body>Contains the codes that identify the placement made based on Problem Discharge/Planning.  'I' FOR INPATIENT; 'O' FOR OTHER; 'N' FOR NO PLACEMENT MADE;  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_H1eJYPjTEduqtvcfRHOmNA" name="placementDisposition" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ERNcgPpUEduMF_PxJGNijA" annotatedElement="_H1eJYPjTEduqtvcfRHOmNA">
            <body>Contains the codes that identify the disposition of the patient if placement was made.  '1' FOR CNHC; '2' FOR CNH-Non VA; '3' FOR Domiciliary; '4' FOR NHCU; '5' FOR Own Home; '6' FOR RCH; '7' FOR Other;  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_tJdgIAnxEdyXPekXF4ppBg" name="socialWorkCase_accomondationArrangement" memberEnd="_tJdgIQnxEdyXPekXF4ppBg _tJjmwgnxEdyXPekXF4ppBg">
        <ownedEnd xmi:id="_tJjmwgnxEdyXPekXF4ppBg" name="" visibility="public" type="_POS6kPTBEduBs7kF_kF7Xg" association="_tJdgIAnxEdyXPekXF4ppBg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tJptYAnxEdyXPekXF4ppBg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tJptYQnxEdyXPekXF4ppBg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_0oMg4JTYEd-qjNeFpnkKuw" name="socialWorkCase_socialWorker" memberEnd="_0oMg4ZTYEd-qjNeFpnkKuw _0oWR4JTYEd-qjNeFpnkKuw">
        <ownedEnd xmi:id="_0oWR4JTYEd-qjNeFpnkKuw" name="" visibility="public" type="_POS6kPTBEduBs7kF_kF7Xg" association="_0oMg4JTYEd-qjNeFpnkKuw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_33z94JTgEd-qjNeFpnkKuw" name="socialWorkCase_socialWorkPatient" memberEnd="_33z94ZTgEd-qjNeFpnkKuw _339u4JTgEd-qjNeFpnkKuw">
        <ownedEnd xmi:id="_339u4JTgEd-qjNeFpnkKuw" name="" visibility="public" type="_POS6kPTBEduBs7kF_kF7Xg" association="_33z94JTgEd-qjNeFpnkKuw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_8rERgJTgEd-qjNeFpnkKuw" name="socialWorkPatient_patient" memberEnd="_8rOCgJTgEd-qjNeFpnkKuw _8rOCg5TgEd-qjNeFpnkKuw">
        <ownedEnd xmi:id="_8rOCg5TgEd-qjNeFpnkKuw" name="" visibility="public" type="_PyblkPTFEduBs7kF_kF7Xg" association="_8rERgJTgEd-qjNeFpnkKuw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_OhjVcJTiEd-qjNeFpnkKuw" name="ResidentialCareHome"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_baevsJTiEd-qjNeFpnkKuw" name="residentialCareHomePlacement_residentialCareHome" memberEnd="_baogsJTiEd-qjNeFpnkKuw _baogs5TiEd-qjNeFpnkKuw">
        <ownedEnd xmi:id="_baogs5TiEd-qjNeFpnkKuw" name="" visibility="public" type="_jbmeUPgXEdu6UehTCAru1g" association="_baevsJTiEd-qjNeFpnkKuw"/>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="__tLSgMtKEdyaEqBbyq3Okw" name="SpinalCord">
      <eAnnotations xmi:id="__tRZIMtKEdyaEqBbyq3Okw" source="uml2.diagrams"/>
      <ownedComment xmi:id="_SrbNoFPjEd-Re7XkEdPRMQ">
        <body>VHIM Spinal Cord Injury Domain  Version 0.1</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Association" xmi:id="_jctUYM6pEdyXMP2BMfWZfQ" memberEnd="_jctUYc6pEdyXMP2BMfWZfQ _jczbAs6pEdyXMP2BMfWZfQ">
        <eAnnotations xmi:id="_ukNacNp0Edy3Ht8qXNIwGQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_jczbAs6pEdyXMP2BMfWZfQ" name="" visibility="public" type="_DfFWoM6oEdyXMP2BMfWZfQ" association="_jctUYM6pEdyXMP2BMfWZfQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jczbA86pEdyXMP2BMfWZfQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jczbBM6pEdyXMP2BMfWZfQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4lVPoMtWEdyqc6mXtT1d5g" memberEnd="_4lbWQMtWEdyqc6mXtT1d5g _4lbWQ8tWEdyqc6mXtT1d5g">
        <eAnnotations xmi:id="_ujdzkNp0Edy3Ht8qXNIwGQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_4lbWQ8tWEdyqc6mXtT1d5g" name="" visibility="public" type="_Nl2dEMtMEdyaEqBbyq3Okw" association="_4lVPoMtWEdyqc6mXtT1d5g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lhc4MtWEdyqc6mXtT1d5g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lhc4ctWEdyqc6mXtT1d5g" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_oHqWsM6gEdyce4IOUiRz1Q" memberEnd="_oHwdUM6gEdyce4IOUiRz1Q _oHwdU86gEdyce4IOUiRz1Q">
        <eAnnotations xmi:id="_uj6fgNp0Edy3Ht8qXNIwGQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_oHwdU86gEdyce4IOUiRz1Q" name="" visibility="public" type="_Nl2dEMtMEdyaEqBbyq3Okw" association="_oHqWsM6gEdyce4IOUiRz1Q">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oH2j8M6gEdyce4IOUiRz1Q" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oH2j8c6gEdyce4IOUiRz1Q" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Nl2dEMtMEdyaEqBbyq3Okw" name="SpinalCordEvent">
        <ownedComment xmi:id="_qptK0PTuEdy5Wqkr80CIPQ" annotatedElement="_Nl2dEMtMEdyaEqBbyq3Okw">
          <body>This class contains summary information about the Spinal Injury of the patient.</body>
        </ownedComment>
        <ownedComment xmi:id="_9vS-gAynEd6aYNLI5II8og" annotatedElement="_Nl2dEMtMEdyaEqBbyq3Okw">
          <body>This class contains summary information about the Spinal Injury of the patient.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_M0YtcMtYEdyqc6mXtT1d5g" name="careType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_FrOoAO67EdyeTtxr2InFDA" annotatedElement="_M0YtcMtYEdyqc6mXtT1d5g">
            <body>Contains the codes to identify the tyeps of Epsiode of Care for the veteran  i,e inpatient, rehab etc.   </body>
          </ownedComment>
          <ownedComment xmi:id="_CvP5oAqgEd6qw9bIVZ5Htg" annotatedElement="_M0YtcMtYEdyqc6mXtT1d5g">
            <body>Contains the codes to identify the tyeps of Epsiode of Care for the veteran i,e inpatient, rehab etc. </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uAPeMM6hEdyXMP2BMfWZfQ" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_s6rkYPTtEdy5Wqkr80CIPQ" annotatedElement="_uAPeMM6hEdyXMP2BMfWZfQ">
            <body>Unique identifier for the Spinal Cord event.</body>
          </ownedComment>
          <ownedComment xmi:id="__HiMEAqfEd6qw9bIVZ5Htg" annotatedElement="_uAPeMM6hEdyXMP2BMfWZfQ">
            <body>Unique identifier for the Spinal Cord event.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_IxRSwMtXEdyqc6mXtT1d5g" name="recordDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NN_14O67EdyeTtxr2InFDA" annotatedElement="_IxRSwMtXEdyqc6mXtT1d5g">
            <body>Contains the date the veteran received Patient Education  </body>
          </ownedComment>
          <ownedComment xmi:id="_6cnVEAqfEd6qw9bIVZ5Htg" annotatedElement="_IxRSwMtXEdyqc6mXtT1d5g">
            <body>Contains the date the veteran received Patient Education    </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_k298sMtYEdyqc6mXtT1d5g" name="scoreType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_kh8X0PTtEdy5Wqkr80CIPQ" annotatedElement="_k298sMtYEdyqc6mXtT1d5g">
            <body>Contains the Code Set that identifies the tyepe of score for the Assessment tool.</body>
          </ownedComment>
          <ownedComment xmi:id="_9EsxoAqfEd6qw9bIVZ5Htg" annotatedElement="_k298sMtYEdyqc6mXtT1d5g">
            <body>Contains the Code Set that identifies the tyepe of score for the Assessment tool.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4lbWQMtWEdyqc6mXtT1d5g" name="division" visibility="public" type="_420A62FD03B64242CAB30303" association="_4lVPoMtWEdyqc6mXtT1d5g">
          <ownedComment xmi:id="_YoI98O67EdyeTtxr2InFDA" annotatedElement="_4lbWQMtWEdyqc6mXtT1d5g">
            <body>Contains the Division with in the VA which provided the patient Education.  </body>
          </ownedComment>
          <ownedComment xmi:id="_BHLZkFznEd6WkeJA5pW9UA" annotatedElement="_4lbWQMtWEdyqc6mXtT1d5g">
            <body>Division the patient is currently assigned.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4lbWQctWEdyqc6mXtT1d5g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4lbWQstWEdyqc6mXtT1d5g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1Ns0Uc6qEdyXMP2BMfWZfQ" name="medicalComplication" visibility="public" type="_iAW1sM6qEdyXMP2BMfWZfQ" association="_1Ns0UM6qEdyXMP2BMfWZfQ">
          <ownedComment xmi:id="_csle8PUKEdy5Wqkr80CIPQ" annotatedElement="_1Ns0Uc6qEdyXMP2BMfWZfQ">
            <body> Association to the class that identifies the information regarding the spinal cord injury medical complications for the patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_4byWIAyqEd6aYNLI5II8og" annotatedElement="_1Ns0Uc6qEdyXMP2BMfWZfQ">
            <body>Association to the class that contains information regarding the spinal cord injury medical complications for the patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1Ns0Us6qEdyXMP2BMfWZfQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1Ns0U86qEdyXMP2BMfWZfQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oHwdUM6gEdyce4IOUiRz1Q" name="serviceDeliveryLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_oHqWsM6gEdyce4IOUiRz1Q">
          <ownedComment xmi:id="_KUpzcPUMEdy5Wqkr80CIPQ" annotatedElement="_oHwdUM6gEdyce4IOUiRz1Q">
            <body> Association to the class that identifies the physical location of the services being provided for the spinal cord injury patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_92r4kAyqEd6aYNLI5II8og" annotatedElement="_oHwdUM6gEdyce4IOUiRz1Q">
            <body>Association to the location to which the patient is assigned.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oHwdUc6gEdyce4IOUiRz1Q" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oHwdUs6gEdyce4IOUiRz1Q" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_3VQWkMtQEdyqc6mXtT1d5g" name="SpinalCordAssessment">
        <eAnnotations xmi:id="_E2DCEMtREdyqc6mXtT1d5g" source="uml2.diagrams"/>
        <ownedComment xmi:id="_4MHL0PBMEdym3-emZ4rhQw" annotatedElement="_3VQWkMtQEdyqc6mXtT1d5g">
          <body>Contains the Code Set that identifies the tyepe of score for the Assessment tool.</body>
        </ownedComment>
        <ownedComment xmi:id="_CxwLwAyoEd6aYNLI5II8og" annotatedElement="_3VQWkMtQEdyqc6mXtT1d5g">
          <body>Contains the Code Set that identifies the type of score for the Assessment tool. ASIA, FIM, FAM CHARTSF etc.</body>
        </ownedComment>
        <generalization xmi:id="_hQJ6YBlKEd6eoOkMkMnuyg" general="_Nl2dEMtMEdyaEqBbyq3Okw"/>
        <ownedAttribute xmi:id="_Lc2B0LDNEd2trbCPdTt3cw" name="affectivePainRatingIndex" visibility="public">
          <ownedComment xmi:id="_xxhKoLTTEd2D87slLCU3Jw" annotatedElement="_Lc2B0LDNEd2trbCPdTt3cw">
            <body>Contains the rating value for the patient s subjective measurement of affective pain.</body>
          </ownedComment>
          <ownedComment xmi:id="_bQL40AqgEd6qw9bIVZ5Htg" annotatedElement="_Lc2B0LDNEd2trbCPdTt3cw">
            <body>Contains the calculated value for the Affected Pain Rating Index for the patient.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YQoWwNM5EdyWh-xi-xzdNQ" name="assessmentFormType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_A1790PBMEdym3-emZ4rhQw" annotatedElement="_YQoWwNM5EdyWh-xi-xzdNQ">
            <body>Contains the code set that identifies the Assessment Instrument ( form) ie. SWLS, FIM, ASIA, CHART-SF, FAM, DUSOI-A etc.</body>
          </ownedComment>
          <ownedComment xmi:id="_xFBeIAqgEd6qw9bIVZ5Htg" annotatedElement="_YQoWwNM5EdyWh-xi-xzdNQ">
            <body>Contains the codes that identify the type Assessment Form the Patient informations is being gathered for. ie. ASIA, FIN FAM CHARTSFetc</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TG1bUOu3EdykfYQ46IUXCQ" name="bodyMassIndex" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_NEzigPTuEdy5Wqkr80CIPQ" annotatedElement="_TG1bUOu3EdykfYQ46IUXCQ">
            <body>Contains the calculated value for the BMI or Body Mass Index </body>
          </ownedComment>
          <ownedComment xmi:id="_uUVCsAqhEd6qw9bIVZ5Htg" annotatedElement="_TG1bUOu3EdykfYQ46IUXCQ">
            <body>Contains the BMI dcore for the veteran.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uJk90OuUEdyrWtj95_Q6oQ" name="cognitiveSubTotal" visibility="public">
          <ownedComment xmi:id="_Sq55kO6yEdyeTtxr2InFDA" annotatedElement="_uJk90OuUEdyrWtj95_Q6oQ">
            <body>Contains Cognitive Assessment value for veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_CENjIAqhEd6qw9bIVZ5Htg" annotatedElement="_uJk90OuUEdyrWtj95_Q6oQ">
            <body>Contains Cognitive Assessment value for veteran    </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uADHAOuXEdyrWtj95_Q6oQ" name="diagnosticHealthProblemScore" visibility="public">
          <ownedComment xmi:id="_aOkaAPBMEdym3-emZ4rhQw" annotatedElement="_uADHAOuXEdyrWtj95_Q6oQ">
            <body>Contains the diagnostic health problem assessment value for the veteran</body>
          </ownedComment>
          <ownedComment xmi:id="_KRxacAqhEd6qw9bIVZ5Htg" annotatedElement="_uADHAOuXEdyrWtj95_Q6oQ">
            <body>Contains the diagnostic health problem assessment value for the veteran      </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_yC9_oI8qEeG2ar1Lc1hB1g" name="height" visibility="public" type="_420A62FD03B641886F630221"/>
        <ownedAttribute xmi:id="_qkf0gAjsEd6pUMCNq3NSwg" name="highestNeurologicalLevel" visibility="public">
          <ownedComment xmi:id="_o5H-QAqhEd6qw9bIVZ5Htg" annotatedElement="_qkf0gAjsEd6pUMCNq3NSwg">
            <body>Contains the highest Nreuorlogical Level score for the veteran.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KggtUNTPEdya-bU--xfX5g" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_lduaEPBMEdym3-emZ4rhQw" annotatedElement="_KggtUNTPEdya-bU--xfX5g">
            <body>Contains the unique identifier for the  Assessment Tool</body>
          </ownedComment>
          <ownedComment xmi:id="_yABt0AqgEd6qw9bIVZ5Htg" annotatedElement="_KggtUNTPEdya-bU--xfX5g">
            <body>Unique identifier for the SpinalCordAssessment   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ktpD8AjuEd6pUMCNq3NSwg" name="impairmentScale" visibility="public">
          <ownedComment xmi:id="_1OcVIAqhEd6qw9bIVZ5Htg" annotatedElement="_ktpD8AjuEd6pUMCNq3NSwg">
            <body>Contains the Impairment Scale value for the veteran.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_O022UOuXEdyrWtj95_Q6oQ" name="mentalComponentScore" visibility="public">
          <ownedComment xmi:id="_WBJ-YPBMEdym3-emZ4rhQw" annotatedElement="_O022UOuXEdyrWtj95_Q6oQ">
            <body>Contains the mental component assessment value for the veteran</body>
          </ownedComment>
          <ownedComment xmi:id="_HhC_QAqhEd6qw9bIVZ5Htg" annotatedElement="_O022UOuXEdyrWtj95_Q6oQ">
            <body>Contains the mental component assessment value for the veteran  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_hp0RgOuUEdyrWtj95_Q6oQ" name="motorSubTotal" visibility="public">
          <ownedComment xmi:id="_Qf2XQO6yEdyeTtxr2InFDA" annotatedElement="_hp0RgOuUEdyrWtj95_Q6oQ">
            <body>Contains Motor Assessment value for veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_Acf-cAqhEd6qw9bIVZ5Htg" annotatedElement="_hp0RgOuUEdyrWtj95_Q6oQ">
            <body>Contains Motor Assessment value for veteran</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QQJzwO7FEdyeTtxr2InFDA" name="overallCYHDepression" visibility="public">
          <ownedComment xmi:id="_HVlg8O7PEdyeTtxr2InFDA" annotatedElement="_QQJzwO7FEdyeTtxr2InFDA">
            <body>Contains the subscore for the veteran overall Depression  </body>
          </ownedComment>
          <ownedComment xmi:id="_ZQNvsAqhEd6qw9bIVZ5Htg" annotatedElement="_QQJzwO7FEdyeTtxr2InFDA">
            <body>Contains the subscore for the veteran overall Depression</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FRz24O7FEdyeTtxr2InFDA" name="overallCYHHealth" visibility="public">
          <ownedComment xmi:id="_KNh-cO7PEdyeTtxr2InFDA" annotatedElement="_FRz24O7FEdyeTtxr2InFDA">
            <body>Contains the subscore for the veteran overall Health.</body>
          </ownedComment>
          <ownedComment xmi:id="_ebKxoAqhEd6qw9bIVZ5Htg" annotatedElement="_FRz24O7FEdyeTtxr2InFDA">
            <body>Contains the subscore for the veteran overall Health</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0EcAYO7OEdyeTtxr2InFDA" name="overallCYHIndependance" visibility="public">
          <ownedComment xmi:id="_CsYhMO7PEdyeTtxr2InFDA" annotatedElement="_0EcAYO7OEdyeTtxr2InFDA">
            <body>Contains the subscore for the veteran overall Independance  </body>
          </ownedComment>
          <ownedComment xmi:id="_h619gAqhEd6qw9bIVZ5Htg" annotatedElement="_0EcAYO7OEdyeTtxr2InFDA">
            <body>Contains the subscore for the veteran overall Independance</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Z6W0QLDNEd2trbCPdTt3cw" name="painScale" visibility="public">
          <ownedComment xmi:id="_5a3hoLTTEd2D87slLCU3Jw" annotatedElement="_Z6W0QLDNEd2trbCPdTt3cw">
            <body>Contains the scale value for the patient s overall pain. </body>
          </ownedComment>
          <ownedComment xmi:id="_GDcOQAqgEd6qw9bIVZ5Htg" annotatedElement="_Z6W0QLDNEd2trbCPdTt3cw">
            <body>Contains the calculated value for the pain scale.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HiajcOuXEdyrWtj95_Q6oQ" name="physicalComponentScore" visibility="public">
          <ownedComment xmi:id="_UhKyUPBMEdym3-emZ4rhQw" annotatedElement="_HiajcOuXEdyrWtj95_Q6oQ">
            <body>Contains the physical component assessment value for the veteran</body>
          </ownedComment>
          <ownedComment xmi:id="_E2IRIAqhEd6qw9bIVZ5Htg" annotatedElement="_HiajcOuXEdyrWtj95_Q6oQ">
            <body>Contains the physical component assessment value for the veteran  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3dOTgOrQEdyMaYi-M8wTQQ" name="score" visibility="public">
          <ownedComment xmi:id="_bdvi4PBMEdym3-emZ4rhQw" annotatedElement="_3dOTgOrQEdyMaYi-M8wTQQ">
            <body>Contains the total score for the Assessment tool</body>
          </ownedComment>
          <ownedComment xmi:id="_TUYqcAqhEd6qw9bIVZ5Htg" annotatedElement="_3dOTgOrQEdyMaYi-M8wTQQ">
            <body>Contains the total score for the Assessment tool  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DPb7gLDNEd2trbCPdTt3cw" name="sensoryPainRatingIndex" visibility="public">
          <ownedComment xmi:id="_m03P0LTTEd2D87slLCU3Jw" annotatedElement="_DPb7gLDNEd2trbCPdTt3cw">
            <body>Contains the rating value for the patient s subjective measurement of sensory pain.</body>
          </ownedComment>
          <ownedComment xmi:id="_fRFicAqgEd6qw9bIVZ5Htg" annotatedElement="_DPb7gLDNEd2trbCPdTt3cw">
            <body>Contains the calculated value for the Sensory Pain Rating Index for the patient.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Rzy80LDNEd2trbCPdTt3cw" name="totalPainRatingIndex" visibility="public">
          <ownedComment xmi:id="_0eE3gLTTEd2D87slLCU3Jw" annotatedElement="_Rzy80LDNEd2trbCPdTt3cw">
            <body>Contains the patient s total rating value for subjective measurement of pain.</body>
          </ownedComment>
          <ownedComment xmi:id="_Y0LJYAqgEd6qw9bIVZ5Htg" annotatedElement="_Rzy80LDNEd2trbCPdTt3cw">
            <body>Contains the calculated value for the Total Pain Rating Index for the patient.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2RywgI8qEeG2ar1Lc1hB1g" name="weight" visibility="public" type="_420A62FD03B641886F630221"/>
        <ownedAttribute xmi:id="_Wwv_ALDNEd2trbCPdTt3cw" name="visualAnalogScale" visibility="public">
          <ownedComment xmi:id="_2p_8gLTTEd2D87slLCU3Jw" annotatedElement="_Wwv_ALDNEd2trbCPdTt3cw">
            <body>Contains the scale value for the patient s visual analogue.</body>
          </ownedComment>
          <ownedComment xmi:id="_U77FcAqgEd6qw9bIVZ5Htg" annotatedElement="_Wwv_ALDNEd2trbCPdTt3cw">
            <body>Contains the calculated value for the Visual Anaolog Scale for the patient.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_iFo54OVJEdyzF5SPyilcgg" name="assessmentSection" visibility="public" type="_wvfUoOVIEdyzF5SPyilcgg" association="_iFizQOVJEdyzF5SPyilcgg">
          <ownedComment xmi:id="_0AAFoPULEdy5Wqkr80CIPQ" annotatedElement="_iFo54OVJEdyzF5SPyilcgg">
            <body> Association to the class that identifies the Assessment section or grouping on the assessment tool.</body>
          </ownedComment>
          <ownedComment xmi:id="_mb7eUAyqEd6aYNLI5II8og" annotatedElement="_iFo54OVJEdyzF5SPyilcgg">
            <body>Contains information that is pertinent to Assessment grouping or Section on the Assessment to</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iFo54eVJEdyzF5SPyilcgg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iFvAgOVJEdyzF5SPyilcgg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_pZJxgI8nEeG2ar1Lc1hB1g" name="transcriber" visibility="public" type="_YV5E0I8nEeG2ar1Lc1hB1g" association="_pZH8UI8nEeG2ar1Lc1hB1g">
          <ownedComment xmi:id="_zGmHMI8nEeG2ar1Lc1hB1g" annotatedElement="_pZJxgI8nEeG2ar1Lc1hB1g">
            <body>&quot;An entity entering the data into the originating system. The data entry entity is collected optionally for internal quality control purposes. This includes the transcriptionist for dictated text transcribed into electronic form.&quot; - HL7 V3.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pZK_oI8nEeG2ar1Lc1hB1g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pZLmsI8nEeG2ar1Lc1hB1g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YCLMsI8pEeG2ar1Lc1hB1g" name="diagnosisList" visibility="public" type="_e4dl4AgVEd6eWYJXJewDdQ" association="_YCG7QI8pEeG2ar1Lc1hB1g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YCLzwI8pEeG2ar1Lc1hB1g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YCMa0I8pEeG2ar1Lc1hB1g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4WwuYI8pEeG2ar1Lc1hB1g" name="attendantCare" visibility="public" type="_9BkScNZvEdyksYmSx-_jaA" association="_4WtEAI8pEeG2ar1Lc1hB1g">
          <ownedComment xmi:id="_63b7YI8pEeG2ar1Lc1hB1g" annotatedElement="_4WwuYI8pEeG2ar1Lc1hB1g">
            <body>Contains information regarding attendant care for the spinal cord injury patient</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4Wx8gI8pEeG2ar1Lc1hB1g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4Wx8gY8pEeG2ar1Lc1hB1g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FY350I8qEeG2ar1Lc1hB1g" name="attender" visibility="public" type="_E0a_kAq7Ed-426xscrxYmQ" association="_FY02gI8qEeG2ar1Lc1hB1g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FY5H8I8qEeG2ar1Lc1hB1g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FY5vAI8qEeG2ar1Lc1hB1g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CAwSAI8rEeG2ar1Lc1hB1g" name="comments" visibility="public" type="_420A62FD03B642C044DB02ED" association="_CAsAkI8rEeG2ar1Lc1hB1g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CAw5EI8rEeG2ar1Lc1hB1g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CAw5EY8rEeG2ar1Lc1hB1g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_J5yq0I8rEeG2ar1Lc1hB1g" name="spinalCordAssessmentGoal " visibility="public" type="_eOzqsOx6EdywLMnZ819tBQ" association="_J5uZYI8rEeG2ar1Lc1hB1g">
          <ownedComment xmi:id="_KskyoI8rEeG2ar1Lc1hB1g" annotatedElement="_J5yq0I8rEeG2ar1Lc1hB1g">
            <body>Association to the class that identifies the value which indicates numeric goal for spinal Cord injury patient's rehabilitation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_J5z48I8rEeG2ar1Lc1hB1g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_J5z48Y8rEeG2ar1Lc1hB1g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5mx54I8rEeG2ar1Lc1hB1g" name="author" visibility="public" type="_hXa7cAq6Ed-426xscrxYmQ" association="_5mtocI8rEeG2ar1Lc1hB1g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5mzIAI8rEeG2ar1Lc1hB1g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5mzIAY8rEeG2ar1Lc1hB1g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_3Lz0wMtSEdyqc6mXtT1d5g" name="SpinalCordAssessmentQuestion">
        <ownedComment xmi:id="_khJvAPBKEdym3-emZ4rhQw" annotatedElement="_3Lz0wMtSEdyqc6mXtT1d5g">
          <body>This class contains assessments regarding the health and associated  information regarding the spinal cord Injury for the veteran.</body>
        </ownedComment>
        <ownedComment xmi:id="_Gz4H8AypEd6aYNLI5II8og" annotatedElement="_3Lz0wMtSEdyqc6mXtT1d5g">
          <body>This class contains assessments regarding the health and associated information regarding the spinal cord Injury for the veteran.</body>
        </ownedComment>
        <generalization xmi:id="_zMu7sApXEd69CMBilJHYGQ" general="_wvfUoOVIEdyzF5SPyilcgg"/>
        <ownedAttribute xmi:id="_-gmz4MtZEdyqc6mXtT1d5g" name="assessmentDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_YYqWgO7GEdyeTtxr2InFDA" annotatedElement="_-gmz4MtZEdyqc6mXtT1d5g">
            <body>Contains date that the veteran supplied the assessment information.  </body>
          </ownedComment>
          <ownedComment xmi:id="_IuNtsAypEd6aYNLI5II8og" annotatedElement="_-gmz4MtZEdyqc6mXtT1d5g">
            <body>Contains date that the veteran supplied the assessment information.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ntOl4MtdEdyqc6mXtT1d5g" name="assessmentQuestion" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_f1dRYPBJEdym3-emZ4rhQw" annotatedElement="_ntOl4MtdEdyqc6mXtT1d5g">
            <body>Contains the codeset that identifies the Assessment Question for the section and Form. ie, SWLS is the form, Education and Occupation is the section and the Assessment question Is Student Y or N. </body>
          </ownedComment>
          <ownedComment xmi:id="_Nb0FQAypEd6aYNLI5II8og" annotatedElement="_ntOl4MtdEdyqc6mXtT1d5g">
            <body>Contains the codeset that identifies the Assessment Question for the section and Form. ie, SWLS is the form, Education and Occupation is the section and the Assessment question Is Student Y or N.   </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_mvf8wI8pEeG2ar1Lc1hB1g" name="assessmentResponse" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
          <ownedComment xmi:id="_wTYt0I8pEeG2ar1Lc1hB1g" annotatedElement="_mvf8wI8pEeG2ar1Lc1hB1g">
            <body>Contains the response to the assessment question supplied by the veteran which helps identify the functional level of impairment and or education provided</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rxs8MNAkEdyHyuMbpKEXlg" name="count" visibility="public">
          <ownedComment xmi:id="_kTlpkPBJEdym3-emZ4rhQw" annotatedElement="_rxs8MNAkEdyHyuMbpKEXlg">
            <body>Contains the count for the assessment question</body>
          </ownedComment>
          <ownedComment xmi:id="_TiE44AypEd6aYNLI5II8og" annotatedElement="_rxs8MNAkEdyHyuMbpKEXlg">
            <body>Contains the count for the assessment question  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VWpJYNTPEdya-bU--xfX5g" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <eAnnotations xmi:id="_YOGesNTPEdya-bU--xfX5g" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_o3pDkPBJEdym3-emZ4rhQw" annotatedElement="_VWpJYNTPEdya-bU--xfX5g">
            <body>Unique identifier assign to the assessment question</body>
          </ownedComment>
          <ownedComment xmi:id="_gKULwAypEd6aYNLI5II8og" annotatedElement="_VWpJYNTPEdya-bU--xfX5g">
            <body>Unique identifier assign to the assessment question  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jWQXgOrLEdyMaYi-M8wTQQ" name="score" visibility="public">
          <ownedComment xmi:id="_wPVp4PBJEdym3-emZ4rhQw" annotatedElement="_jWQXgOrLEdyMaYi-M8wTQQ">
            <body>Contains the value for the assessment question.</body>
          </ownedComment>
          <ownedComment xmi:id="_iTs6IAypEd6aYNLI5II8og" annotatedElement="_jWQXgOrLEdyMaYi-M8wTQQ">
            <body>Contains the value for the assessment question.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_DfFWoM6oEdyXMP2BMfWZfQ" name="SpinalCordEpisodeOfCare">
        <ownedComment xmi:id="_LQSI0O63EdyeTtxr2InFDA" annotatedElement="_DfFWoM6oEdyXMP2BMfWZfQ">
          <body>This Class contains  the process by which the Veterans Affairs documents  information to enroll the veteran in the spinal cord domain for the episode of care.  </body>
        </ownedComment>
        <ownedComment xmi:id="_r-7cAAm5Ed6I04ySc2CGmQ" annotatedElement="_DfFWoM6oEdyXMP2BMfWZfQ">
          <body>This Class contains the process by which the Veterans Affairs documents information to enroll the veteran in the spinal cord domain for the episode of care.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_jnPnsNXAEdyMSoGS-ULFTg" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_QXSUUO62EdyeTtxr2InFDA" annotatedElement="_jnPnsNXAEdyMSoGS-ULFTg">
            <body>Unique identifier that associates the registration with associated Episode of care.</body>
          </ownedComment>
          <ownedComment xmi:id="_uwQUIAm5Ed6I04ySc2CGmQ" annotatedElement="_jnPnsNXAEdyMSoGS-ULFTg">
            <body>Unique identifier that associates the registration with associated Episode of care.    </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ySY6kNDrEdyG7OHWfYGHvg" name="eocStartDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_hKUP0O66EdyeTtxr2InFDA" annotatedElement="_ySY6kNDrEdyG7OHWfYGHvg">
            <body>Contains the Date the Episode of Care (EOC) began for the veteran.  </body>
          </ownedComment>
          <ownedComment xmi:id="_6WCEcAm5Ed6I04ySc2CGmQ" annotatedElement="_ySY6kNDrEdyG7OHWfYGHvg">
            <body>Contains the Date the Episode of Care (EOC) began for the veteran.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-XZkkNDrEdyG7OHWfYGHvg" name="eocClosedDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_jkLqMO66EdyeTtxr2InFDA" annotatedElement="_-XZkkNDrEdyG7OHWfYGHvg">
            <body>Contains the Date the Episode of Care (EOC) closed for the veteran.  </body>
          </ownedComment>
          <ownedComment xmi:id="_CNizQAm6Ed6I04ySc2CGmQ" annotatedElement="_-XZkkNDrEdyG7OHWfYGHvg">
            <body>Contains the Date the Episode of Care (EOC) closed for the veteran</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_G54jANDsEdyG7OHWfYGHvg" name="eocFollowUpDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_mSGB8O66EdyeTtxr2InFDA" annotatedElement="_G54jANDsEdyG7OHWfYGHvg">
            <body>Contains the Episode of Care (EOC) followup date for the veteran.  </body>
          </ownedComment>
          <ownedComment xmi:id="_Qjwq4Am6Ed6I04ySc2CGmQ" annotatedElement="_G54jANDsEdyG7OHWfYGHvg">
            <body>Contains the Episode of Care (EOC) followup date for the veteran.    </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jctUYc6pEdyXMP2BMfWZfQ" name="aeVamcLocation" visibility="public" type="_420A62FD03B64242CAB30303" association="_jctUYM6pEdyXMP2BMfWZfQ">
          <ownedComment xmi:id="_mJAz4O65EdyeTtxr2InFDA" annotatedElement="_jctUYc6pEdyXMP2BMfWZfQ">
            <body> Association to the class that identifies the VAMC location where Annual Evaluation (AE) took place.  </body>
          </ownedComment>
          <ownedComment xmi:id="_Y1pBgAm6Ed6I04ySc2CGmQ" annotatedElement="_jctUYc6pEdyXMP2BMfWZfQ">
            <body>Association to the class that identifies the VAMC location where Annual Evaluation (AE) took place.    </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jczbAM6pEdyXMP2BMfWZfQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jczbAc6pEdyXMP2BMfWZfQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kWKVgerwEdyMaYi-M8wTQQ" name="bcr" visibility="public" type="_5PaRwOrvEdyMaYi-M8wTQQ" association="_kWKVgOrwEdyMaYi-M8wTQQ">
          <ownedComment xmi:id="_c7pLcPUGEdy5Wqkr80CIPQ" annotatedElement="_kWKVgerwEdyMaYi-M8wTQQ">
            <body> Association to the class that identifies information about BCR treatment and support for the spinal cord injury of the veteran.</body>
          </ownedComment>
          <ownedComment xmi:id="_l4MpsAyrEd6aYNLI5II8og" annotatedElement="_kWKVgerwEdyMaYi-M8wTQQ">
            <body>Association to the class that contains information about BCR treatment and support for the spinal cord injury of the veteran.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kWQcIOrwEdyMaYi-M8wTQQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kWQcIerwEdyMaYi-M8wTQQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dfLIQI8mEeG2ar1Lc1hB1g" name="primaryPerformer" visibility="public" type="_7NSfgH_lEd-Ure_vzgD_TA" association="_dfIsAI8mEeG2ar1Lc1hB1g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dfLvUI8mEeG2ar1Lc1hB1g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dfMWYI8mEeG2ar1Lc1hB1g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_fqK1oI8lEeG2ar1Lc1hB1g" name="spinalCordEvent" visibility="public" type="_Nl2dEMtMEdyaEqBbyq3Okw" association="_fqGkMI8lEeG2ar1Lc1hB1g">
          <ownedComment xmi:id="_1DuNII8lEeG2ar1Lc1hB1g" annotatedElement="_fqK1oI8lEeG2ar1Lc1hB1g">
            <body>Summary information about the Spinal Injury of the patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fqMDwI8lEeG2ar1Lc1hB1g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fqMDwY8lEeG2ar1Lc1hB1g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8LPnQNQmEdy3opOEf2-BLQ" name="spinalCordImpairment" visibility="public" type="_N4HHENQmEdy3opOEf2-BLQ" association="_8KSlANQmEdy3opOEf2-BLQ">
          <ownedComment xmi:id="_KnQ4UPUKEdy5Wqkr80CIPQ" annotatedElement="_8LPnQNQmEdy3opOEf2-BLQ">
            <body> Association to the class that identifies the information regarding the spinal cord injury impairment for the patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_b5l6sAm6Ed6I04ySc2CGmQ" annotatedElement="_8LPnQNQmEdy3opOEf2-BLQ">
            <body>Association to the class that identifies the information regarding the spinal cord injury impairment for the patient.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8LPnQdQmEdy3opOEf2-BLQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8LPnQtQmEdy3opOEf2-BLQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_iAW1sM6qEdyXMP2BMfWZfQ" name="MedicalComplication">
        <ownedComment xmi:id="_fbpGMPUKEdy5Wqkr80CIPQ" annotatedElement="_iAW1sM6qEdyXMP2BMfWZfQ">
          <body>This class contains information regarding the spinal cord injury medical complications for the patient.</body>
        </ownedComment>
        <ownedComment xmi:id="_x62YsAyqEd6aYNLI5II8og" annotatedElement="_iAW1sM6qEdyXMP2BMfWZfQ">
          <body>This class contains information regarding the spinal cord injury medical complications for the patient.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_rdAWUM6qEdyXMP2BMfWZfQ" name="bladderDrainage" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_zrviUPUKEdy5Wqkr80CIPQ" annotatedElement="_rdAWUM6qEdyXMP2BMfWZfQ">
            <body>Contains a code set that identifies the bladder drainage method  </body>
          </ownedComment>
          <ownedComment xmi:id="_6rlOgAyqEd6aYNLI5II8og" annotatedElement="_rdAWUM6qEdyXMP2BMfWZfQ">
            <body>Contains a code set that identifies the bladder drainage method    </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_1Ns0UM6qEdyXMP2BMfWZfQ" memberEnd="_1Ns0Uc6qEdyXMP2BMfWZfQ _1Ny68M6qEdyXMP2BMfWZfQ">
        <eAnnotations xmi:id="_ukWkYNp0Edy3Ht8qXNIwGQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_1Ny68M6qEdyXMP2BMfWZfQ" name="" visibility="public" type="_Nl2dEMtMEdyaEqBbyq3Okw" association="_1Ns0UM6qEdyXMP2BMfWZfQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_1Ny68c6qEdyXMP2BMfWZfQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_1Ny68s6qEdyXMP2BMfWZfQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_6YU8cNAmEdyHyuMbpKEXlg" name="EtiologyObservation">
        <ownedComment xmi:id="_tNpyoPUMEdy5Wqkr80CIPQ" annotatedElement="_6YU8cNAmEdyHyuMbpKEXlg">
          <body>This class contains information that identifies theThe cause or origin of a spinal cord injury as determined by medical diagnosis. </body>
        </ownedComment>
        <ownedComment xmi:id="_Rh-DwAmzEd6I04ySc2CGmQ" annotatedElement="_6YU8cNAmEdyHyuMbpKEXlg">
          <body>This class contains information that identifies theThe cause or origin of a spinal cord injury as determined by medical diagnosis. </body>
        </ownedComment>
        <ownedAttribute xmi:id="_dMEoMNAnEdyHyuMbpKEXlg" name="etiologyNonTrauma" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_poMtAO64EdyeTtxr2InFDA" annotatedElement="_dMEoMNAnEdyHyuMbpKEXlg">
            <body>Contains code set indicating the nature of non-traumatic injury suffered by veteran</body>
          </ownedComment>
          <ownedComment xmi:id="_eKg4oAmzEd6I04ySc2CGmQ" annotatedElement="_dMEoMNAnEdyHyuMbpKEXlg">
            <body>Contains code set indicating the nature of non-traumatic injury suffered by veteran</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nIzXENAnEdyHyuMbpKEXlg" name="EtiologyOther" visibility="public">
          <ownedComment xmi:id="_52C0oO64EdyeTtxr2InFDA" annotatedElement="_nIzXENAnEdyHyuMbpKEXlg">
            <body>Contains information in textual format identifying other complicating health issues for the veteran.</body>
          </ownedComment>
          <ownedComment xmi:id="_XExlAAmzEd6I04ySc2CGmQ" annotatedElement="_nIzXENAnEdyHyuMbpKEXlg">
            <body>  Contains information in textual format identifying other complicating health issues for the veteran.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_O1_TcNAnEdyHyuMbpKEXlg" name="etiologyTrauma" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_vNlBIO64EdyeTtxr2InFDA" annotatedElement="_O1_TcNAnEdyHyuMbpKEXlg">
            <body>Contains code set indicating the nature of traumic injury suffered by veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_Uc_DYAmzEd6I04ySc2CGmQ" annotatedElement="_O1_TcNAnEdyHyuMbpKEXlg">
            <body>Contains code set indicating the nature of traumic injury suffered by veteran    </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0dkYwNAnEdyHyuMbpKEXlg" name="msSubType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_FQwkcO65EdyeTtxr2InFDA" annotatedElement="_0dkYwNAnEdyHyuMbpKEXlg">
            <body>Contains the code set that identifies the Multiple Sclerosis subtype for the veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_iJ6tcAmzEd6I04ySc2CGmQ" annotatedElement="_0dkYwNAnEdyHyuMbpKEXlg">
            <body>Contains the code set that identifies the Multiple Sclerosis subtype for the veteran    </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="__TZ54NAnEdyHyuMbpKEXlg" name="onsetDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_MPVgIO65EdyeTtxr2InFDA" annotatedElement="__TZ54NAnEdyHyuMbpKEXlg">
            <body>Contains the date of the etiology injury for the veteran.</body>
          </ownedComment>
          <ownedComment xmi:id="_kM5R0AmzEd6I04ySc2CGmQ" annotatedElement="__TZ54NAnEdyHyuMbpKEXlg">
            <body>Contains the date of the etiology injury for the veteran.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_WHV2kNDqEdyG7OHWfYGHvg" name="SpinalCordMedicalCentersVisted">
        <ownedComment xmi:id="_fl5HAPUNEdy5Wqkr80CIPQ" annotatedElement="_WHV2kNDqEdyG7OHWfYGHvg">
          <body>This is the class that contains the current and historic medical centers that provided services for the veteran</body>
        </ownedComment>
        <ownedComment xmi:id="_zQEykAmyEd6I04ySc2CGmQ" annotatedElement="_WHV2kNDqEdyG7OHWfYGHvg">
          <body>This is the class that contains the current and historic medical centers that provided services for the veteran</body>
        </ownedComment>
        <ownedAttribute xmi:id="_jXznENDqEdyG7OHWfYGHvg" name="medicalCentersVisted" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_WLNd8O66EdyeTtxr2InFDA" annotatedElement="_jXznENDqEdyG7OHWfYGHvg">
            <body>Contains code set that provides a list of the VAMC visted by the veteran. </body>
          </ownedComment>
          <ownedComment xmi:id="_1sPTAAmyEd6I04ySc2CGmQ" annotatedElement="_jXznENDqEdyG7OHWfYGHvg">
            <body>Contains code set that provides a list of the VAMC visted by the veteran.   </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Yu0DIO66EdyeTtxr2InFDA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Yu0DIe66EdyeTtxr2InFDA" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_bJGq0NDrEdyG7OHWfYGHvg" name="SpinalCordRegistration">
        <ownedComment xmi:id="_Hf0agPTvEdy5Wqkr80CIPQ" annotatedElement="_bJGq0NDrEdyG7OHWfYGHvg">
          <body>This Class contains  the process by which the Veterans Affairs documents  information to enroll the veteran in the spinal cord domain for the episode of care.  </body>
        </ownedComment>
        <ownedComment xmi:id="_ytPIEAmuEd6I04ySc2CGmQ" annotatedElement="_bJGq0NDrEdyG7OHWfYGHvg">
          <body>This Class contains the process by which the Veterans Affairs documents information to enroll the veteran in the spinal cord domain for the episode of care.     </body>
        </ownedComment>
        <ownedAttribute xmi:id="_7_rp4NAoEdyHyuMbpKEXlg" name="dateFirstSeen" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_HEALEO62EdyeTtxr2InFDA" annotatedElement="_7_rp4NAoEdyHyuMbpKEXlg">
            <body>Contains the first date the veteran was seen for SCI care  </body>
          </ownedComment>
          <ownedComment xmi:id="_uqXlAAmtEd6I04ySc2CGmQ" annotatedElement="_7_rp4NAoEdyHyuMbpKEXlg">
            <body>Contains the first date the veteran was seen for SCI care    </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5g5MAOScEdyN994-DOk4MA" name="dateLastReviewed" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_vV5aMO65EdyeTtxr2InFDA" annotatedElement="_5g5MAOScEdyN994-DOk4MA">
            <body>Contains the  last date the veterans  registration record was reviewed .  </body>
          </ownedComment>
          <ownedComment xmi:id="_25RgIAmtEd6I04ySc2CGmQ" annotatedElement="_5g5MAOScEdyN994-DOk4MA">
            <body>Contains the last date the veterans registration record was reviewed .    </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3rSX0O65EdyeTtxr2InFDA" name="dateOfDeath" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="__G500O65EdyeTtxr2InFDA" annotatedElement="_3rSX0O65EdyeTtxr2InFDA">
            <body>Contains the veterans date of death.  </body>
          </ownedComment>
          <ownedComment xmi:id="_zr0QMAmuEd6I04ySc2CGmQ" annotatedElement="_3rSX0O65EdyeTtxr2InFDA">
            <body>Contains the veterans date of death.    </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8wSiwO65EdyeTtxr2InFDA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8wSiwe65EdyeTtxr2InFDA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NSLMwNAmEdyHyuMbpKEXlg" name="dateRevised" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_HWEgkO64EdyeTtxr2InFDA" annotatedElement="_NSLMwNAmEdyHyuMbpKEXlg">
            <body>Contains the current and historical change dates for the veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_pCD4sAmtEd6I04ySc2CGmQ" annotatedElement="_NSLMwNAmEdyHyuMbpKEXlg">
            <body>Contains the current and historical change dates for the veteran    </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_I6UNEOSdEdyN994-DOk4MA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_I6UNEeSdEdyN994-DOk4MA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Urn88NXAEdyMSoGS-ULFTg" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_TYaGgO63EdyeTtxr2InFDA" annotatedElement="_Urn88NXAEdyMSoGS-ULFTg">
            <body>Unique identifier that identifies this Episode of care for the veteran.</body>
          </ownedComment>
          <ownedComment xmi:id="_JLuZQAmtEd6I04ySc2CGmQ" annotatedElement="_Urn88NXAEdyMSoGS-ULFTg">
            <body>Unique identifier that identifies this Episode of care for the veteran.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ELVcsNApEdyHyuMbpKEXlg" name="percentProvidedByVa" visibility="public">
          <ownedComment xmi:id="_KAcHAO62EdyeTtxr2InFDA" annotatedElement="_ELVcsNApEdyHyuMbpKEXlg">
            <body>Contains the portion of care provided by VA.  </body>
          </ownedComment>
          <ownedComment xmi:id="_xZKGgAmtEd6I04ySc2CGmQ" annotatedElement="_ELVcsNApEdyHyuMbpKEXlg">
            <body>Contains the portion of care provided by VA.    </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_vor_YNAlEdyHyuMbpKEXlg" name="registrationStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Em6BEO63EdyeTtxr2InFDA" annotatedElement="_vor_YNAlEdyHyuMbpKEXlg">
            <body>Contains the code set that identifies the Registration status of the veteran</body>
          </ownedComment>
          <ownedComment xmi:id="_UZEuoAkBEd6w44GySTJ45A" annotatedElement="_vor_YNAlEdyHyuMbpKEXlg">
            <body>Contains the code set that identifies the Registration status of the veteran    </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tEMqcI8oEeG2ar1Lc1hB1g" name="ancillaryRegistrationEvent" visibility="public" type="_fnjEsNDuEdyG7OHWfYGHvg" association="_tEJAEI8oEeG2ar1Lc1hB1g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tEN4kI8oEeG2ar1Lc1hB1g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tEN4kY8oEeG2ar1Lc1hB1g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SmHDcfQ0EdyKRIzAtE3HZw" name="etiology" visibility="public" type="_6YU8cNAmEdyHyuMbpKEXlg" association="_SmHDcPQ0EdyKRIzAtE3HZw">
          <ownedComment xmi:id="_YwLo4PUMEdy5Wqkr80CIPQ" annotatedElement="_SmHDcfQ0EdyKRIzAtE3HZw">
            <body> Association to the class that identifies the cause or origin of a spinal cord injury as determined by medical diagnosis.   </body>
          </ownedComment>
          <ownedComment xmi:id="__KVFcAmvEd6I04ySc2CGmQ" annotatedElement="_SmHDcfQ0EdyKRIzAtE3HZw">
            <body>Association to the class that identifies the cause or origin of a spinal cord injury as determined by medical diagnosis.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SmZXUPQ0EdyKRIzAtE3HZw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SmZXUfQ0EdyKRIzAtE3HZw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_haAhIfQqEdyKRIzAtE3HZw" name="evaluation " visibility="public" type="_KsSfUNv9Edyfi6kBZ4pnVQ" association="_haAhIPQqEdyKRIzAtE3HZw">
          <ownedComment xmi:id="_jMnuQPQqEdyKRIzAtE3HZw" annotatedElement="_haAhIfQqEdyKRIzAtE3HZw">
            <body> Association to the class that identifies the information for the Veterans evaluation session.</body>
          </ownedComment>
          <ownedComment xmi:id="_Bw7UQAmwEd6I04ySc2CGmQ" annotatedElement="_haAhIfQqEdyKRIzAtE3HZw">
            <body>Association to the class that identifies the information for the Veterans evaluation session.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_haAhIvQqEdyKRIzAtE3HZw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_haAhI_QqEdyKRIzAtE3HZw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uYg0YfQpEdyKRIzAtE3HZw" name="medicalCentersVisted" visibility="public" type="_WHV2kNDqEdyG7OHWfYGHvg" association="_uYg0YPQpEdyKRIzAtE3HZw">
          <ownedComment xmi:id="_0v7pcPQpEdyKRIzAtE3HZw" annotatedElement="_uYg0YfQpEdyKRIzAtE3HZw">
            <body> Association to the class that identifies the current and historic medical centers that provided services for the veteran</body>
          </ownedComment>
          <ownedComment xmi:id="_OYHeQAmwEd6I04ySc2CGmQ" annotatedElement="_uYg0YfQpEdyKRIzAtE3HZw">
            <body>Association to the class that identifies the current and historic medical centers that provided services for the veteran  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_uYm7APQpEdyKRIzAtE3HZw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_uYm7AfQpEdyKRIzAtE3HZw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Gy0zgI8jEeG2ar1Lc1hB1g" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_GyjGsI8jEeG2ar1Lc1hB1g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Gy3PwI8jEeG2ar1Lc1hB1g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Gy320I8jEeG2ar1Lc1hB1g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Ms_DAfQrEdyKRIzAtE3HZw" name="referral" visibility="public" type="_ea_0EOrvEdyMaYi-M8wTQQ" association="_Ms_DAPQrEdyKRIzAtE3HZw">
          <ownedComment xmi:id="_OaV8sPQrEdyKRIzAtE3HZw" annotatedElement="_Ms_DAfQrEdyKRIzAtE3HZw">
            <body> Association to the class that identifies the information for the Veterans referrals.</body>
          </ownedComment>
          <ownedComment xmi:id="_JabcQAmwEd6I04ySc2CGmQ" annotatedElement="_Ms_DAfQrEdyKRIzAtE3HZw">
            <body>Association to the class that identifies the information for the Veterans referrals.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MtFJoPQrEdyKRIzAtE3HZw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MtFJofQrEdyKRIzAtE3HZw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0-964I8jEeG2ar1Lc1hB1g" name="sciCoordinator" visibility="public" type="_362usNv-Edyfi6kBZ4pnVQ" association="_0-5pcI8jEeG2ar1Lc1hB1g">
          <ownedComment xmi:id="_Dpi48I8kEeG2ar1Lc1hB1g" annotatedElement="_0-964I8jEeG2ar1Lc1hB1g">
            <body>Identifies the SCI Coordinators who are providing or have provided Spinal Cord Injury - related services to the Veteran</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0-_wEI8jEeG2ar1Lc1hB1g" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0-_wEY8jEeG2ar1Lc1hB1g" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_411pUI8kEeG2ar1Lc1hB1g" name="spinalCordEpisodeOfCare" visibility="public" type="_DfFWoM6oEdyXMP2BMfWZfQ" association="_41xX4I8kEeG2ar1Lc1hB1g">
          <ownedComment xmi:id="_8FTO8I8kEeG2ar1Lc1hB1g" annotatedElement="_411pUI8kEeG2ar1Lc1hB1g">
            <body>Association to the process by which the Veterans Affairs documents information to enroll the veteran in the spinal cord domain for the episode of care.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4123cI8kEeG2ar1Lc1hB1g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_413egI8kEeG2ar1Lc1hB1g" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_fnjEsNDuEdyG7OHWfYGHvg" name="AncillaryRegistrationEvent">
        <ownedComment xmi:id="_uphCEO7JEdyeTtxr2InFDA" annotatedElement="_fnjEsNDuEdyG7OHWfYGHvg">
          <body> The process by which the Veterans Affairs documents ancillary information to enroll the veteran in the Spinal Cord domain. </body>
        </ownedComment>
        <ownedComment xmi:id="_Q0BDgAmxEd6I04ySc2CGmQ" annotatedElement="_fnjEsNDuEdyG7OHWfYGHvg">
          <body>The process by which the Veterans Affairs documents ancillary information to enroll the veteran in the Spinal Cord domain. </body>
        </ownedComment>
        <ownedAttribute xmi:id="_qzpJsNDuEdyG7OHWfYGHvg" name="additionalVamcCare" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_7tdEYO7HEdyeTtxr2InFDA" annotatedElement="_qzpJsNDuEdyG7OHWfYGHvg">
            <body>CContains codeSet that identifies where in the VA where additional care was provided to the veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_XgIWMAmxEd6I04ySc2CGmQ" annotatedElement="_qzpJsNDuEdyG7OHWfYGHvg">
            <body>Contains the codeSet that identifies where in the VA where additional care was provided to the veteran</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_24HbcNXAEdyMSoGS-ULFTg" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_izyKMO7JEdyeTtxr2InFDA" annotatedElement="_24HbcNXAEdyMSoGS-ULFTg">
            <body>Contains uniquie identifier for this ancillary Registration event.</body>
          </ownedComment>
          <ownedComment xmi:id="_pBvLwAmxEd6I04ySc2CGmQ" annotatedElement="_24HbcNXAEdyMSoGS-ULFTg">
            <body>Contains uniquie identifier for this ancillary Registration event.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ry38oNDvEdyG7OHWfYGHvg" name="initialRehabDischargeDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_FbYs0O7JEdyeTtxr2InFDA" annotatedElement="_ry38oNDvEdyG7OHWfYGHvg">
            <body>Contains the date veteran was discharged from rehabilitation.</body>
          </ownedComment>
          <ownedComment xmi:id="_dVjRcAmxEd6I04ySc2CGmQ" annotatedElement="_ry38oNDvEdyG7OHWfYGHvg">
            <body>Contains the date veteran was discharged from rehabilitation.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jN65ANDvEdyG7OHWfYGHvg" name="initialRehabSite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_AVDFIO7JEdyeTtxr2InFDA" annotatedElement="_jN65ANDvEdyG7OHWfYGHvg">
            <body>Contains the code set that identifies the veterans initial rehabilitation site  </body>
          </ownedComment>
          <ownedComment xmi:id="_aicQoAmxEd6I04ySc2CGmQ" annotatedElement="_jN65ANDvEdyG7OHWfYGHvg">
            <body>Contains the code set that identifies the veterans initial rehabilitation site</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_TZNvEO7IEdyeTtxr2InFDA" name="nonVamcCare" visibility="public">
          <ownedComment xmi:id="_scmNUPUFEdy5Wqkr80CIPQ" annotatedElement="_TZNvEO7IEdyeTtxr2InFDA">
            <body>Contains information in  textual format about the Non Va Medical center that provided care for the Spinal Cord Injury patient.</body>
          </ownedComment>
          <ownedComment xmi:id="_raLCwAmxEd6I04ySc2CGmQ" annotatedElement="_TZNvEO7IEdyeTtxr2InFDA">
            <body>Contains information in textual format about the Non Va Medical center that provided care for the Spinal Cord Injury patient.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MYs_UNDwEdyG7OHWfYGHvg" name="remarks" visibility="public">
          <ownedComment xmi:id="_b7akMO7JEdyeTtxr2InFDA" annotatedElement="_MYs_UNDwEdyG7OHWfYGHvg">
            <body>Contains remarks to enhance care or outcome for veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_hC67EAmxEd6I04ySc2CGmQ" annotatedElement="_MYs_UNDwEdyG7OHWfYGHvg">
            <body>Contains remarks to enhance care or outcome for veteran      </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_N4HHENQmEdy3opOEf2-BLQ" name="SpinalCordImpairment">
        <ownedComment xmi:id="_P-mJYPUKEdy5Wqkr80CIPQ" annotatedElement="_N4HHENQmEdy3opOEf2-BLQ">
          <body>This class contains information regarding the spinal cord injury impairment for the patient.  </body>
        </ownedComment>
        <ownedComment xmi:id="_f3aigAm3Ed6I04ySc2CGmQ" annotatedElement="_N4HHENQmEdy3opOEf2-BLQ">
          <body>Contains the date of the etiology injury for the veteran.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_YiZfgNQmEdy3opOEf2-BLQ" name="cerebralInjury" visibility="public">
          <ownedComment xmi:id="_as6UQO7KEdyeTtxr2InFDA" annotatedElement="_YiZfgNQmEdy3opOEf2-BLQ">
            <body>Indicates whether or not the veterans has suffered a brain injury</body>
          </ownedComment>
          <ownedComment xmi:id="_jZnd8Am3Ed6I04ySc2CGmQ" annotatedElement="_YiZfgNQmEdy3opOEf2-BLQ">
            <body>Indicates whether or not the veterans has suffered a brain injury  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_kswjkNQmEdy3opOEf2-BLQ" name="otherInjury" visibility="public">
          <ownedComment xmi:id="_hE6YIO7KEdyeTtxr2InFDA" annotatedElement="_kswjkNQmEdy3opOEf2-BLQ">
            <body>Indicates whether or not an other injuries are present  </body>
          </ownedComment>
          <ownedComment xmi:id="_ou2dQAm3Ed6I04ySc2CGmQ" annotatedElement="_kswjkNQmEdy3opOEf2-BLQ">
            <body>Indicates whether or not an other injuries are present    </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_unS6ENQmEdy3opOEf2-BLQ" name="otherInjuryDescription" visibility="public">
          <ownedComment xmi:id="_lsfnQO7KEdyeTtxr2InFDA" annotatedElement="_unS6ENQmEdy3opOEf2-BLQ">
            <body>Contains textual description of any other injuries present  </body>
          </ownedComment>
          <ownedComment xmi:id="_ynZ2wAm3Ed6I04ySc2CGmQ" annotatedElement="_unS6ENQmEdy3opOEf2-BLQ">
            <body>Contains textual description of any other injuries present    </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_8KSlANQmEdy3opOEf2-BLQ" memberEnd="_8LPnQNQmEdy3opOEf2-BLQ _8Lb0gNQmEdy3opOEf2-BLQ">
        <eAnnotations xmi:id="_ukzQUtp0Edy3Ht8qXNIwGQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedEnd xmi:id="_8Lb0gNQmEdy3opOEf2-BLQ" name="" visibility="public" type="_DfFWoM6oEdyXMP2BMfWZfQ" association="_8KSlANQmEdy3opOEf2-BLQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8Lh7INQmEdy3opOEf2-BLQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8Lh7IdQmEdy3opOEf2-BLQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_9BkScNZvEdyksYmSx-_jaA" name="AttendantCare">
        <ownedComment xmi:id="_a2OhoPUHEdy5Wqkr80CIPQ" annotatedElement="_9BkScNZvEdyksYmSx-_jaA">
          <body>This Class contains information regarding attendant care for the spinal cord injury patient.</body>
        </ownedComment>
        <ownedComment xmi:id="_1rS2YAyoEd6aYNLI5II8og" annotatedElement="_9BkScNZvEdyksYmSx-_jaA">
          <body>This Class contains information regarding attendant care for the spinal cord injury patient.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_VD9UcNZwEdyksYmSx-_jaA" name="attendantCareInterruptionDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="__0vRQPUGEdy5Wqkr80CIPQ" annotatedElement="_VD9UcNZwEdyksYmSx-_jaA">
            <body>Contains the date the assistant care for the veteran was interrupted.</body>
          </ownedComment>
          <ownedComment xmi:id="_4YmKIAyoEd6aYNLI5II8og" annotatedElement="_VD9UcNZwEdyksYmSx-_jaA">
            <body>Contains the date the assistant care for the veteran was interrupted.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_g8RmQNZwEdyksYmSx-_jaA" name="attendantLossDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Ch40APUHEdy5Wqkr80CIPQ" annotatedElement="_g8RmQNZwEdyksYmSx-_jaA">
            <body>Indicates dates when attendant loss resulted in an admission  </body>
          </ownedComment>
          <ownedComment xmi:id="_8jLUMAyoEd6aYNLI5II8og" annotatedElement="_g8RmQNZwEdyksYmSx-_jaA">
            <body>Indicates dates when attendant loss resulted in an admission    </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jDSQANAjEdyHyuMbpKEXlg" name="hours" visibility="public">
          <ownedComment xmi:id="_yo5VoO6xEdyeTtxr2InFDA" annotatedElement="_jDSQANAjEdyHyuMbpKEXlg">
            <body>Contains the number hours paid for assistant care for the veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_-LofwAyoEd6aYNLI5II8og" annotatedElement="_jDSQANAjEdyHyuMbpKEXlg">
            <body>Contains the number hours paid for assistant care for the veteran</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0F10MObvEdypU-RfyZwJog"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0F10MebvEdypU-RfyZwJog" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9ycaQNAjEdyHyuMbpKEXlg" name="hoursUnpaid" visibility="public">
          <eAnnotations xmi:id="_EvTesNAkEdyHyuMbpKEXlg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_3BAlYO6xEdyeTtxr2InFDA" annotatedElement="_9ycaQNAjEdyHyuMbpKEXlg">
            <body>Contains the number unpaid hours for assistant care for the veteran   </body>
          </ownedComment>
          <ownedComment xmi:id="__-EtwAyoEd6aYNLI5II8og" annotatedElement="_9ycaQNAjEdyHyuMbpKEXlg">
            <body>Contains the number unpaid hours for assistant care for the veteran    </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KqjVINAkEdyHyuMbpKEXlg" name="numberOfDays" visibility="public">
          <ownedComment xmi:id="_wlECEPUGEdy5Wqkr80CIPQ" annotatedElement="_KqjVINAkEdyHyuMbpKEXlg">
            <body>Contains the total number of days assistant care for the veteran</body>
          </ownedComment>
          <ownedComment xmi:id="_CIW0AAypEd6aYNLI5II8og" annotatedElement="_KqjVINAkEdyHyuMbpKEXlg">
            <body>Contains the total number of days assistant care for the veteran  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_KsSfUNv9Edyfi6kBZ4pnVQ" name="EvaluationEvent">
        <ownedComment xmi:id="_-A8JoPUMEdy5Wqkr80CIPQ" annotatedElement="_KsSfUNv9Edyfi6kBZ4pnVQ">
          <body>This class that contains the information for the spinal cord injury patients evaluation session.</body>
        </ownedComment>
        <ownedComment xmi:id="__CFBAAmyEd6I04ySc2CGmQ" annotatedElement="_KsSfUNv9Edyfi6kBZ4pnVQ">
          <body>This class that contains the information for the spinal cord injury patients evaluation session.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_BaD48M6qEdyXMP2BMfWZfQ" name="declinedAnnualEval" visibility="public">
          <ownedComment xmi:id="_bI25IO65EdyeTtxr2InFDA" annotatedElement="_BaD48M6qEdyXMP2BMfWZfQ">
            <body>Indicates if the veteran refuses further Aes  </body>
          </ownedComment>
          <ownedComment xmi:id="_BHl8AAmzEd6I04ySc2CGmQ" annotatedElement="_BaD48M6qEdyXMP2BMfWZfQ">
            <body>Indicates if the veteran refuses further Aes    </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_F4qnsM6pEdyXMP2BMfWZfQ" name="nextDueDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_dnAWkO65EdyeTtxr2InFDA" annotatedElement="_F4qnsM6pEdyXMP2BMfWZfQ">
            <body>Contains date for next scheduled AE for the veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_DtSy8AmzEd6I04ySc2CGmQ" annotatedElement="_F4qnsM6pEdyXMP2BMfWZfQ">
            <body>Contains date for next scheduled AE for the veteran    </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ds0O0M6oEdyXMP2BMfWZfQ" name="offeredDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Wb6o4O65EdyeTtxr2InFDA" annotatedElement="_ds0O0M6oEdyXMP2BMfWZfQ">
            <body>Contains the last AE date offered to  the veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_H_Le4AmzEd6I04ySc2CGmQ" annotatedElement="_ds0O0M6oEdyXMP2BMfWZfQ">
            <body>Contains the last AE date offered to the veteran</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_86xfoM6oEdyXMP2BMfWZfQ" name="receivedDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_YJRikO65EdyeTtxr2InFDA" annotatedElement="_86xfoM6oEdyXMP2BMfWZfQ">
            <body>Contains the last AE date received by the veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_KwzR8AmzEd6I04ySc2CGmQ" annotatedElement="_86xfoM6oEdyXMP2BMfWZfQ">
            <body>Contains the last AE date received by the veteran</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_362usNv-Edyfi6kBZ4pnVQ" name="SciAdministration">
        <ownedComment xmi:id="_crlXgO62EdyeTtxr2InFDA" annotatedElement="_362usNv-Edyfi6kBZ4pnVQ">
          <body>Contains all the Coordinator SCI  that provoded  services for the veteran  </body>
        </ownedComment>
        <ownedComment xmi:id="_w3ws0AmxEd6I04ySc2CGmQ" annotatedElement="_362usNv-Edyfi6kBZ4pnVQ">
          <body>Identifies the SCI Coordinators who are providing or have provided Spinal Cord Injury - related services to the Veteran</body>
        </ownedComment>
        <ownedAttribute xmi:id="_IANcgNApEdyHyuMbpKEXlg" name="sciCoordinator" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_h4aowO62EdyeTtxr2InFDA" annotatedElement="_IANcgNApEdyHyuMbpKEXlg">
            <body>Identifies the current and historic  SCI  Coordinator/s providing services for the veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_4fLKIAmxEd6I04ySc2CGmQ" annotatedElement="_IANcgNApEdyHyuMbpKEXlg">
            <body>Identifies the SCI Coordinators who are providing or have provided Spinal Cord Injury - related services to the Veteran</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_B2IJcOxwEdywLMnZ819tBQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_B2IJcexwEdywLMnZ819tBQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_s289cO63EdyeTtxr2InFDA" name="isInSciNetwork" visibility="public">
          <ownedComment xmi:id="_vBJkIO63EdyeTtxr2InFDA" annotatedElement="_s289cO63EdyeTtxr2InFDA">
            <body>Indicates whether the veteran is within an SCI Network (SCI networks across the country  22 currently )   </body>
          </ownedComment>
          <ownedComment xmi:id="_63KVMAmxEd6I04ySc2CGmQ" annotatedElement="_s289cO63EdyeTtxr2InFDA">
            <body>Indicates whether the veteran is within an SCI Network (SCI networks across the country 22 currently )    </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_wvfUoOVIEdyzF5SPyilcgg" name="AssessmentSection">
        <ownedComment xmi:id="_RhlsUPTtEdy5Wqkr80CIPQ" annotatedElement="_wvfUoOVIEdyzF5SPyilcgg">
          <body>This Class contains information that is pertinent to Assessment grouping or Section on the Assessment tool.</body>
        </ownedComment>
        <ownedComment xmi:id="_4FfdYAynEd6aYNLI5II8og" annotatedElement="_wvfUoOVIEdyzF5SPyilcgg">
          <body>This Class contains information that is pertinent to Assessment grouping or Section on the Assessment tool.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_j3M-IOVJEdyzF5SPyilcgg" name="assessmentSection" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_-VLOEPBHEdyTVPP0X_6Ueg" annotatedElement="_j3M-IOVJEdyzF5SPyilcgg">
            <body>Contains the code set that identifies the section with in the Assessment form.  SWLS Occupation and Education, Social, Attendant Care  and Chart sf subscale.</body>
          </ownedComment>
          <ownedComment xmi:id="_RAgwgAyoEd6aYNLI5II8og" annotatedElement="_j3M-IOVJEdyzF5SPyilcgg">
            <body>Contains the code set that identifies the section with in the Assessment form. SWLS , ASIA, FIN,FAM,CHARTSF etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tV5rEObnEdypU-RfyZwJog" name="weight" visibility="public">
          <ownedComment xmi:id="_TSQE8PBIEdyTVPP0X_6Ueg" annotatedElement="_tV5rEObnEdypU-RfyZwJog">
            <body>Contains the weight for a particular assessment question in the sections</body>
          </ownedComment>
          <ownedComment xmi:id="_U3RmsAyoEd6aYNLI5II8og" annotatedElement="_tV5rEObnEdypU-RfyZwJog">
            <body>Contains the weight for a particular assessment question in the sections  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Hjup4OboEdypU-RfyZwJog"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Hjup4eboEdypU-RfyZwJog" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__LSYQObnEdypU-RfyZwJog" name="score" visibility="public">
          <ownedComment xmi:id="_aNG-QPBIEdyTVPP0X_6Ueg" annotatedElement="__LSYQObnEdypU-RfyZwJog">
            <body>Score for the section.</body>
          </ownedComment>
          <ownedComment xmi:id="_X2AosAyoEd6aYNLI5II8og" annotatedElement="__LSYQObnEdypU-RfyZwJog">
            <body>Contains the weight for a particular assessment question in the sections  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Gu0bIOboEdypU-RfyZwJog"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Gu0bIeboEdypU-RfyZwJog" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Y0B5kOu1EdykfYQ46IUXCQ" name="bmi" visibility="public">
          <ownedComment xmi:id="_fm7ioPBIEdyTVPP0X_6Ueg" annotatedElement="_Y0B5kOu1EdykfYQ46IUXCQ">
            <body>Contains the body Mass index score </body>
          </ownedComment>
          <ownedComment xmi:id="_d4iy4AyoEd6aYNLI5II8og" annotatedElement="_Y0B5kOu1EdykfYQ46IUXCQ">
            <body>Contains the body Mass index score   </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_L4dr8Ou-EdykfYQ46IUXCQ" name="interruptTransferDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_tNdCsPBIEdyTVPP0X_6Ueg" annotatedElement="_L4dr8Ou-EdykfYQ46IUXCQ">
            <body>Contains the date/s when attendant care is interrupted for the veteran</body>
          </ownedComment>
          <ownedComment xmi:id="_f6VrgAyoEd6aYNLI5II8og" annotatedElement="_L4dr8Ou-EdykfYQ46IUXCQ">
            <body>Contains the date/s when attendant care is interrupted for the veteran  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_27wpcOx2EdywLMnZ819tBQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_27wpcex2EdywLMnZ819tBQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NuINEOu-EdykfYQ46IUXCQ" name="interruptReturnDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_zNq4sPBIEdyTVPP0X_6Ueg" annotatedElement="_NuINEOu-EdykfYQ46IUXCQ">
            <body>Contains the Returns date/s after attendant care is interrupted for the veteran</body>
          </ownedComment>
          <ownedComment xmi:id="_hleXoAyoEd6aYNLI5II8og" annotatedElement="_NuINEOu-EdykfYQ46IUXCQ">
            <body>Contains the Returns date/s after attendant care is interrupted for the veteran  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_G0xUAOrLEdyMaYi-M8wTQQ" name="motorScoreLeft" visibility="public">
          <ownedComment xmi:id="_V-XFAO7LEdyeTtxr2InFDA" annotatedElement="_G0xUAOrLEdyMaYi-M8wTQQ">
            <body>Contains total leftside score of Motor ASIA assessment for the veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_j7hpAAyoEd6aYNLI5II8og" annotatedElement="_G0xUAOrLEdyMaYi-M8wTQQ">
            <body>Contains total leftside score of Motor ASIA assessment for the veteran</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5-3YkOrKEdyMaYi-M8wTQQ" name="motorScoreRight" visibility="public">
          <ownedComment xmi:id="_WvdKwO7LEdyeTtxr2InFDA" annotatedElement="_5-3YkOrKEdyMaYi-M8wTQQ">
            <body>Contains total right side score of Motor ASIA assessment for the veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_mBWGAAyoEd6aYNLI5II8og" annotatedElement="_5-3YkOrKEdyMaYi-M8wTQQ">
            <body>Contains total right side score of Motor ASIA assessment for the veteran</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_IFXWEOx0EdywLMnZ819tBQ" name="sensoryLtScoreRight" visibility="public">
          <ownedComment xmi:id="_dxSOwO7LEdyeTtxr2InFDA" annotatedElement="_IFXWEOx0EdywLMnZ819tBQ">
            <body>Contains total right side score of Light Touch ASIA assessment for the veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_oSoMIAyoEd6aYNLI5II8og" annotatedElement="_IFXWEOx0EdywLMnZ819tBQ">
            <body>Contains total right side score of Motor ASIA assessment for the veteran</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VtO58Ox0EdywLMnZ819tBQ" name="sensoryLtScoreLeft" visibility="public">
          <ownedComment xmi:id="_c6voUO7LEdyeTtxr2InFDA" annotatedElement="_VtO58Ox0EdywLMnZ819tBQ">
            <body>Contains total left side score of Light Touch ASIA assessment for the veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_qk9bIAyoEd6aYNLI5II8og" annotatedElement="_VtO58Ox0EdywLMnZ819tBQ">
            <body>Contains total left side score of Motor ASIA assessment for the veteran</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_RIOoQOx1EdywLMnZ819tBQ" name="sensoryPPScoreRight" visibility="public">
          <ownedComment xmi:id="_tc2IsO7LEdyeTtxr2InFDA" annotatedElement="_RIOoQOx1EdywLMnZ819tBQ">
            <body>Contains total right side score of pin prick ASIA assessment for the veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_vB3rUAyoEd6aYNLI5II8og" annotatedElement="_RIOoQOx1EdywLMnZ819tBQ">
            <body>Contains total right side score of pin prick ASIA assessment for the veteran    </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cxE6sOx1EdywLMnZ819tBQ" name="sensoryPPScoreLeft" visibility="public">
          <ownedComment xmi:id="_rWeSEO7LEdyeTtxr2InFDA" annotatedElement="_cxE6sOx1EdywLMnZ819tBQ">
            <body>Contains total left side score of pin prick ASIA assessment for the veteran  </body>
          </ownedComment>
          <ownedComment xmi:id="_w1zHEAyoEd6aYNLI5II8og" annotatedElement="_cxE6sOx1EdywLMnZ819tBQ">
            <body>Contains total left side score of pin prick ASIA assessment for the veteran    </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_iFizQOVJEdyzF5SPyilcgg" memberEnd="_iFo54OVJEdyzF5SPyilcgg _iFvAgeVJEdyzF5SPyilcgg">
        <ownedComment xmi:id="_X-p2YPTtEdy5Wqkr80CIPQ" annotatedElement="_iFizQOVJEdyzF5SPyilcgg">
          <body>Contains information that is pertinent to Assessment grouping or Section on the Assessment tool</body>
        </ownedComment>
        <ownedEnd xmi:id="_iFvAgeVJEdyzF5SPyilcgg" name="" visibility="public" type="_3VQWkMtQEdyqc6mXtT1d5g" association="_iFizQOVJEdyzF5SPyilcgg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iFvAguVJEdyzF5SPyilcgg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iFvAg-VJEdyzF5SPyilcgg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_ea_0EOrvEdyMaYi-M8wTQQ" name="ReferralEvent">
        <ownedComment xmi:id="_5UxgAPUNEdy5Wqkr80CIPQ" annotatedElement="_ea_0EOrvEdyMaYi-M8wTQQ">
          <body>This class contains the information for the veteran's spinal cord services referrals.</body>
        </ownedComment>
        <ownedComment xmi:id="_pgw0oAmyEd6I04ySc2CGmQ" annotatedElement="_ea_0EOrvEdyMaYi-M8wTQQ">
          <body>This class contains the information for the veteran's spinal cord services referrals.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_LDy3UNDvEdyG7OHWfYGHvg" name="referralSource" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_rFiacO7IEdyeTtxr2InFDA" annotatedElement="_LDy3UNDvEdyG7OHWfYGHvg">
            <body>Contains the code set identifies the facility referring veteran for care.  </body>
          </ownedComment>
          <ownedComment xmi:id="_r5gNoAmyEd6I04ySc2CGmQ" annotatedElement="_LDy3UNDvEdyG7OHWfYGHvg">
            <body>Contains the code set identifies the facility referring veteran for care.    </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_XK5zENDvEdyG7OHWfYGHvg" name="referralVa" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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          <body>This Class  contains information about BCR treatment and support for the spinal cord injury of the veteran.</body>
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          <body>This Class contains information about BCR treatment and support for the spinal cord injury of the veteran.</body>
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            <body>Contains the date veteran was certified for bowel care.  </body>
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            <body>Contains code set that identifies the veterans bowel care provider  </body>
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            <body>Contains code set that identifies the veterans bowel care provider    </body>
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          <body>This Class contains a value which indicates numeric goal for spinal Cord injury patient's rehabilitation.</body>
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        <ownedComment xmi:id="_x-szYAypEd6aYNLI5II8og" annotatedElement="_eOzqsOx6EdywLMnZ819tBQ">
          <body>This Class contains a value which indicates numeric goal for spinal Cord injury patient's rehabilitation.</body>
        </ownedComment>
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          <ownedComment xmi:id="_kxD9oPUIEdy5Wqkr80CIPQ" annotatedElement="_JqmaENZxEdyksYmSx-_jaA">
            <body>Contains the value which indicates numeric goal for spinal Cord injury patient's rehabilitation.</body>
          </ownedComment>
          <ownedComment xmi:id="_z6E68AypEd6aYNLI5II8og" annotatedElement="_JqmaENZxEdyksYmSx-_jaA">
            <body>Contains the value which indicates numeric goal for spinal Cord injury patient's rehabilitation</body>
          </ownedComment>
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        </ownedAttribute>
        <ownedAttribute xmi:id="_wIwu0Ox6EdywLMnZ819tBQ" name="cognitiveGoal" visibility="public">
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            <body>Contains a value which indicates numeric goal for the cognitive rehabilitation.</body>
          </ownedComment>
          <ownedComment xmi:id="_8lcvoAypEd6aYNLI5II8og" annotatedElement="_wIwu0Ox6EdywLMnZ819tBQ">
            <body>Contains the value which indicates the cognitive goal for spinal Cord injury patient's rehabilitation</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_HC9ZsOx7EdywLMnZ819tBQ" name="economicGoal" visibility="public">
          <ownedComment xmi:id="_a4JXwPUIEdy5Wqkr80CIPQ" annotatedElement="_HC9ZsOx7EdywLMnZ819tBQ">
            <body>Contains a value which indicates numeric goal for the economic rehabilitation.</body>
          </ownedComment>
          <ownedComment xmi:id="_F3_5EAyqEd6aYNLI5II8og" annotatedElement="_HC9ZsOx7EdywLMnZ819tBQ">
            <body>Contains the value which indicates the economic goal for spinal Cord injury patient's rehabilitation</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_1f0TEOx6EdywLMnZ819tBQ" name="mobilityGoal" visibility="public">
          <ownedComment xmi:id="_SfmYcPUIEdy5Wqkr80CIPQ" annotatedElement="_1f0TEOx6EdywLMnZ819tBQ">
            <body>Contains a value which indicates numeric goal for the mobility rehabilitation.</body>
          </ownedComment>
          <ownedComment xmi:id="_-wecwAypEd6aYNLI5II8og" annotatedElement="_1f0TEOx6EdywLMnZ819tBQ">
            <body>Contains the value which indicates the mobility goal for spinal Cord injury patient's rehabilitation</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9qhDoOx6EdywLMnZ819tBQ" name="occupationGoal" visibility="public">
          <ownedComment xmi:id="_XydZMPUIEdy5Wqkr80CIPQ" annotatedElement="_9qhDoOx6EdywLMnZ819tBQ">
            <body>Contains a value which indicates numeric goal for the occupational rehabilitation.</body>
          </ownedComment>
          <ownedComment xmi:id="_BeN1YAyqEd6aYNLI5II8og" annotatedElement="_9qhDoOx6EdywLMnZ819tBQ">
            <body>Contains the value which indicates the occupational  goal for spinal Cord injury patient's rehabilitation</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oo8uUOx6EdywLMnZ819tBQ" name="physicalGoal" visibility="public">
          <ownedComment xmi:id="_59UVcPUHEdy5Wqkr80CIPQ" annotatedElement="_oo8uUOx6EdywLMnZ819tBQ">
            <body>Contains a value which indicates numeric goal for the physical rehabilitation.  </body>
          </ownedComment>
          <ownedComment xmi:id="_5i1TMAypEd6aYNLI5II8og" annotatedElement="_oo8uUOx6EdywLMnZ819tBQ">
            <body>Contains the value which indicates the physical goal for spinal Cord injury patient's rehabilitation.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CHN4cOx7EdywLMnZ819tBQ" name="socialGoal" visibility="public">
          <ownedComment xmi:id="_ZJXhwPUIEdy5Wqkr80CIPQ" annotatedElement="_CHN4cOx7EdywLMnZ819tBQ">
            <body>Contains a value which indicates numeric goal for the social rehabilitation.</body>
          </ownedComment>
          <ownedComment xmi:id="_DUYs0AyqEd6aYNLI5II8og" annotatedElement="_CHN4cOx7EdywLMnZ819tBQ">
            <body>Contains the value which indicates the social goal for spinal Cord injury patient's rehabilitation</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Wyie4I8rEeG2ar1Lc1hB1g" name="comments" visibility="public" type="_420A62FD03B642C044DB02ED" association="_Wye0gI8rEeG2ar1Lc1hB1g">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_WyjtAI8rEeG2ar1Lc1hB1g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_WyjtAY8rEeG2ar1Lc1hB1g" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_uYg0YPQpEdyKRIzAtE3HZw" memberEnd="_uYg0YfQpEdyKRIzAtE3HZw _uYm7AvQpEdyKRIzAtE3HZw">
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_haAhIPQqEdyKRIzAtE3HZw" memberEnd="_haAhIfQqEdyKRIzAtE3HZw _haGnwPQqEdyKRIzAtE3HZw">
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      </packagedElement>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_SmHDcPQ0EdyKRIzAtE3HZw" memberEnd="_SmHDcfQ0EdyKRIzAtE3HZw _SmZXUvQ0EdyKRIzAtE3HZw">
        <ownedComment xmi:id="_UdnAcPUMEdy5Wqkr80CIPQ" annotatedElement="_SmHDcPQ0EdyKRIzAtE3HZw">
          <body> Association to the class that identifies the </body>
        </ownedComment>
        <ownedEnd xmi:id="_SmZXUvQ0EdyKRIzAtE3HZw" name="" visibility="public" type="_bJGq0NDrEdyG7OHWfYGHvg" association="_SmHDcPQ0EdyKRIzAtE3HZw">
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_GyjGsI8jEeG2ar1Lc1hB1g" memberEnd="_Gy0zgI8jEeG2ar1Lc1hB1g _Gy8IQI8jEeG2ar1Lc1hB1g">
        <ownedEnd xmi:id="_Gy8IQI8jEeG2ar1Lc1hB1g" name="" visibility="public" type="_bJGq0NDrEdyG7OHWfYGHvg" association="_GyjGsI8jEeG2ar1Lc1hB1g"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_0-5pcI8jEeG2ar1Lc1hB1g" memberEnd="_0-964I8jEeG2ar1Lc1hB1g _0_CMUI8jEeG2ar1Lc1hB1g">
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      <packagedElement xmi:type="uml:Association" xmi:id="_YCG7QI8pEeG2ar1Lc1hB1g" memberEnd="_YCLMsI8pEeG2ar1Lc1hB1g _YCPeII8pEeG2ar1Lc1hB1g">
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      <packagedElement xmi:type="uml:Association" xmi:id="_CAsAkI8rEeG2ar1Lc1hB1g" memberEnd="_CAwSAI8rEeG2ar1Lc1hB1g _CAyHMI8rEeG2ar1Lc1hB1g">
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    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B64294DD880128" name="Surgery">
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      <eAnnotations xmi:id="_N18kcuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
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        <ownedComment xmi:id="_NlZnCOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C02462022E">
          <body>A test or instrument, often a questionaire, used to evaluate or assess the patient's health, within the context of the surgical event.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643E602CF000A" name="assessmentTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NsGr8-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643E602CF000A">
            <body>Contains the date and time the assessment questions were taken.</body>
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        <ownedAttribute xmi:id="_420A62FD03B642FCCAC802DC" name="assessmentId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
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            <body>Unique identifier for the Surgery assessment questions be addressed.</body>
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            <body>Contains the code that identifies the type of surgery assessment questions being addressed.  </body>
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        </ownedAttribute>
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            <body>The response result to an surgical  assessment question.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NwbyXeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NwbyXuLiEduGJrQyRGTO1A" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642C025620069" name="SkinPrepEvent">
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        <ownedComment xmi:id="_NljYBOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C025620069">
          <body>The act of preparing the patient's operative site by washing the site with a disinfectant agent.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6430718910182" name="agent" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NljYB-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6430718910182">
            <body>Indicates the agent used to prepare the patient's operative site.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642C02623004E" name="AnesthesiaEvent">
        <eAnnotations xmi:id="_NltJCuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NljYDOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C02623004E">
          <body>A drug used to produce anesthesia. causing a loss of normal sensation or feeling. The loss of sensation and usually of consciousness without loss of vital functions artificially produced by the administration of one or more agents that block the passage of pain impulses along nerve pathways to the brain   Source: Merriam-Webster's Medical Dictionary,   2002 Merriam-Webster, Inc.     </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64321E03A0016" name="anesthetistCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NltJCOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64321E03A0016">
            <body>A Code set that identifies the category to which the Anesthesist belongs.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64307ABCD0036" name="catheterRemovedDateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NltJBeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64307ABCD0036">
            <body>Date and Time the catheter  was removed. from the patient.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C03FED01A8" name="duration" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_NltJAuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C03FED01A8">
            <body>Contains the duration of the anesthesia event.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_YqXGkOu9EdykfYQ46IUXCQ" name="inductionCompleteDateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_ishvEOu9EdykfYQ46IUXCQ" annotatedElement="_YqXGkOu9EdykfYQ46IUXCQ">
            <body>Date and Time the induction was completed.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64307A9CD010D" name="admin" visibility="public" type="_420A62FD03B64307A78B01A2" isUnique="false" association="_420A62FD03B64307A9CC016F">
          <ownedComment xmi:id="_Nyg19uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64307A9CD010D">
            <body>To manage the Anesthesia administered.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nyg1-OLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Nyg1-eLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B644747407026F" name="anesthesiaAssessment" visibility="public" type="_420A62FD03B642C02462022E" isUnique="false" association="_420A62FD03B6447474060227">
          <ownedComment xmi:id="_N0wRreLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B644747407026F">
            <body>A test or instrument, often a questionaire, used to evaluate or assess the patient's health, within the context of the anesthesia event.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N0wRr-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N0wRsOLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64480660C0130" name="anesthesiaComment" visibility="public" type="_420A62FD03B642C044DB02ED" isUnique="false" association="_420A62FD03B64480660903AC">
          <ownedComment xmi:id="_N1DMkuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64480660C0130">
            <body>Contains anesthesia comments regarding the Surigcal event.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N1DMlOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N1DMleLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oe33wQgbEd6eWYJXJewDdQ" name="anesthesiaDevice" visibility="public" type="_420A62FD03B6430F13EA0391" association="_oe33wAgbEd6eWYJXJewDdQ">
          <ownedComment xmi:id="_zE-MYAgeEd6eWYJXJewDdQ" annotatedElement="_oe33wQgbEd6eWYJXJewDdQ">
            <body>A contrivance or an invention serving a particular purpose, especially a machine used to perform one or more relatively simple tasks.&quot; (The American Heritage  Stedman's Medical Dictionary)        </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oe33wggbEd6eWYJXJewDdQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oe33wwgbEd6eWYJXJewDdQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64307ADAE0132" name="anesthesiaVentilator " visibility="public" type="_420A62FD03B6430F13EA0391" isUnique="false" association="_420A62FD03B64307ADAD00FF">
          <ownedComment xmi:id="_Nyg1_eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64307ADAE0132">
            <body>A device that circulates fresh air and expels stale or foul air. Medicine. A respirator. </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nyg1_-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Nyg2AOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64317A5BD02D7" name="asaClass" visibility="public" type="_420A62FD03B64317A4F6006E" isUnique="false" association="_420A62FD03B64317A5AE03B2">
          <ownedComment xmi:id="_Nz25y-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64317A5BD02D7">
            <body>Contains the patient's physiologic status. Conforming to  American Society of Anesthesiologists classification  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nz25zeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Nz25zuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643075D0601AA" name="dispositionLocation" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B643075D050195">
          <ownedComment xmi:id="_NyXsAuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643075D0601AA">
            <body>Transferring the Care from Anesthesist</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NyXsBOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NyXsBeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5yBZcLWfEeGePaUJ9YIobg" name="anesthesiaSubEventListEntry" visibility="public" type="_qFWsQLWfEeGePaUJ9YIobg" association="_5x9vELWfEeGePaUJ9YIobg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5yCnkLWfEeGePaUJ9YIobg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5yDOoLWfEeGePaUJ9YIobg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_efkYELWjEeGePaUJ9YIobg" name="skinPrepEvent" visibility="public" type="_420A62FD03B642C025620069" association="_efgtsLWjEeGePaUJ9YIobg">
          <ownedComment xmi:id="_iTn4gLWjEeGePaUJ9YIobg" annotatedElement="_efkYELWjEeGePaUJ9YIobg">
            <body>The act of preparing the patient's anesthesia administration site by washing the site with a disinfectant agent.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eflmMLWjEeGePaUJ9YIobg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eflmMbWjEeGePaUJ9YIobg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_MpFpQLWkEeGePaUJ9YIobg" name="levelOfSupervision" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MpFpQbWkEeGePaUJ9YIobg" annotatedElement="_MpFpQLWkEeGePaUJ9YIobg">
            <body>Indicates the highest level of supervision of the anesthesiology staff supervisor.  Suggested include Staff Assisting Resident.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5z72QLWlEeGePaUJ9YIobg" name="supervisorAnesthetist" visibility="public" type="_XmQE8LWlEeGePaUJ9YIobg" association="_5z3k0LWlEeGePaUJ9YIobg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5z8dULWlEeGePaUJ9YIobg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5z9EYLWlEeGePaUJ9YIobg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_UytK8LaEEeGWl-7OlqBMDw" name="assistantAnesthetist" visibility="public" type="_rSyhALWlEeGePaUJ9YIobg" association="_UypgkLaEEeGWl-7OlqBMDw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_UyuZELaEEeGWl-7OlqBMDw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_UyvAILaEEeGWl-7OlqBMDw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZNla0LaEEeGWl-7OlqBMDw" name="principalAnesthesiologist" visibility="public" type="_7NSfgH_lEd-Ure_vzgD_TA" association="_ZNi-kLaEEeGWl-7OlqBMDw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZNmo8LaEEeGWl-7OlqBMDw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZNmo8baEEeGWl-7OlqBMDw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642C026910331" name="RestraintPositionEvent">
        <eAnnotations xmi:id="_NmAD8eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Nl2S8OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C026910331">
          <body>An instrument or a means of restraint to prevent the infliction of harm to self or others, such as a straightjacket.    Source: The American Heritage  Stedman's Medical Dictionary  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642C03674011E" name="comments" visibility="public">
          <ownedComment xmi:id="_Nl2S8-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C03674011E">
            <body>Contains desrciptive information of the patient's restraint position.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C035E30179" name="restraintPositionType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Nl2S9uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C035E30179">
            <body>Contains the code that identifies the position of the restraint used for the patient</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6431DAFFA00A9" name="positionIid" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_Nl2S-eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6431DAFFA00A9">
            <body>Contains unique identifer for the position of the restraint used for the patient</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C026C10240" name="restrainingAid" visibility="public" type="_420A62FD03B6430F13EA0391" isUnique="false" association="_420A62FD03B642C026C0036B">
          <ownedComment xmi:id="_NvFuhuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C026C10240">
            <body>An instrument or a means of restraint to prevent the infliction of harm to self or others, such as a straightjacket.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NvFuiOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NvFuieLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642C02B2E0055" name="CardiacSurgeryEvent">
        <eAnnotations xmi:id="_NmJN6uLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NmAD9OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C02B2E0055">
          <body>Surgery for treating a patient with a heart disorder.</body>
        </ownedComment>
        <generalization xmi:id="_tQ1DgLaAEeGWl-7OlqBMDw" general="_420A62FD03B64241D5AD0362"/>
        <ownedAttribute xmi:id="_420A62FD03B642F13C7A01C2" name="cardiacSurgeryId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_NmAD--LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F13C7A01C2">
            <body>Unique identifier that is assigned to this surgery event.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F13C5A032E" name="collectionDate" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_NmAD-OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F13C5A032E">
            <body>Contains the date and time that the cardiac surgical priority information was collected.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64308AC5D0270" name="estimateOfMortalityDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NmJN6OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64308AC5D0270">
            <body>Contains the date and time that the estimate of mortality information was collected.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F13C7F0241" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NmAD_uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F13C7F0241">
            <body>Contains a code that identifies the status of the surgery event.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F13C3202A4" name="surgicalPriority" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NmJN4uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F13C3202A4">
            <body>Contains the surgical priority that most accurately reflects  the acuity of patient's cardiovascular condition at the  time of transport to the operating room.  Suggested like values: 1:ELECTIVE,  2:URGENT,  3:EMERGENT (ONGOING ISCHEMIA),  4:EMERGENT (HEMODYNAMIC COMPROMISE),  5:EMERGENT (ARREST WITH CPR).  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F14140010A" name="totaISchemicTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NmJN5eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F14140010A">
            <body>Record in minutes the duration of time the ascending aorta is totally cross-clamped.  Do not include the duration of partial aorta cross-clamp used for sewing the proximal anastomoses.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F147CC036D" name="evaluation" visibility="public" type="_420A62FD03B642F142D1012F" isUnique="false" association="_420A62FD03B642F147CC002E">
          <ownedComment xmi:id="_NwIQVuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F147CC036D">
            <body>Examine and appraise the cardiac surgery.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NwIQWOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NwIQWeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64300B24B00A6" name="cardiacProsthesis" visibility="public" type="_420A62FD03B6430F13EA0391" isUnique="false" association="_420A62FD03B64300B24A00E1">
          <ownedComment xmi:id="_NwutRuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64300B24B00A6">
            <body>An artificial device used to replace a missing body part, such as a limb, tooth, eye, or heart valve.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NwutSOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NwutSeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64308AAEF03C8" name="perfusionDevice" visibility="public" type="_420A62FD03B6430F13EA0391" isUnique="false" association="_420A62FD03B64308AAEE03D0">
          <ownedComment xmi:id="_Ny0X_eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64308AAEF03C8">
            <body>The piece of equipment or a mechanism designed to support  perfusion for the  surgical function </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ny0X_-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ny0YAOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642C032C40062" name="SurgeryPatientMovement">
        <eAnnotations xmi:id="_NmS-6OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NmS-4OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C032C40062">
          <body>This class records arrival and departure times relevant to the surgery, such as holding area arrival, operating room arrival, operating room departure, etc.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642C033D9007E" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NmS-5uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C033D9007E">
            <body>Catgorizes the patient movement relevant to the surgery, such as holding area arrival, operating room arrival, operating room departure, etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C03F0E0052" name="time" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NmS-4-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C03F0E0052">
            <body>Contains the dates and times that the patient was transported in and out of the OR.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C032EA01F7" name="vehicle" visibility="public" type="_420A62FD03B6430F13EA0391" isUnique="false" association="_420A62FD03B642C032E902AA">
          <ownedComment xmi:id="_NvFulOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C032EA01F7">
            <body>Identifies the type of vehicle used to transport the patient to and from the operating room, recovery room, intensive care Unit etc.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NvPfgeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NvPfguLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642C042380238" name="BodilyFluidAdministration">
        <eAnnotations xmi:id="_Nml51OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Nmcv6uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C042380238">
          <body> Adminstration of bodily fluids blood products etc.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642C0425B0094" name="fluidType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Nmcv7eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C0425B0094">
            <body>Identifies each the types of replacement fluids given intravascularly during the operative procedure.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C0425B00A8" name="quantity" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_Nml50uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C0425B00A8">
            <body> Contains the gastric output (cc's)  during the operative procedure  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F1307100BD" name="typeFluid" visibility="public" type="_420A62FD03B642F12FFA021A" isUnique="false" association="_420A62FD03B642F130700007">
          <ownedComment xmi:id="_Nv_GdOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F1307100BD">
            <body>Identifies each the types of replacement fluids given intravascularly during the operative procedure.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NwIQUeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NwIQUuLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642C045F301C0" name="PhysiologicMonitoringEvent">
        <eAnnotations xmi:id="_Nmvq0eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Nml51-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C045F301C0">
          <body>Monitor the differing in, involving, or affecting physiological factors.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642C0460F0116" name="timeInstalled" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Nml52uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C0460F0116">
            <body>Contains the date\ time that the monitor was applied to the patient.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C04623038C" name="timeRemoved" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Nml53eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C04623038C">
            <body>Contains the date\ time that the monitor was removed from the patient.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C046410046" name="monitoringDevice" visibility="public" type="_420A62FD03B6430F13EA0391" isUnique="false" association="_420A62FD03B642C046400171">
          <ownedComment xmi:id="_NvPfhuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C046410046">
            <body>Monitoring device that denotes the differing in, involving, or affecting physiological factors.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NvPfiOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NvPfieLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642C047E70093" name="AnesthesiaSubEvent">
        <eAnnotations xmi:id="_Nm5b2eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Nmvq1OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C047E70093">
          <body>A drug used to produce anesthesia. causing a loss of normal sensation or feeling. </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642C049060136" name="approach" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_Nmvq2eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_Nmvq1-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C049060136">
            <body>&quot;The detailed anatomical site where the medication enters or is applied to the subject.&quot; (HL7 3.0) </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evzBAOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evzBAeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64458C764037F" name="dateTimeExtubated" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Nm5b1-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64458C764037F">
            <body>This is the exact date and time that the endotracheal tube is pulled for the final time after the surgery. Enter NS if the date and time is unknown, and RI if the patient remains intubated &amp;amp;gt;30 days after surgery.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C04906015E" name="route" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_Nm5b0eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_Nmvq3OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C04906015E">
            <body>Contains a code identifying the route of the  endotracheal tube to the trachea.  Lieke values: O:ORAL, N:NASAL, T:TRACHEOSTOMY., etc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evzBAuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evzBA-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C0481D000E" name="technique" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Nm5b1OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C0481D000E">
            <body>Contains the anesthesia technique used during this encounter corresponding to the American Board of Anesthesiologists universal list of anesthesia techniques.  Such values as a G:GENERAL, M:MONITORED ANESTHESIA CARE,  S:SPINAL,  E:EPIDURAL,  O:OTHER,  L:LOCAL, N:NO ANESTHESIA, etc.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642D508180309" name="baricity" visibility="public" type="_420A62FD03B642CC3F1101B2" isUnique="false" association="_420A62FD03B642D50818001A">
          <ownedComment xmi:id="_Nv1VbeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642D508180309">
            <body>Baracity is the weight of one substance compared to the weight of an equal volume of another substance at the same temperature.  This class records the baricity of the anesthesia drug fluid vehicle in relationship to the spinal fluid.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nv1Vb-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Nv1VcOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C05D44022A" name="intubation" visibility="public" type="_420A62FD03B642C05CE4002D" isUnique="false" association="_420A62FD03B642C05D430215">
          <ownedComment xmi:id="_NvrkaeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C05D44022A">
            <body>The introduction of a tube into a hollow organ (as the trachea or intestine) to keep it open or restore its patency if obstructed </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nvrka-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NvrkbOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_O9N58LWiEeGePaUJ9YIobg" name="epiduralEvent" visibility="public" type="_420A62FD03B642CC40920075" association="_O9MEwLWiEeGePaUJ9YIobg">
          <ownedComment xmi:id="_eKLMULWiEeGePaUJ9YIobg" annotatedElement="_O9N58LWiEeGePaUJ9YIobg">
            <body>Contains information concerning the injection of anesthesia into the epidural space of the spine.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_O9OhALWiEeGePaUJ9YIobg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_O9OhAbWiEeGePaUJ9YIobg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642C05CE4002D" name="IntubationEvent">
        <eAnnotations xmi:id="_NnClzOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NnClxOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C05CE4002D">
          <body>The introduction of a tube into a hollow organ (as the trachea or intestine) to keep it open or restore its patency if obstructed </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64308B42D00D1" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_NnClyuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64308B42D00D1">
            <body>Unique identifier for the type of larynoscope used.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C55B9A0304" name="laryngoscopeType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NnClx-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C55B9A0304">
            <body>Contains a code Set that identifies the type of scope or  laryngoscope blade used to facilitate endotracheal  intubation.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642D3E99F012C" name="route" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NnfRuuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642D3E99F012C">
            <body>Indicates the route of the endotracheal tube to the trachea.  Suggested values include: Oral, Nasal, Tracheostomy, etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642CAD1640107" name="traumaObserved" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NnMWyuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642CAD1640107">
            <body>An injury (as a wound) to living tissue caused by an extrinsic agent &amp;amp;lt;surgical trauma&amp;amp;gt;</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643132AE60123" name="tubeLength" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_NrqnGuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643132AE60123">
            <body>Contains the length of the endotracheal tube at the external reference  point.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643132B460103" name="tubeSize" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_NrqnHeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643132B460103">
            <body>Contains the size of the endotracheal tube.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C049640163" name="laryngoscope" visibility="public" type="_420A62FD03B6430F13EA0391" isUnique="false" association="_420A62FD03B642C049630157">
          <ownedComment xmi:id="_NvPfjeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C049640163">
            <body>Identifies the type of scope or laryngoscope blade used to facilitate endotracheal intubation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NvPfj-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NvPfkOLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C049D001FE" name="stylet" visibility="public" type="_420A62FD03B6430F13EA0391" isUnique="false" association="_420A62FD03B642C049CF02E3">
          <ownedComment xmi:id="_NvYpcuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C049D001FE">
            <body>Identifies the stylet that was used to shape the endotracheal tube during intubation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NvYpdOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NvYpdeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C04A800107" name="endotrachealTube" visibility="public" type="_420A62FD03B6430F13EA0391" isUnique="false" association="_420A62FD03B642C04A7E01A4">
          <ownedComment xmi:id="_NvYpgOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C04A800107">
            <body>Identifies the endotracheal tube used during the major portion of the procedure.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NviaceLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NviacuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C05E650244" name="biteBlock" visibility="public" type="_420A62FD03B6430F13EA0391" isUnique="false" association="_420A62FD03B642C05E62031C">
          <ownedComment xmi:id="_NvrkcOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C05E650244">
            <body>Identifies the bite block is used to protect the endotracheal tube</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nv1VYeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Nv1VYuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642CC0B3003DC" name="EquipmentMeasurementEvent">
        <eAnnotations xmi:id="_NnVgvOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NnVgtOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642CC0B3003DC">
          <body>The dimension, quantity, or capacity determined by measuring a peice of equipment.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642CC0B7002DA" name="dimensionCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NnVgt-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642CC0B7002DA">
            <body>Indicates the dimensions of measuremnt for the equipment being used.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64312F4B60202" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_NnVguuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64312F4B60202">
            <body>Unique identifier for each type measurement of the equipment</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642CC1C440099" name="value" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_NrXFF-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642CC1C440099">
            <body>Contains the result of the  dimension, quantity, or capacity determined being measured.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_wL7vULWnEeGePaUJ9YIobg" name="device" visibility="public" type="_420A62FD03B6430F13EA0391" association="_wL3d4LWnEeGePaUJ9YIobg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_wL8WYLWnEeGePaUJ9YIobg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_wL89cLWnEeGePaUJ9YIobg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642CC3F1101B2" name="BaricityObservation">
        <eAnnotations xmi:id="_NnfRtOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NnVgv-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642CC3F1101B2">
          <body>Baracity is the weight of one substance compared to the weight of an equal volume of another substance at the same temperature.  This class records the baricity of the anesthesia drug fluid vehicle in relationship to the spinal fluid.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642CC3F4E0156" name="baricityCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NnfRsuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642CC3F4E0156">
            <body>Baracity is the weight of one substance compared to the weight of an equal volume of another substance at the same temperature.  This property categorizes the baricity of the anesthesia drug fluid vehicle in relationship to the spinal fluid.  Suggested values include: Hyperbaric; Hypobaric; Isobaric.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642CC40920075" name="EpiduralEvent">
        <eAnnotations xmi:id="_NnpCtOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NnfRt-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642CC40920075">
          <body>This class contains information concerning the injection of anesthesia into the epidural space of the spine.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642D40013027B" name="method" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NnpCuuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642D40013027B">
            <body>Categorizes the method of administration of the anesthetic agent.  Suggested values include: Bolus; Intermittent, Drip infusion, etc.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642D3E69B00D1" name="testDose" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_NnfRveLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642D3E69B00D1">
            <body>Contains the volume (typically in milliliters) of the test dose fluid vehicle.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643136AC6009A" name="testDoseId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_NnpCsuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643136AC6009A">
            <body>Identifies the drug used for the epidural test dose.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642E64D9900D2" name="IrrigationEvent">
        <eAnnotations xmi:id="_NnyMrOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NnyMpOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642E64D9900D2">
          <body>The process of cleaning a wound or body organ by flushing or washing out with water or a medicated solution   </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64313298B0084" name="amountUsed" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_Nrg2GuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64313298B0084">
            <body>Contains the total amount of irrigation solution used in the operative site.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64313262F0236" name="IrrigationDateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NnyMquLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64313262F0236">
            <body> Contains the date and time that the irrigation solution was utilized.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6431322DA00B3" name="irrigationType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NnyMp-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6431322DA00B3">
            <body> Identifies the type of solution used for irrigation during the operative procedure.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64241D5AD0362" name="SurgicalEvent">
        <eAnnotations xmi:id="_NoYpkeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML">
          <details xmi:id="_Y83OkLXREeG5iLlDZ6ytzA" key="EntryPoint"/>
        </eAnnotations>
        <ownedComment xmi:id="_NnyMr-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64241D5AD0362">
          <body>Surgical operation or procedure, especially one involving the removal or replacement of a diseased organ or tissue.  </body>
        </ownedComment>
        <generalization xmi:id="_uE7Z8LaAEeGWl-7OlqBMDw" general="_420A62FD03B642142C63002F"/>
        <ownedAttribute xmi:id="_420A62FD03B642C0510F0285" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_Nn79o-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C0510F0285">
            <body>Unique Identifier for this  surgical event.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6445F775B02B8" name="isNonORSurgicalProcedure" visibility="public">
          <ownedComment xmi:id="_NoFupeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445F775B02B8">
            <body>Indicates whether  the case is a non surgical event.  Like values are yes, no </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447DE1B4000E" name="preOpInrDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NoO4kuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447DE1B4000E">
            <body>This is the date that the preoperative INR was performed.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C558B50164" name="severityLevel" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NnMWwuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C558B50164">
            <body>Codes that identify the  degree of severity of the surgical procedure.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F286170386" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Nn79puLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F286170386">
            <body>The value specifying the state of this patient surgical encounter (based on the RIM Act class state machine), for example, active, aborted, completed  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_IkCfcLWkEeGePaUJ9YIobg" name="supervisionLevel" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_IkCfcbWkEeGePaUJ9YIobg" annotatedElement="_IkCfcLWkEeGePaUJ9YIobg">
            <body>Indicates the highest level of supervision of the anesthesiology staff supervisor.  Suggested include Staff Assisting Resident.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642C025300248" name="surgeryDuration" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_Nn79rOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642C025300248">
            <body>Contains the duration (date/time) of the Surgical Event.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F286AF00DB" name="surgeryType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Nn79qeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F286AF00DB">
            <body>Contains Code Set that identifies the type of Surgery. like Heart, Onocology. </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642FCEB5B0034" name="anesthesia" visibility="public" type="_420A62FD03B642C02623004E" isUnique="false" association="_420A62FD03B642FCEB550086">
          <ownedComment xmi:id="_Nwk8QuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCEB5B0034">
            <body>The loss of sensation and usually of consciousness without loss of vital functions artificially produced by the administration of one or more agents that block the passage of pain impulses along nerve pathways to the brain   Source: Merriam-Webster's Medical Dictionary,   2002 Merriam-Webster, Inc.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nwk8ROLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Nwk8ReLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64305DB120300" name="assessment" visibility="public" type="_420A62FD03B642C02462022E" isUnique="false" association="_420A62FD03B64305DB120039">
          <ownedComment xmi:id="_NxUjJuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64305DB120300">
            <body>A test or instrument, often a questionaire, used to evaluate or assess the patient's health, within the context of the surgical event.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NxUjKOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NxUjKeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_vbiAYLWXEeGePaUJ9YIobg" name="attender" visibility="public" type="_E0a_kAq7Ed-426xscrxYmQ" association="_vbRhsLWXEeGePaUJ9YIobg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vbj1kLWXEeGePaUJ9YIobg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vbkcoLWXEeGePaUJ9YIobg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64305E40001E4" name="bodyFluid" visibility="public" type="_420A62FD03B642C042380238" isUnique="false" association="_420A62FD03B64305E3FF032E">
          <ownedComment xmi:id="_NxeUJuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64305E40001E4">
            <body>The liquid parts of the body </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NxeUKOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NxeUKeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64302228B014E" name="cellSaver" visibility="public" type="_420A62FD03B64301CF670233" isUnique="false" association="_420A62FD03B64302228A020B">
          <ownedComment xmi:id="_NwutTeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64302228B014E">
            <body>Cell Saver for the surgical event</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NwutT-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NwutUOLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F12D9501BF" name="comments" visibility="public" type="_420A62FD03B642C044DB02ED" isUnique="false" association="_420A62FD03B642F12D9402C2">
          <ownedComment xmi:id="_Nv_GbeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F12D9501BF">
            <body>Contains general comments regarding the Surigcal event.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nv_Gb-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Nv_GcOLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6430234800202" name="concurrentCase" visibility="public" type="_420A62FD03B64241D5AD0362" isUnique="false" association="_420A62FD03B64302347C004E">
          <ownedComment xmi:id="_NxBoOeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6430234800202">
            <body>The current surgical event for the Patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NxBoO-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NxBoPOLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643075EA5000C" name="device" visibility="public" type="_420A62FD03B6430F13EA0391" isUnique="false" association="_420A62FD03B643075E9D0278">
          <ownedComment xmi:id="_NyXsCeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643075EA5000C">
            <body>A piece of equipment and or a mechanism designed to serve a special purpose or perform a special function.  This class represents devices used to perform a surgery, such as lasers, as well as devices that might be implanted in the patient as a result of the surgery, such as a prosthesis or a stent.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NyXsC-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NyXsDOLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643146C7702D1" name="electrodePosition" visibility="public" type="_420A62FD03B6431469C10110" isUnique="false" association="_420A62FD03B643146C710156">
          <ownedComment xmi:id="_Nz25xOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643146C7702D1">
            <body>Identifies a position corresponding to the area of placement of the dispersive electrode pad.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nz25xuLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Nz25x-LiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6445BA4C90152" name="equipmentMeasurement" visibility="public" type="_420A62FD03B642CC0B3003DC" isUnique="false" association="_420A62FD03B6445BA4BF0216">
          <ownedComment xmi:id="_N0mgouLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445BA4C90152">
            <body>The dimension, quantity, or capacity determined by measuring a peice of equipment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N0mgpOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N0mgpeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6445BA3A90202" name="equipmentSterilization" visibility="public" type="_420A62FD03B643F31E84001E" isUnique="false" association="_420A62FD03B6445BA3A10016">
          <ownedComment xmi:id="_N0TlxOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445BA3A90202">
            <body>Sterliizes the equipment and provides the sterilization number of the implanted device</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N0cvoeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N0cvouLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6445BA3F501B1" name="equipmentUtilization" visibility="public" type="_420A62FD03B643E51B980274" isUnique="false" association="_420A62FD03B6445BA3EC026C">
          <ownedComment xmi:id="_N0cvpuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445BA3F501B1">
            <body>Contains the Date and time  and  durationthe piece of Equipment was in use.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N0cvqOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N0cvqeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64305E8A703E6" name="fluidAudit" visibility="public" type="_420A62FD03B642F896C80098" isUnique="false" association="_420A62FD03B64305E8A60380">
          <ownedComment xmi:id="_NxeULeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64305E8A703E6">
            <body>A methodical examination or review of the fluid utilized in the surgical event.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NxeUL-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NxeUMOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64308FB260253" name="function" visibility="public" type="_420A62FD03B64308F7FF0072" isUnique="false" association="_420A62FD03B64308FB24023C">
          <ownedComment xmi:id="_Ny0YBOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64308FB260253">
            <body> Assigned duty or activity performed by the medical specialist who performs surgery :  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ny9h4eLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ny9h4uLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643062D52001E" name="image" visibility="public" type="_420A62FD03B6458687500084" isUnique="false" association="_420A62FD03B643062D4F031D">
          <ownedComment xmi:id="_NxoFMOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643062D52001E">
            <body>Identifies the image.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NxxPEeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NxxPEuLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64308A52B02AD" name="irrigation" visibility="public" type="_420A62FD03B642E64D9900D2" isUnique="false" association="_420A62FD03B64308A52A0161">
          <ownedComment xmi:id="_Nyqm-eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64308A52B02AD">
            <body>cleaning a wound or body organ by flushing or washing out with water or a medicated solution   </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nyqm--LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Nyqm_OLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643E526ED01A3" name="labRequest" visibility="public" type="_420A62FD03B6458956DC035E" isUnique="false" association="_420A62FD03B643E526E20229">
          <ownedComment xmi:id="_N0J0suLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643E526ED01A3">
            <body>Request for lab tests to be performed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N0J0tOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N0J0teLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643060D2501B5" name="location" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B643060D1F03A1">
          <ownedComment xmi:id="_NxoFKeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643060D2501B5">
            <body>Defines the location ward room, and service organization for the surgical event.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NxoFK-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NxoFLOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZVwsMLXQEeG5iLlDZ6ytzA" name="medicalSpecialty" visibility="public" type="_420A62FD03B64242CAB30303" association="_ZVpXcLXQEeG5iLlDZ6ytzA">
          <ownedComment xmi:id="_e4MaALXQEeG5iLlDZ6ytzA" annotatedElement="_ZVwsMLXQEeG5iLlDZ6ytzA">
            <body>Identifies the medical specialty credited for doing this non-OR procedure.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZVzvgLXQEeG5iLlDZ6ytzA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZV0WkLXQEeG5iLlDZ6ytzA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64310900000CC" name="occurrence" visibility="public" type="_420A62FD03B643074F510277" isUnique="false" association="_420A62FD03B643108FFB01C9">
          <ownedComment xmi:id="_Ny9h7-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64310900000CC">
            <body>Identifies the non surgical procedure/s that were performed during the Surgical process.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NzHS4eLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NzHS4uLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6445BA37702DC" name="physiologicMonitoring" visibility="public" type="_420A62FD03B642C045F301C0" isUnique="false" association="_420A62FD03B6445BA36C02FF">
          <ownedComment xmi:id="_N0TltuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445BA37702DC">
            <body>Monitor the differing in, involving, or affecting physiological factors.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N0TluOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N0TlueLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447DA2A20148" name="preOpInrLabRequest" visibility="public" type="_420A62FD03B6458956DC035E" isUnique="false" association="_420A62FD03B6447DA29D03D6">
          <ownedComment xmi:id="_N05bkOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447DA2A20148">
            <body>PreOpInr request for lab test to be performed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N05bkuLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N05bk-LiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643023480020C" name="relatedCase" visibility="public" type="_420A62FD03B64241D5AD0362" isUnique="false" association="_420A62FD03B64302347C004E">
          <ownedComment xmi:id="_NxBoPuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643023480020C">
            <body>The related surgical event for the  current surgical event for the Patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NxLZMeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NxLZMuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6445BA39802E4" name="restraintPosition" visibility="public" type="_420A62FD03B642C026910331" isUnique="false" association="_420A62FD03B6445BA38E0109">
          <ownedComment xmi:id="_N0TlveLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445BA39802E4">
            <body>An instrument or a means of restraint to prevent the infliction of harm to self or others, such as a straightjacket.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N0Tlv-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N0TlwOLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64305EA6603C1" name="skinPrep" visibility="public" type="_420A62FD03B642C025620069" isUnique="false" association="_420A62FD03B64305EA6503D3">
          <ownedComment xmi:id="_NxoFIuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64305EA6603C1">
            <body>The act of preparing the patient's operative site by washing the site with a disinfectant agent.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NxoFJOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NxoFJeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Z451ULWrEeGePaUJ9YIobg" name="surgeon" visibility="public" type="_7NSfgH_lEd-Ure_vzgD_TA" association="_Z42K8LWrEeGePaUJ9YIobg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Z47DcLWrEeGePaUJ9YIobg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Z47qgLWrEeGePaUJ9YIobg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64305E3DF0006" name="surgeryCategory" visibility="public" type="_420A62FD03B642F282E203B7" isUnique="false" association="_420A62FD03B64305E3DE013B">
          <ownedComment xmi:id="_NxUjNOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64305E3DF0006">
            <body>Identifies the category of the surgeon.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NxeUIeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NxeUIuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Au9VYLWrEeGePaUJ9YIobg" name="surgeryPatientMovement" visibility="public" type="_420A62FD03B642C032C40062" association="_Au6SELWrEeGePaUJ9YIobg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Au-jgLWrEeGePaUJ9YIobg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Au-jgbWrEeGePaUJ9YIobg" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F260F60141" name="surgicalSpecialty" visibility="public" type="_420A62FD03B642F260E40108" isUnique="false" association="_420A62FD03B642F260F50135">
          <ownedComment xmi:id="_NwSBUuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F260F60141">
            <body>This is the surgical specialty credited for doing this operative procedure. Many reports, including the Annual Report of Surgical Procedures, are sorted by the surgical specialty</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NwSBVOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NwSBVeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6431091D301BE" name="tourniquet" visibility="public" type="_420A62FD03B642FCF33600D6" isUnique="false" association="_420A62FD03B6431091D10233">
          <ownedComment xmi:id="_NzHS5uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6431091D301BE">
            <body>A device, typically a tightly encircling bandage, used to check bleeding by temporarily stopping the flow of blood through a large artery in a limb.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NzHS6OLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NzHS6eLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F14DCA034B" name="treatment" visibility="public" type="_420A62FD03B642F14CE002AE" isUnique="false" association="_420A62FD03B642F14DC900D3">
          <ownedComment xmi:id="_NwIQXeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F14DCA034B">
            <body>Administration or application of remedies to a patient or for a disease or an injury; medicinal or surgical management; therapy.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NwIQX-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NwIQYOLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642FCFE8203C4" name="verification" visibility="public" type="_420A62FD03B642FCFCD001A3" isUnique="false" association="_420A62FD03B642FCFE7F00F8">
          <ownedComment xmi:id="_Nwk8SeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCFE8203C4">
            <body>Contains dates that verifications were completed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nwk8S-LiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Nwk8TOLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3W1DALWXEeGePaUJ9YIobg" name="verifier" visibility="public" type="_H1ZdQAq7Ed-426xscrxYmQ" association="_3WymwLWXEeGePaUJ9YIobg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_3W1qELWXEeGePaUJ9YIobg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_3W1qEbWXEeGePaUJ9YIobg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642F12FFA021A" name="BodilyFluidProduct">
        <eAnnotations xmi:id="_NoYpnOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NoYplOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F12FFA021A">
          <body>The liquid parts of the body ie Blood etc.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642F130420232" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_NoYpmuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F130420232">
            <body>Contains the unique identification characters assigned by the local blood bank for type specific blood components.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F130420228" name="supplierId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_NoYpl-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F130420228">
            <body>Contains the unique identification number or code provided by the supplier of this replacement fluid.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642F142D1012F" name="CardiacSurgeryEvaluation">
        <eAnnotations xmi:id="_Nohzh-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NoYpn-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F142D1012F">
          <body>Evaluation of the cardiac surgery for the patient.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642F1447A00A4" name="arteryBypassGraftNumber" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_NohzguLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F1447A00A4">
            <body>This is the number of coronary artery bypass graft (CABG) anastomoses to native coronary arteries with radial artery(ies) regardless of whether other procedures were performed. Do not leave blank, enter &quot;zero&quot; in the appropriate place if no coronary artery bypass grafts were performed with radial artery.  Note that any CABG distal anastomoses performed without placing the patient on cardiopulmonary bypass are to be recorded.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F142FC00C3" name="totalCpbTime" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_NohzheLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F142FC00C3">
            <body>Record in minutes the total cardiopulmonary bypass time.  This includes the total duration of full and partial cardiopulmonary bypass from all episodes of cardiopulmonary bypass.  This information can generally be found on the perfusionist record and/or the anesthesia record.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642F14CE002AE" name="Treatment">
        <eAnnotations xmi:id="_Norkh-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NohziuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F14CE002AE">
          <body>Administration or application of remedies to a patient or for a disease or an injury; medicinal or surgical management; therapy.   Source: The American Heritage  Stedman's Medical Dictionary   </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642F14D1D027A" name="dateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NohzjeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F14D1D027A">
            <body>This is date and time that the treatment was started.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643145A4A006D" name="description" visibility="public">
          <ownedComment xmi:id="_NorkheLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643145A4A006D">
            <body>Contains the treatment instituted as a result of this non-O.R. procedure occurrence.  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6445B51B6033C" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_NorkguLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6445B51B6033C">
            <body>Unique Identifier for the treatment</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642F260E40108" name="SurgicalSpecialty">
        <eAnnotations xmi:id="_No1VhOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NorkiuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F260E40108">
          <body>This is the surgical specialty credited for doing this operative procedure. Many reports, including the Annual Report of Surgical Procedures, are sorted by the surgical specialty</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64241D66F02DB" name="surgicalSpecialty" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_No1VguLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64241D66F02DB">
            <body>This is the surgical specialty credited for doing this operative procedure. Many reports, including the Annual Report of Surgical Procedures, are sorted by the surgical specialty</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642F282E203B7" name="SurgeonCategory">
        <eAnnotations xmi:id="_No1VjuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_No1Vh-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F282E203B7">
          <body>This field indicates the category of the chief surgeon. The suggested code choices are: V=VA Team, M=Mixed VA and non VA, N=Non VA, 1=Staff FT, 2-Staff PT, 3=Consultant, 4=Attending, 5=Fee Basis, 6=Resident, 7=Other (Includes Interns), ETC.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6424307BC03B1" name="typeOfSurgeon" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isOrdered="true" isUnique="false">
          <eAnnotations xmi:id="_No1VjOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_No1ViuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6424307BC03B1">
            <body>First in the list is the Chief Surgeon; 2nd in the list is the first assistant.  This field indicates the category of the chief surgeon. The suggested code choices are: V=VA Team, M=Mixed VA and non VA, N=Non VA, 1=Staff FT, 2-Staff PT, 3=Consultant, 4=Attending, 5=Fee Basis, 6=Resident, 7=Other (Includes Interns), ETC. </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evzBBOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evzBBeLjEdutr_MT9HkPyQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642F896C80098" name="FluidAudit">
        <eAnnotations xmi:id="_No-fd-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_No1VkeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F896C80098">
          <body>A methodical examination or review of the fluid utilized in the surgical event. </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642F89B6B0167" name="bloodLoss" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_No-fcuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F89B6B0167">
            <body>Contains the volume of blood loss during the surgical event.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642F89B7203DE" name="totalUrineOutput" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_No-fdeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F89B7203DE">
            <body>Contains the total urine output post surgery.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642FCF33600D6" name="TourniquetEvent">
        <eAnnotations xmi:id="_Npk8ZOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NpbLYeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCF33600D6">
          <body>A device, typically a tightly encircling bandage, used to check bleeding by temporarily stopping the flow of blood through a large artery in a limb.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642FCFEDE00A5" name="siteApplied" visibility="public">
          <ownedComment xmi:id="_NpbLZ-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCFEDE00A5">
            <body>Textual description defining the site where the cuff was applied.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642FCFDD903CB" name="timeApplied" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NpbLauLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCFDD903CB">
            <body>Contains the date and time that the tourniquet was applied.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642FCFE3C0084" name="timeReleased" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Npk8YuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCFE3C0084">
            <body>Date and time the tourniquet was released.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642FCFE500155" name="tourniquetPressure" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_NpbLZOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCFE500155">
            <body>Force applied uniformly over a surface, measured as force per unit of area.   Source: The American Heritage  Stedman's Medical Dictionary   </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642FCFCD001A3" name="Verification">
        <eAnnotations xmi:id="_NpuGVOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Npk8Z-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCFCD001A3">
          <body>An act or process of verifying the results of counts, etc.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642FCFD19016C" name="imagingDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Npk8auLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCFD19016C">
            <body>Contains the Date and time the Imaging was performed.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642FCFD3C0298" name="siteMarkDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Npk8beLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCFD3C0298">
            <body>Contains the Date and time the Site Marked was performed.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642FCFD1202DE" name="tovDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NpuGUuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCFD1202DE">
            <body>Contains date and time the TOV modified.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64301CF670233" name="CellSaverEvent">
        <eAnnotations xmi:id="_NpuGXOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NpuGV-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64301CF670233">
          <body>Cell Saver for the surgical event.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64301CFAD025B" name="cellSaverId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_NpuGWuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64301CFAD025B">
            <body>This field identifies the cell saver that was used during this procedure.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6430222CF010F" name="cellSaver" visibility="public" type="_420A62FD03B6430F13EA0391" isUnique="false" association="_420A62FD03B6430222CB03E5">
          <ownedComment xmi:id="_Nw33MOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6430222CF010F">
            <body>The amount of fluid collected during the procedure.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nw33MuLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Nw33M-LiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643022489018D" name="cellSalvage" visibility="public" type="_420A62FD03B6430222E0029A" isUnique="false" association="_420A62FD03B64302248802E0">
          <ownedComment xmi:id="_Nw33N-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643022489018D">
            <body>Determines the amount of fluid in milliliters collected during the procedure.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nw33OeLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Nw33OuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64302248F036C" name="cellReinfusion" visibility="public" type="_420A62FD03B64302243A0035" isUnique="false" association="_420A62FD03B64302248F00D7">
          <ownedComment xmi:id="_Nw33PuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64302248F036C">
            <body>The amount of fluid  reinfused during the procedure.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Nw33QOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Nw33QeLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6430225A40339" name="disposableUsed" visibility="public" type="_420A62FD03B6430F13EA0391" isUnique="false" association="_420A62FD03B6430225A2032C">
          <ownedComment xmi:id="_NxBoMuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6430225A40339">
            <body>Identifies the disposable products used during the surgical process.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NxBoNOLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NxBoNeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Dm7GMLWZEeGePaUJ9YIobg" name="primaryPerformer" visibility="public" type="_7NSfgH_lEd-Ure_vzgD_TA" association="_Dm2NsLWZEeGePaUJ9YIobg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Dm7tQLWZEeGePaUJ9YIobg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Dm8UULWZEeGePaUJ9YIobg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6430222E0029A" name="CellSalvage">
        <eAnnotations xmi:id="_Np33VOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NpuGX-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6430222E0029A">
          <body>Determines the amount of fluid in milliliters collected during the procedure.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6430224170251" name="amount" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_Np33UuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6430224170251">
            <body>This is the amount of fluid in milliliters collected during the procedure.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64302243A0035" name="CellReinfusion">
        <eAnnotations xmi:id="_Np33XOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Np33V-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64302243A0035">
          <body>Determines the amount of fluid in milliliters reinfused during the procedure.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64302244A0363" name="amount" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_Np33WuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64302244A0363">
            <body>This is the amount of fluid in milliliters that was reinfused into the patient during this procedure.  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643074F510277" name="OccurrenceAssessment">
        <eAnnotations xmi:id="_NqUjROLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NqKyROLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643074F510277">
          <body>The gathering of a occurence assessment  information(  non surgical procedure/s that were performed during the Surgical process).  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64309E2D50244" name="categoryGrouping" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NqKyR-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64309E2D50244">
            <body>This is the name of the category in which this occurrence may be grouped.  It should be entered for all occurrences and will be used by Surgery Central Office for reporting needs.  Required for National reporting  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64309E8800041" name="date" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NqKySuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64309E8800041">
            <body>Contains the date and time of the occurrence.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6431DBF3901BA" name="occurrenceId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_NqUjQuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6431DBF3901BA">
            <body>Unique Identifier for the Occurrence.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64308FC010262" name="result" visibility="public" type="_420A62FD03B64308FBBB00B3" isUnique="false" association="_420A62FD03B64308FC0001B6">
          <ownedComment xmi:id="_Ny9h6OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64308FC010262">
            <body>The response result to an non surgical occurrence assessment question.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Ny9h6uLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ny9h6-LiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64307A78B01A2" name="AnesthesiaAdministrativeEvent">
        <eAnnotations xmi:id="_NqeUSOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedAttribute xmi:id="_420A62FD03B64307A91702A5" name="careDuration" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_NqUjSuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64307A91702A5">
            <body>Contains the date and time for the duration of the Anesthesia event during the surgery.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64307A92303E3" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_NqeUQOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64307A92303E3">
            <body>Uniquely identifies the anesthesia administration event.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64307A92B0041" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NqeUQ-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64307A92B0041">
            <body>The value specifying the state of this patient surgical encounter (based on the RIM Act class state machine), for example, active, aborted, completed  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64307A93201B4" name="postNoteDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_NqeURuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64307A93201B4">
            <body>Date and Time of the post note.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64308F7FF0072" name="SurgeonFunction">
        <eAnnotations xmi:id="_NqnePOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NqneN-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64308F7FF0072">
          <body>Assigned duty or activity performed by the medical specialist who performs surgery :  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64308F84B016C" name="functionPerformed" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NqneOuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64308F84B016C">
            <body>Contains the codeset that assign the duty or activity performed by the medical specialist who performs surgery :  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64308FBBB00B3" name="OccurrenceAssessmentResult">
        <eAnnotations xmi:id="_NqxPN-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NqneP-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64308FBBB00B3">
          <body>Contains comments regarding the responses to the group of related non  surgical occurrence assessment questions.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64309E446017C" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_NqxPMuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64309E446017C">
            <body>uniquely identifies the intraoperative occurrence.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64309E4460190" name="occurenceCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NqxPNeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64309E4460190">
            <body>Code indicating the question asked as part of the non surgical occurrence assessment performed.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64309E632029B" name="resultText" visibility="public">
          <ownedComment xmi:id="_Nq6ZKuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64309E632029B">
            <body>Contains the response to an non surgical occurrence assessment question requiring a textual answer.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6430F13EA0391" name="SurgeryDevice">
        <eAnnotations xmi:id="_NrXFEeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Nq6ZL-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6430F13EA0391">
          <body>A piece of equipment and or a mechanism designed to serve a special purpose or perform a special function.  This class represents devices used to perform a surgery, such as lasers, as well as devices that might be implanted in the patient as a result of the surgery, such as a prosthesis or a stent.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6430F14270027" name="deviceId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_NrEKIuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6430F14270027">
            <body>Uniquely identifies the device as assigned by the owner of the device (as opposed to the lotOrSerialId, which is assigned by the manufacturer.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6430F14FB03BB" name="deviceName" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NrEKJeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6430F14FB03BB">
            <body>The descriptive name for the  Surgical device being used.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643108C200346" name="deviceType" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NrEKK-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643108C200346">
            <body>Provices a categorization of the device.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ha1I8LWbEeGePaUJ9YIobg" name="lotId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_ha1I8bWbEeGePaUJ9YIobg" annotatedElement="_ha1I8LWbEeGePaUJ9YIobg">
            <body>Identifies the manufacturing lot during which this device was produced.  This property is optional, as it generally applies to commodity items rather than specialized equipment, which would use the serial Id instead.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iz7p4LWbEeGePaUJ9YIobg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iz8Q8LWbEeGePaUJ9YIobg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643108AA200E4" name="model" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NrEKKOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643108AA200E4">
            <body>Manufacturers model name or number for the surgical device</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6431372650171" name="quantity" visibility="public" type="_420A62FD03B641886F630221">
          <ownedComment xmi:id="_NrN7JeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6431372650171">
            <body>Contains the number of device(s) involved in the surgical procedure</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6431371680182" name="serialId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_NrN7IuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6431371680182">
            <body>A unique identifier assigned by the manufacture of the device.  This property is optional, as commodity items are typically not uniquely identified, but may be associated with a manufacturing lot instead.  This property is particularly important for prosthetic devices.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NDPS0LWdEeGePaUJ9YIobg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NDQg8LWdEeGePaUJ9YIobg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6431469C10110" name="ElectrodePositionProcedure">
        <eAnnotations xmi:id="_NrzxDOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NrzxBOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6431469C10110">
          <body>A collector or emitter of electric charge or of electric-charge carriers, as in a semiconducting device.   Source: The American Heritage  Stedman's Medical Dicti  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643146AA603C3" name="electrodePosition" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NrzxB-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643146AA603C3">
            <body>Contains a code corresponding to the area of placement of the dispersive electrode pad.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643146C9C0021" name="positionId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_NrzxCuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643146C9C0021">
            <body>Unique identifier for the elctrode position</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6447DA3DC0009" name="electrode" visibility="public" type="_420A62FD03B6430F13EA0391" isUnique="false" association="_420A62FD03B6447DA3D000FC">
          <ownedComment xmi:id="_N05bl-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6447DA3DC0009">
            <body>A piece of electro surgical equipment perfoming a special surgical function   </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N05bmeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N05bmuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64317A4F6006E" name="AsaClassObservation">
        <eAnnotations xmi:id="_Nr9iBOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NrzxD-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64317A4F6006E">
          <body>Contains the patient's physiologic status. Conforming to  American Society of Anesthesiologists classification  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64317A513034B" name="asaClass" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Nr9iAuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B64317A513034B">
            <body>Contains the patient's physiologic status. Conforming to  American Society of Anesthesiologists classification  </body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B642FCCB7F0380" name="SurgeryAssessmentQuestion">
        <eAnnotations xmi:id="_NsGr9eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_Nr9iB-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCCB7F0380">
          <body>Container to hold the response result from a test or instrument, questionaire, used to evaluate or assess the patient's health, within the context of the surgical event.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B642FCCBE503E0" name="questionId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_Nr9iCuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCCBE503E0">
            <body>Unique identifier for the assessment response result.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642FCCC04039F" name="surgeryAssesmentCode" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NsGr8OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCCC04039F">
            <body>Code that identifies the assessment being performed.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642FCD02D02C4" name="value" visibility="public" type="_r_1eEBvxEd-afqIGzWhetA">
          <ownedComment xmi:id="_NpSBfOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642FCD02D02C4">
            <body>Contains the response to an surgical assessment question that can be expressed as a code.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643E51B980274" name="EquipmentUtilizationObservation">
        <eAnnotations xmi:id="_NsQc9uLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NsGr-OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643E51B980274">
          <body>Contains the Date and time  and  durationthe piece of Equipment was in use.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643E51C290114" name="effectiveTime" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_NsGr--LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643E51C290114">
            <body>The date and time the surgical device was in use. </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_NgMTkLWoEeGePaUJ9YIobg" name="device" visibility="public" type="_420A62FD03B6430F13EA0391" association="_NgKeYLWoEeGePaUJ9YIobg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NgM6oLWoEeGePaUJ9YIobg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NgM6obWoEeGePaUJ9YIobg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643F31E84001E" name="EquipmentSterilizationEvent">
        <eAnnotations xmi:id="_NsaN8eLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_NsQc-eLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643F31E84001E">
          <body>Sterliizes the equipment and provides the sterilization number of the implanted device</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643108AE900FA" name="sterilizationNumber" visibility="public">
          <ownedComment xmi:id="_NsQc_OLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643108AE900FA">
            <body>Contains the sterilization number of the implanted device  </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643F31ECE02C3" name="device" visibility="public" type="_420A62FD03B6430F13EA0391" isUnique="false" association="_420A62FD03B643F31ECD0254">
          <ownedComment xmi:id="_N0J0ueLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643F31ECE02C3">
            <body>Contains the sterilization number of the implanted device</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N0J0u-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N0J0vOLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642C026C0036B" name="restraintPositionEvent_restrainingAid" memberEnd="_420A62FD03B642C026C10240 _420A62FD03B642C026C1024A">
        <ownedEnd xmi:id="_420A62FD03B642C026C1024A" name="" visibility="public" type="_420A62FD03B642C026910331" isUnique="false" association="_420A62FD03B642C026C0036B"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642C032E902AA" name="surgeryPatientMovement_vehicle" memberEnd="_420A62FD03B642C032EA01F7 _420A62FD03B642C032EA020B">
        <ownedEnd xmi:id="_420A62FD03B642C032EA020B" name="" visibility="public" type="_420A62FD03B642C032C40062" isUnique="false" association="_420A62FD03B642C032E902AA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642C046400171" name="physiologicMonitoringEvent_monitoringDevice" memberEnd="_420A62FD03B642C046410046 _420A62FD03B642C04641005A">
        <ownedEnd xmi:id="_420A62FD03B642C04641005A" name="" visibility="public" type="_420A62FD03B642C045F301C0" isUnique="false" association="_420A62FD03B642C046400171"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642C049630157" name="intubationEvent_laryngoscope" memberEnd="_420A62FD03B642C049640163 _420A62FD03B642C049640177">
        <ownedEnd xmi:id="_420A62FD03B642C049640177" name="" visibility="public" type="_420A62FD03B642C05CE4002D" isUnique="false" association="_420A62FD03B642C049630157"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642C049CF02E3" name="intubationEvent_stylet" memberEnd="_420A62FD03B642C049D001FE _420A62FD03B642C049D0021C">
        <ownedEnd xmi:id="_420A62FD03B642C049D0021C" name="" visibility="public" type="_420A62FD03B642C05CE4002D" isUnique="false" association="_420A62FD03B642C049CF02E3"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642C04A7E01A4" name="intubationEvent_endotrachealTube" memberEnd="_420A62FD03B642C04A800107 _420A62FD03B642C04A80011B">
        <ownedEnd xmi:id="_420A62FD03B642C04A80011B" name="" visibility="public" type="_420A62FD03B642C05CE4002D" isUnique="false" association="_420A62FD03B642C04A7E01A4"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642C05D430215" name="anesthesiaSubEvent_intubation" memberEnd="_420A62FD03B642C05D44022A _420A62FD03B642C05D440235">
        <ownedEnd xmi:id="_420A62FD03B642C05D440235" name="" visibility="public" type="_420A62FD03B642C047E70093" isUnique="false" association="_420A62FD03B642C05D430215"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642C05E62031C" name="intubationEvent_biteBlock" memberEnd="_420A62FD03B642C05E650244 _420A62FD03B642C05E65026C">
        <ownedEnd xmi:id="_420A62FD03B642C05E65026C" name="" visibility="public" type="_420A62FD03B642C05CE4002D" isUnique="false" association="_420A62FD03B642C05E62031C"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642D50818001A" name="anesthesiaSubEvent_baricity" memberEnd="_420A62FD03B642D508180309 _420A62FD03B642D508180313">
        <ownedEnd xmi:id="_420A62FD03B642D508180313" name="" visibility="public" type="_420A62FD03B642C047E70093" isUnique="false" association="_420A62FD03B642D50818001A"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642F12D9402C2" name="surgicalEvent_comments" memberEnd="_420A62FD03B642F12D9501BF _420A62FD03B642F12D9501C9">
        <ownedEnd xmi:id="_420A62FD03B642F12D9501C9" name="" visibility="public" type="_420A62FD03B64241D5AD0362" isUnique="false" association="_420A62FD03B642F12D9402C2"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642F130700007" name="bodilyFluidAdministration_typeFluid" memberEnd="_420A62FD03B642F1307100BD _420A62FD03B642F1307100BF">
        <ownedEnd xmi:id="_420A62FD03B642F1307100BF" name="" visibility="public" type="_420A62FD03B642C042380238" isUnique="false" association="_420A62FD03B642F130700007"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642F147CC002E" name="cardiacSurgeryEvent_evaluation" memberEnd="_420A62FD03B642F147CC036D _420A62FD03B642F147CC036F">
        <ownedEnd xmi:id="_420A62FD03B642F147CC036F" name="" visibility="public" type="_420A62FD03B642C02B2E0055" isUnique="false" association="_420A62FD03B642F147CC002E"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642F14DC900D3" name="surgicalEvent_treatment" memberEnd="_420A62FD03B642F14DCA034B _420A62FD03B642F14DCA034D">
        <ownedEnd xmi:id="_420A62FD03B642F14DCA034D" name="" visibility="public" type="_420A62FD03B64241D5AD0362" isUnique="false" association="_420A62FD03B642F14DC900D3"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642F260F50135" name="surgicalEvent_surgicalSpecialty" memberEnd="_420A62FD03B642F260F60141 _420A62FD03B642F260F6019B">
        <ownedEnd xmi:id="_420A62FD03B642F260F6019B" name="" visibility="public" type="_420A62FD03B64241D5AD0362" isUnique="false" association="_420A62FD03B642F260F50135">
          <ownedComment xmi:id="_NwSBV-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B642F260F6019B">
            <body>This is the surgical specialty credited for doing this operative procedure. Many reports, including the Annual Report of Surgical Procedures, are sorted by the surgical specialty</body>
          </ownedComment>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642FCCDBA0254" name="surgeryAssessment_result" memberEnd="_420A62FD03B642FCCDBB03A0 _420A62FD03B642FCCDBB03A2">
        <ownedEnd xmi:id="_420A62FD03B642FCCDBB03A2" name="" visibility="public" type="_420A62FD03B642C02462022E" isUnique="false" association="_420A62FD03B642FCCDBA0254"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642FCEB550086" name="surgicalEvent_anesthesia" memberEnd="_420A62FD03B642FCEB5B0034 _420A62FD03B642FCEB5B0052">
        <ownedEnd xmi:id="_420A62FD03B642FCEB5B0052" name="" visibility="public" type="_420A62FD03B64241D5AD0362" isUnique="false" association="_420A62FD03B642FCEB550086"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B642FCFE7F00F8" name="surgicalEvent_verification" memberEnd="_420A62FD03B642FCFE8203C4 _420A62FD03B642FCFE8203C6">
        <ownedEnd xmi:id="_420A62FD03B642FCFE8203C6" name="" visibility="public" type="_420A62FD03B64241D5AD0362" isUnique="false" association="_420A62FD03B642FCFE7F00F8"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64300B24A00E1" name="cardiacSurgeryEvent_caridiacProsthesis" memberEnd="_420A62FD03B64300B24B00A6 _420A62FD03B64300B24B00A8">
        <ownedEnd xmi:id="_420A62FD03B64300B24B00A8" name="" visibility="public" type="_420A62FD03B642C02B2E0055" isUnique="false" association="_420A62FD03B64300B24A00E1"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64302228A020B" name="surgicalEvent_cellSaver" memberEnd="_420A62FD03B64302228B014E _420A62FD03B64302228B0150">
        <ownedEnd xmi:id="_420A62FD03B64302228B0150" name="" visibility="public" type="_420A62FD03B64241D5AD0362" isUnique="false" association="_420A62FD03B64302228A020B"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6430222CB03E5" name="cellSaverEvent_cellSaver" memberEnd="_420A62FD03B6430222CF010F _420A62FD03B6430222CF0119">
        <ownedEnd xmi:id="_420A62FD03B6430222CF0119" name="" visibility="public" type="_420A62FD03B64301CF670233" isUnique="false" association="_420A62FD03B6430222CB03E5"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64302248802E0" name="cellSaverEvent_cellSalvage" memberEnd="_420A62FD03B643022489018D _420A62FD03B643022489018F">
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      <packagedElement xmi:type="uml:Association" xmi:id="_ZNi-kLaEEeGWl-7OlqBMDw" name="anesthesiaEvent_principalAnesthesiologist" memberEnd="_ZNla0LaEEeGWl-7OlqBMDw _ZNoeILaEEeGWl-7OlqBMDw">
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      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B6418CFFCD01B6" name="VitalSigns">
      <eAnnotations xmi:id="_N6RDzuLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_N6aNsOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <ownedComment xmi:id="_oe2MEAE9EeS53tTqzkwERQ">
        <body>This domain contains those clinical observations collectively known as &quot;Vital Signs&quot;.  There is nothing particular about vital signs that is not in the Clinical Observations domain, so this package contains only one new class, which is a container (VitalSignsObservationList) to hold a collection of vital sign observations.&#xD;
&#xD;
This package contains sub-packages for each of the seven vital signs.  These sub-packages contain a &quot;Detailed Clinical Model&quot; (DCM) in which we constrain (using UML re-defines) and extend the generic clinical Observation to define a particular vital sign.  Note that a DCM is analogous to a FHIR Profile.</body>
      </ownedComment>
      <ownedComment xmi:id="_EyYBMAFAEeS53tTqzkwERQ" annotatedElement="_420A62FD03B6418CFFCD01B6">
        <body>This package contains a collection of clinical Observations traditionally called “Vital Signs” because they are measurements of the body’s basic functions.  The absence of a pulse, respiration, or blood pressure are indications that the patient is dead, hence the term “vital” in the name.  Traditionally, there are four vital signs: Heart rate or pulse; Respiration rate, Blood pressure, and Body temperature.  Body height and Body weight are also often included among vital signs because these measurements are often used (in conjunction with other observations) to provide a gross indication of potential health concerns.  The FHIM includes a seventh vital sign, Blood oxygen saturation, as the human body requires a specific balance of oxygen in the blood below which organ function may be compromised.&#xD;
&#xD;
Another reason why vital signs are treated separately from other observations is that historically, vital signs have been located in a particular location in a paper medical record.&#xD;
&#xD;
Individual organizations or medical specialties will often include other common clinical observation under the heading of “vital signs”, such as a Pain scale, or Head circumference (for newborns).  The FHIM treats these measurements as simply other clinical observations.  Again, there is no difference between a vital sign observation and a non-vital sign observation, other than vital signs are a named set of observations.&#xD;
&#xD;
This package contains sub-packages for each of the seven vital signs.  These sub-packages contain an example &quot;Detailed Clinical Model&quot; (DCM) in which we constrain (using UML re-defines) and extend the generic clinical Observation to define a particular vital sign.  These sub-packages are meant to show how such DCMs would be modeled.  Note that a DCM is analogous to a FHIR Profile.</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Class" xmi:id="_o8TWwIdwEeOZ2vW3WfDP5Q" name="PatientPositionQualifier">
        <ownedComment xmi:id="_Gfq9MNy9EeS8W_uFU6RjUw" annotatedElement="_o8TWwIdwEeOZ2vW3WfDP5Q">
          <body>Certain disease states can be detected by observing differences in heart rate, blood pressure, or respiration when the patient’s body is in different positions (e.g., sitting, standing, etc.).  It therefore may be necessary to record the patient’s body position when recording the primary observation.  This class records an observation of the patient’s body position during the time the heart rate, blood pressure, or respiration rate was observed.</body>
        </ownedComment>
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        <ownedAttribute xmi:id="_xX5DAIdwEeOZ2vW3WfDP5Q" name="observedCharacteristic" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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          <ownedComment xmi:id="_xX5DAYdwEeOZ2vW3WfDP5Q" annotatedElement="_xX5DAIdwEeOZ2vW3WfDP5Q">
            <body>This property defines what was observed that “qualifies” the primary, or “owning” Observation.  This property defines what was observed by citing a value from a nationally recognized coding system.  In this case, the value will hard-coded to SNOMED 9851009, which is patient position.</body>
          </ownedComment>
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        </ownedAttribute>
        <ownedAttribute xmi:id="_xX6RIIdwEeOZ2vW3WfDP5Q" name="value" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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          <ownedComment xmi:id="_xX6RIYdwEeOZ2vW3WfDP5Q" annotatedElement="_xX6RIIdwEeOZ2vW3WfDP5Q">
            <body>This property contains the result, or value of the qualifying Observation.  In the generic Observation Qualifier class, the data type for this property can be anything.  In this sub-type, the value is constrained to be one of a set of codes from the SNOMED-CT coding system that represent patient positions that are valid for a Heart rate, Blood pressure, or Respiration rate measurement.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_xX6RI4dwEeOZ2vW3WfDP5Q" value="1"/>
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            <language></language>
            <body>(PatientMeasurementBodyPosition)</body>
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        </ownedAttribute>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_dbS3O4eDEeOZ2vW3WfDP5Q" name="PatientStateExertionQualifier">
        <ownedComment xmi:id="_shgrQN0uEeSZfdq7h5ueSA" annotatedElement="_dbS3O4eDEeOZ2vW3WfDP5Q">
          <body>Heart Rate, Blood Pressure, Respiration, and Blood Oxygen levels naturally vary depending on whether the patient is at rest, or during or shortly after exercise.  This class records an observation of whether the patient was at rest, exercising, or recently had been exercising at the time of the measurement.</body>
        </ownedComment>
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            <body>This property defines what was observed that “qualifies” the primary, or “owning” Observation.  This property defines what was observed by citing a value from a nationally recognized coding system.  In this case, the value to be hard-coded for Patient Exertion has yet to be determined.</body>
          </ownedComment>
          <defaultValue xmi:type="uml:LiteralString" xmi:id="_dbS3QYeDEeOZ2vW3WfDP5Q" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=TBD, c=TBD"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dbS3QoeDEeOZ2vW3WfDP5Q" name="value" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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          </eAnnotations>
          <ownedComment xmi:id="_dbS3RYeDEeOZ2vW3WfDP5Q" annotatedElement="_dbS3QoeDEeOZ2vW3WfDP5Q">
            <body>This property contains the result, or value of the qualifying Observation.  In the generic Observation Qualifier class, the data type for this property can be anything.  In this sub-type, the value is constrained to be one of a set of codes from the SNOMED-CT coding system that indicates whether the patient was resting, exercising, or recently had been exercising.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dbS3R4eDEeOZ2vW3WfDP5Q" value="1"/>
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            <language></language>
            <body>(PatientMeasurementExertionStatus)</body>
          </defaultValue>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_sXpXgH-1EeOzENpLs8HIcg" name="VitalSignsObservationList">
        <ownedComment xmi:id="_w0TJAH-1EeOzENpLs8HIcg" annotatedElement="_sXpXgH-1EeOzENpLs8HIcg">
          <body>This class contains a collection of clinical Observations traditionally called “Vital Signs” because they are measurements of the body’s basic functions.  The absence of a pulse, respiration, or blood pressure are indications that the patient is dead, hence the term “vital” in the name.  Traditionally, there are four vital signs: Heart rate or pulse; Respiration rate, Blood pressure, and Body temperature.  Body height and Body weight are also often included among vital signs because these measurements are often used (in conjunction with other observations) to provide a gross indication of potential health concerns.  The FHIM includes a seventh vital sign, Blood oxygen saturation, as the human body requires a specific balance of oxygen in the blood below which organ function may be compromised.&#xD;
&#xD;
Another reason why vital signs are treated separately from other observations is that historically, vital signs have been located in a particular location in a paper medical record.&#xD;
&#xD;
Individual organizations or medical specialties will often include other common clinical observation under the heading of “vital signs”, such as a Pain scale or Head circumference (for newborns).  The FHIM treats these measurements as simply other kinds of clinical observations.  Again, there is no difference between a vital sign observation and a non-vital sign observation, other than vital signs are a named set of observations.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_9yPmIH-1EeOzENpLs8HIcg" name="observation" visibility="public" type="_nbH1LVaeEd6rJ7jpZ7LBFg" aggregation="composite" association="_9yMi0H-1EeOzENpLs8HIcg">
          <ownedComment xmi:id="_7FazsAE_EeS53tTqzkwERQ" annotatedElement="_9yPmIH-1EeOzENpLs8HIcg">
            <body>Pointer to a set (of zero to many) of Clinical Observations which are of a type considered to be a &quot;vital sign&quot;.  Although the structure does allow for the observations to be from multiple patients, this set will almost always be for a single patient.</body>
          </ownedComment>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_9yMi0H-1EeOzENpLs8HIcg" name="vitalSignsObservationList_observation" memberEnd="_9yPmIH-1EeOzENpLs8HIcg _9ySCYH-1EeOzENpLs8HIcg">
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        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Package" xmi:id="_aLjcEIdsEeOZ2vW3WfDP5Q" name="BloodPressure">
        <eAnnotations xmi:id="_aLkqMIdsEeOZ2vW3WfDP5Q" source="uml2.diagrams"/>
        <ownedComment xmi:id="_Tqw6gN02EeSZfdq7h5ueSA" annotatedElement="_aLjcEIdsEeOZ2vW3WfDP5Q">
          <body>“Blood pressure (BP) is the pressure exerted by circulating blood upon the walls of blood vessels and is one of the principal vital signs. When used without further specification, &quot;blood pressure&quot; usually refers to the arterial pressure of the systemic circulation, usually measured at a person's upper arm. A person’s blood pressure is usually expressed in terms of the systolic (maximum) pressure over diastolic (minimum) pressure and is measured in millimeters of mercury (mm Hg). … Blood pressure varies depending on situation, activity, and disease states, and is regulated by the nervous and endocrine systems. … Chronic hypertension is a risk factor for many diseases, including kidney failure, heart attack, and stroke.” – Wikipedia.&#xD;
&#xD;
This package represents the measurement (or “clinical observation”) of the patient’s Blood Pressure.  Blood pressure is typically expressed in terms of the systolic pressure over diastolic pressure as if this were a single observation, yet in fact these are two separate observations taken moments apart.  In some situations only one of these two are needed and recorded, and some medical devices record only one (either the diastolic or the systolic).  Therefore, this package describes the classic “blood pressure observation” as a set of one systolic and one diastolic observation, each of which can be stand-alone observations in their own right.  To avoid duplicating such qualifying information as body site and method when collecting a diastolic and systolic observation into a blood pressure observation, these three observation types are modeled as subtypes of an AbstractBloodPressureObservation, which contains properties common to all three types.  Thus from this model, one could instantiate a diastolic observation, a systolic observation, or a blood pressure observation with a systolic and diastolic value.&#xD;
&#xD;
Blood pressure measurements can be affected by the device used, the patient’s body position, whether the patient was awake or asleep, etc.  This package contains four qualifier classes to carry this information.</body>
        </ownedComment>
        <packagedElement xmi:type="uml:Class" xmi:id="_JZJUsJdYEeOCbc0pwOBboA" name="AbstractBloodPressureObservation" isAbstract="true">
          <ownedComment xmi:id="_2ALHoN06EeSZfdq7h5ueSA" annotatedElement="_JZJUsJdYEeOCbc0pwOBboA">
            <body>&quot;Blood pressure (BP) is the pressure exerted by circulating blood upon the walls of blood vessels and is one of the principal vital signs. When used without further specification, &quot;blood pressure&quot; usually refers to the arterial pressure of the systemic circulation, usually measured at a person's upper arm. A person’s blood pressure is usually expressed in terms of the systolic (maximum) pressure over diastolic (minimum) pressure and is measured in millimeters of mercury (mm Hg). … Blood pressure varies depending on situation, activity, and disease states, and is regulated by the nervous and endocrine systems. … Chronic hypertension is a risk factor for many diseases, including kidney failure, heart attack, and stroke.&quot; – Wikipedia.&#xD;
&#xD;
Blood pressure is typically expressed in terms of the systolic pressure over diastolic pressure as if this were a single observation, yet in fact these are two separate observations taken moments apart.  In some situations only one of these two are needed and recorded, and some medical devices record only one (either the diastolic or the systolic).  Therefore, this abstract class defines those properties that are common to individual systolic and diastolic observations as well as the classic “blood pressure” observation that contains both systolic and diastolic values as if it were one observation.  This class defines the bodySite and method that may be needed in order to interpret the observation, as well as pointers to the four qualifier observations that may affect the interpretation.</body>
          </ownedComment>
          <generalization xmi:id="_JZJUsZdYEeOCbc0pwOBboA" general="_nbH1LVaeEd6rJ7jpZ7LBFg"/>
          <ownedAttribute xmi:id="_JZJUspdYEeOCbc0pwOBboA" name="bodySite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_JZJUs5dYEeOCbc0pwOBboA" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_JZJUtJdYEeOCbc0pwOBboA" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_JZJUtZdYEeOCbc0pwOBboA" annotatedElement="_JZJUspdYEeOCbc0pwOBboA">
              <body>Certain disease states may cause a person’s blood pressure to be different in different parts of the body. It is therefore often important to know where on the body the blood pressure was measured, especially when comparing to other blood pressure measurements.&#xD;
&#xD;
This property contains the code that specifies the anatomical site or system that is the focus of the Observation.  In the generic clinical Observation class, this code is not “bound” to a particular value set.  In this class, the property is re-defined to a set of values that are appropriate to Blood Pressure measurements.  These values come from the SNOMED-CT coding system.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JZJUt5dYEeOCbc0pwOBboA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JZJUtpdYEeOCbc0pwOBboA" value="1"/>
            <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_HeF2sMEFEeSD-sVrqweICQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
              <language></language>
              <body>(BloodPressureMeasurementSite)</body>
            </defaultValue>
          </ownedAttribute>
          <ownedAttribute xmi:id="_JZJUv5dYEeOCbc0pwOBboA" name="observationMethod" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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              <details xmi:id="_JZJUwZdYEeOCbc0pwOBboA" key="redefine"/>
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            <ownedComment xmi:id="_JZJUwpdYEeOCbc0pwOBboA" annotatedElement="_JZJUv5dYEeOCbc0pwOBboA">
              <body>This property contains a code that specifies additional detail about the means or technique used to ascertain the Observation.  In the generic clinical Observation class, this code is not “bound” to a particular value set.  In this class, the property is re-defined to a set of values that are appropriate to heart rate measurements.  These values come from the SNOMED-CT coding system.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JZJUxJdYEeOCbc0pwOBboA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JZJUw5dYEeOCbc0pwOBboA" value="1"/>
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              <language></language>
              <body>(BloodPressureMeasurementMethod)</body>
            </defaultValue>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_JZLw8JdYEeOCbc0pwOBboA" name="BloodPressurePatientPosition">
          <generalization xmi:id="_JZLw8ZdYEeOCbc0pwOBboA" general="_wBabQBcBEeOL3Nw-k5HkNw"/>
          <ownedAttribute xmi:id="_JZLw8pdYEeOCbc0pwOBboA" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <ownedComment xmi:id="_JZLw9ZdYEeOCbc0pwOBboA" annotatedElement="_JZLw8pdYEeOCbc0pwOBboA">
              <body>Identifies the qualifying information (usually an observation) that may affect the interpretation of the owning Clinical Observation.  For example, if the owning Clinical Observation is a blood pressure, this class may contain information about the patient's state (i.e., whether sitting and resting, prone, after exercise, etc.).  In this example, the category indicates the kind of observation that qualifies the owning Clinical Observation (e.g., &quot;patient state&quot;, &quot;cuff size&quot;), while the value contains the corresponding data for the observation (e.g., &quot;after exercise&quot;, &quot;large adult cuff&quot;).</body>
            </ownedComment>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_JZLw9pdYEeOCbc0pwOBboA" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=TBD, c=TBD"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_JZLw95dYEeOCbc0pwOBboA" name="value" visibility="public">
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            </eAnnotations>
            <ownedComment xmi:id="_JZLw-pdYEeOCbc0pwOBboA" annotatedElement="_JZLw95dYEeOCbc0pwOBboA">
              <body>Contains the data describing the qualifying information (usually an observation) that may affect the interpretation of the owning Clinical Observation.  For example, if the owning Clinical Observation is a blood pressure, this class may contain information about the patient's state (i.e., whether sitting and resting, prone, after exercise, etc.).  In this example, the category indicates the kind of observation that qualifies the owning Clinical Observation (e.g., &quot;patient state&quot;, &quot;cuff size&quot;), while the value contains the corresponding data for the observation (e.g., &quot;after exercise&quot;, &quot;large adult cuff&quot;).</body>
            </ownedComment>
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          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_X9r8MJdYEeOCbc0pwOBboA" name="BloodPressureObservation">
          <ownedComment xmi:id="_B1iI4N03EeSZfdq7h5ueSA" annotatedElement="_X9r8MJdYEeOCbc0pwOBboA">
            <body>&quot;Blood pressure (BP) is the pressure exerted by circulating blood upon the walls of blood vessels and is one of the principal vital signs. When used without further specification, &quot;blood pressure&quot; usually refers to the arterial pressure of the systemic circulation, usually measured at a person's upper arm. A person’s blood pressure is usually expressed in terms of the systolic (maximum) pressure over diastolic (minimum) pressure and is measured in millimeters of mercury (mm Hg). … Blood pressure varies depending on situation, activity, and disease states, and is regulated by the nervous and endocrine systems. … Chronic hypertension is a risk factor for many diseases, including kidney failure, heart attack, and stroke.&quot; – Wikipedia.&#xD;
&#xD;
This class represents the measurement (or “clinical observation”) of the patient’s Blood Pressure.  Blood pressure is typically expressed in terms of the systolic pressure over diastolic pressure as if this were a single observation, yet in fact these are two separate observations taken moments apart.  Therefore, the value of this “blood pressure observation” is made up of a set of one systolic and one diastolic observation.  This class also re-defines the generic clinical Observation class to fix the observed characteristic to LOINC 55284-4.</body>
          </ownedComment>
          <generalization xmi:id="_joaMAJdaEeOCbc0pwOBboA" general="_JZJUsJdYEeOCbc0pwOBboA"/>
          <ownedAttribute xmi:id="_X9r8OJdYEeOCbc0pwOBboA" name="observedCharacteristic" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            </eAnnotations>
            <ownedComment xmi:id="_X9r8O5dYEeOCbc0pwOBboA" annotatedElement="_X9r8OJdYEeOCbc0pwOBboA">
              <body>This property defines what was observed by using a value from a nationally recognized coding system.  In this case, we’re stating that the concept being observed is the Blood Pressure, which is LOINC 55284-4.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_X9r8PZdYEeOCbc0pwOBboA" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_X9r8PJdYEeOCbc0pwOBboA" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_X9r8PpdYEeOCbc0pwOBboA" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=LOINC, c=55284-4"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_6xWdgJdaEeOCbc0pwOBboA" name="diastolicBloodPressureObservation" visibility="public" type="_adk0IJdaEeOCbc0pwOBboA" association="_6xSzIJdaEeOCbc0pwOBboA">
            <ownedComment xmi:id="_6-lNQN04EeSZfdq7h5ueSA" annotatedElement="_6xWdgJdaEeOCbc0pwOBboA">
              <body>Pointer to a measurement (or “clinical observation”) of the patient’s Diastolic Blood Pressure, which is the minimum pressure exerted by circulating blood upon the walls of blood vessels during the heart’s pumping phase.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6xXroJdaEeOCbc0pwOBboA" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6xXroZdaEeOCbc0pwOBboA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_7a-pUJdaEeOCbc0pwOBboA" name="systolicBloodPressureObservation" visibility="public" type="_aZAdMJdaEeOCbc0pwOBboA" association="_7a9bMJdaEeOCbc0pwOBboA">
            <ownedComment xmi:id="_TO-EcN04EeSZfdq7h5ueSA" annotatedElement="_7a-pUJdaEeOCbc0pwOBboA">
              <body>Pointer to the measurement (or “clinical observation”) of the patient’s Systolic Blood Pressure, which is the maximum pressure exerted by circulating blood upon the walls of blood vessels during the heart’s pumping phase.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7a_QYJdaEeOCbc0pwOBboA" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7a_QYZdaEeOCbc0pwOBboA" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_JpfBUJdZEeOCbc0pwOBboA" client="_JZJUsJdYEeOCbc0pwOBboA">
          <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_LuKo8MD-EeSD-sVrqweICQ"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_nWp00JdZEeOCbc0pwOBboA" name="BloodPressureCuffSizeQualifier">
          <ownedComment xmi:id="_t3w5QN0-EeSZfdq7h5ueSA" annotatedElement="_nWp00JdZEeOCbc0pwOBboA">
            <body>The most common method of measuring blood pressure involves the use of an inflatable (Riva-Rocci) cuff to constrict the blood flow during measurement.  These cuffs are designed to operate on a specific range of body-part (e.g., arm, thigh) circumferences.  Occasionally a cuff is used that is not of the ideal size for the given patient (i.e., the patient may be an infant or an obese adult), usually because the appropriate sized cuff is not available.  The use of a non-ideal sized cuff may result in an inaccurate reading, and therefore must be noted.  This class represents an observation of the cuff size that was used to obtain the Blood Pressure measurement.</body>
          </ownedComment>
          <generalization xmi:id="_nWp00ZdZEeOCbc0pwOBboA" general="_wBabQBcBEeOL3Nw-k5HkNw"/>
          <ownedAttribute xmi:id="_nWp00pdZEeOCbc0pwOBboA" name="observedCharacteristic" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_nWp005dZEeOCbc0pwOBboA" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_nWp01JdZEeOCbc0pwOBboA" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_nWp01ZdZEeOCbc0pwOBboA" annotatedElement="_nWp00pdZEeOCbc0pwOBboA">
              <body>This property defines what was observed that “qualifies” the primary, or “owning” Observation.  This property defines what was observed by citing a value from a nationally recognized coding system.  In this case, the value will hard-coded to a LOINC or SNOMED code that represents the concept of Cuff Size.</body>
            </ownedComment>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_nWp01pdZEeOCbc0pwOBboA" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=TBD, c=TBD"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_nWp015dZEeOCbc0pwOBboA" name="value" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_nWp02JdZEeOCbc0pwOBboA" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_nWp02ZdZEeOCbc0pwOBboA" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_nWp02pdZEeOCbc0pwOBboA" annotatedElement="_nWp015dZEeOCbc0pwOBboA">
              <body>This property contains the result, or value of the qualifying Observation.  In the generic Observation Qualifier class, the data type for this property can be anything.  In this sub-type, the value is constrained to be one of a set of codes from the SNOMED-CT coding system that represent cuff sizes that are used for a Blood Pressure measurement.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nWp03JdZEeOCbc0pwOBboA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nWp025dZEeOCbc0pwOBboA" value="1"/>
            <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_I_7fEMEUEeSx2-rVmArpvQ" type="_GmKqYGAfEd6a0qoC8Dh7hA">
              <language></language>
              <body>(BloodPressureCuffSize)</body>
            </defaultValue>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_aZAdMJdaEeOCbc0pwOBboA" name="SystolicBloodPressureObservation">
          <ownedComment xmi:id="_OsKnoN04EeSZfdq7h5ueSA" annotatedElement="_aZAdMJdaEeOCbc0pwOBboA">
            <body>“Blood pressure (BP) is the pressure exerted by circulating blood upon the walls of blood vessels and is one of the principal vital signs. When used without further specification, &quot;blood pressure&quot; usually refers to the arterial pressure of the systemic circulation, usually measured at a person's upper arm. A person’s blood pressure is usually expressed in terms of the systolic (maximum) pressure over diastolic (minimum) pressure”– Wikipedia.&#xD;
This class represents the measurement (or “clinical observation”) of the patient’s Systolic Blood Pressure, which is the maximum pressure exerted by circulating blood upon the walls of blood vessels during the heart’s pumping phase.  This class also re-defines the generic clinical Observation class to fix the observed characteristic to LOINC 8680-6.</body>
          </ownedComment>
          <generalization xmi:id="_kPGYkJdaEeOCbc0pwOBboA" general="_JZJUsJdYEeOCbc0pwOBboA"/>
          <ownedAttribute xmi:id="_aZAdMZdaEeOCbc0pwOBboA" name="observedCharacteristic" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_aZAdMpdaEeOCbc0pwOBboA" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_aZAdM5daEeOCbc0pwOBboA" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_aZAdNJdaEeOCbc0pwOBboA" annotatedElement="_aZAdMZdaEeOCbc0pwOBboA">
              <body>This property defines what was observed by using a value from a nationally recognized coding system.  In this case, we’re stating that the concept being observed is the Systolic Blood Pressure, which is LOINC 8680-6.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_aZAdNpdaEeOCbc0pwOBboA" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_aZAdNZdaEeOCbc0pwOBboA" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_aZAdN5daEeOCbc0pwOBboA" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=LOINC, c=8680-6"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_aZAdOJdaEeOCbc0pwOBboA" name="value" visibility="public" type="_420A62FD03B641886F630221">
            <eAnnotations xmi:id="_aZAdOZdaEeOCbc0pwOBboA" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_aZAdOpdaEeOCbc0pwOBboA" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_aZAdO5daEeOCbc0pwOBboA" annotatedElement="_aZAdOJdaEeOCbc0pwOBboA">
              <body>This property contains the result, or value of the clinical Observation.  In the generic clinical Observation class, the data type for this property can be anything.  Blood Pressure is generally expressed in terms of millimeters of mercury (mmHg).  Therefore, this property has been re-defined to constrain the data type to be a Physical Quantity.</body>
            </ownedComment>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_adk0IJdaEeOCbc0pwOBboA" name="DiastolicBloodPressureObservation">
          <ownedComment xmi:id="_aaqPEN04EeSZfdq7h5ueSA" annotatedElement="_adk0IJdaEeOCbc0pwOBboA">
            <body>“Blood pressure (BP) is the pressure exerted by circulating blood upon the walls of blood vessels and is one of the principal vital signs. When used without further specification, &quot;blood pressure&quot; usually refers to the arterial pressure of the systemic circulation, usually measured at a person's upper arm. A person’s blood pressure is usually expressed in terms of the systolic (maximum) pressure over diastolic (minimum) pressure”– Wikipedia.&#xD;
&#xD;
This class represents the measurement (or “clinical observation”) of the patient’s Diastolic Blood Pressure, which is the minimum pressure exerted by circulating blood upon the walls of blood vessels during the heart’s pumping phase.  This class also re-defines the generic clinical Observation class to fix the observed characteristic to LOINC 8462-4.</body>
          </ownedComment>
          <generalization xmi:id="_qGWf0JdaEeOCbc0pwOBboA" general="_JZJUsJdYEeOCbc0pwOBboA"/>
          <ownedAttribute xmi:id="_adk0IZdaEeOCbc0pwOBboA" name="observedCharacteristic" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_adk0IpdaEeOCbc0pwOBboA" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_adk0I5daEeOCbc0pwOBboA" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_adk0JJdaEeOCbc0pwOBboA" annotatedElement="_adk0IZdaEeOCbc0pwOBboA">
              <body>This property defines what was observed by using a value from a nationally recognized coding system.  In this case, we’re stating that the concept being observed is the Diastolic Blood Pressure, which is LOINC 8462-4.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_adk0JpdaEeOCbc0pwOBboA" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_adk0JZdaEeOCbc0pwOBboA" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_adk0J5daEeOCbc0pwOBboA" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=LOINC, c=8462-4"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_adk0KJdaEeOCbc0pwOBboA" name="value" visibility="public" type="_420A62FD03B641886F630221">
            <eAnnotations xmi:id="_adk0KZdaEeOCbc0pwOBboA" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_adk0KpdaEeOCbc0pwOBboA" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_adk0K5daEeOCbc0pwOBboA" annotatedElement="_adk0KJdaEeOCbc0pwOBboA">
              <body>This property contains the result, or value of the clinical Observation.  In the generic clinical Observation class, the data type for this property can be anything.  Blood Pressure is generally expressed in terms of millimeters of mercury (mmHg).  Therefore, this property has been re-defined to constrain the data type to be a Physical Quantity.</body>
            </ownedComment>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_6xSzIJdaEeOCbc0pwOBboA" memberEnd="_6xWdgJdaEeOCbc0pwOBboA _6xY5wJdaEeOCbc0pwOBboA">
          <ownedEnd xmi:id="_6xY5wJdaEeOCbc0pwOBboA" name="" visibility="public" type="_X9r8MJdYEeOCbc0pwOBboA" association="_6xSzIJdaEeOCbc0pwOBboA"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_7a9bMJdaEeOCbc0pwOBboA" memberEnd="_7a-pUJdaEeOCbc0pwOBboA _7a_3cJdaEeOCbc0pwOBboA">
          <ownedEnd xmi:id="_7a_3cJdaEeOCbc0pwOBboA" name="" visibility="public" type="_X9r8MJdYEeOCbc0pwOBboA" association="_7a9bMJdaEeOCbc0pwOBboA"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_9-mOMIewEeS2mpjRRlxFgQ" name="BloodPressureSleepStatusQualifier">
          <ownedComment xmi:id="_WXXUkN0_EeSZfdq7h5ueSA" annotatedElement="_9-mOMIewEeS2mpjRRlxFgQ">
            <body>Blood pressure normally rises and falls depending on whether a person is awake or asleep.  This class records an observation of whether the patient was awake or asleep at the time that the Blood Pressure measurement was taken.</body>
          </ownedComment>
          <generalization xmi:id="_9-mOMYewEeS2mpjRRlxFgQ" general="_wBabQBcBEeOL3Nw-k5HkNw"/>
          <ownedAttribute xmi:id="_9-m1QIewEeS2mpjRRlxFgQ" name="observedCharacteristic" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_9-m1QYewEeS2mpjRRlxFgQ" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_9-m1QoewEeS2mpjRRlxFgQ" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_9-m1Q4ewEeS2mpjRRlxFgQ" annotatedElement="_9-m1QIewEeS2mpjRRlxFgQ">
              <body>This property defines what was observed that “qualifies” the primary, or “owning” Observation.  This property defines what was observed by citing a value from a nationally recognized coding system.  In this case, the value will hard-coded to a LOINC or SNOMED code that represents the concept of Sleep Status.</body>
            </ownedComment>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_9-m1RIewEeS2mpjRRlxFgQ" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=TBD, c=TBD"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_9-m1RYewEeS2mpjRRlxFgQ" name="value" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_9-m1RoewEeS2mpjRRlxFgQ" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_9-m1R4ewEeS2mpjRRlxFgQ" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_9-m1SIewEeS2mpjRRlxFgQ" annotatedElement="_9-m1RYewEeS2mpjRRlxFgQ">
              <body>This property contains the result, or value of the qualifying Observation.  In the generic Observation Qualifier class, the data type for this property can be anything.  In this sub-type, the value is constrained to be one of a set of codes from the SNOMED-CT coding system that represent whether the patient was awake or asleep.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9-m1SoewEeS2mpjRRlxFgQ" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9-m1SYewEeS2mpjRRlxFgQ" value="1"/>
            <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_b_FWEL62EeSMg-kgsnPV3w" type="_GmKqYGAfEd6a0qoC8Dh7hA">
              <language></language>
              <body>(PatientMeasurementSleepStatus)</body>
            </defaultValue>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_Hc5jEL7EEeSMg-kgsnPV3w" client="_9-mOMIewEeS2mpjRRlxFgQ">
          <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_kH664L61EeSMg-kgsnPV3w"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_3-lYkMEAEeSD-sVrqweICQ" client="_JZJUsJdYEeOCbc0pwOBboA">
          <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_LuKo8MD-EeSD-sVrqweICQ"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_t__rsMEEEeSD-sVrqweICQ" client="_JZJUsJdYEeOCbc0pwOBboA">
          <supplier xmi:type="uml:EnumerationLiteral" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_T3gVUMEDEeSD-sVrqweICQ"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_00dgwMESEeSx2-rVmArpvQ" client="_nWp00JdZEeOCbc0pwOBboA">
          <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_OCbtcMEFEeSD-sVrqweICQ"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_V2grkMNnEeSFjdDJNF9NPA" client="_JZJUsJdYEeOCbc0pwOBboA">
          <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_OxHxsMEAEeSD-sVrqweICQ"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_DQ5wcMNpEeSFjdDJNF9NPA" name="BloodPressureDiastolicEndpoint">
          <ownedComment xmi:id="_-kSx0N4LEeS6r4gmxAzL5Q" annotatedElement="_DQ5wcMNpEeSFjdDJNF9NPA">
            <body>Of the five sounds defined by Korotkof early in the 20th century, there has been disagreement on whether diastolic pressure should be measured at phase IV (muffling of sound) or phase V (disappearance of sound). In some patients, the measurements can differ significantly. In cases where the distinction is significant, local policy may specify one point or the other: in at least these cases, and potentially all, the phase, or &quot;end point,&quot; at which the measurement is taken should be recorded. - Adapted from Practical Management of Hypertension (Birkenhäger, ed.); ABC of Hypertension (Beevers et al); The 5-minute Pediatric Consult (Schwartz, ed).&#xD;
&#xD;
This class records an observation of the phase at which the diastolic pressure was measured.</body>
          </ownedComment>
          <generalization xmi:id="_DQ5wccNpEeSFjdDJNF9NPA" general="_wBabQBcBEeOL3Nw-k5HkNw"/>
          <ownedAttribute xmi:id="_DQ5wcsNpEeSFjdDJNF9NPA" name="observedCharacteristic" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_DQ5wc8NpEeSFjdDJNF9NPA" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_DQ5wdMNpEeSFjdDJNF9NPA" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_DQ5wdcNpEeSFjdDJNF9NPA" annotatedElement="_DQ5wcsNpEeSFjdDJNF9NPA">
              <body>This property defines what was observed that “qualifies” the primary, or “owning” Observation.  This property defines what was observed by citing a value from a nationally recognized coding system.  In this case, the value will hard-coded to a LOINC or SNOMED code that represents the concept of Diastolic End Point.</body>
            </ownedComment>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_DQ5wdsNpEeSFjdDJNF9NPA" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=TBD, c=TBD"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_DQ5wd8NpEeSFjdDJNF9NPA" name="value" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_DQ5weMNpEeSFjdDJNF9NPA" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_DQ5wecNpEeSFjdDJNF9NPA" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_DQ5wesNpEeSFjdDJNF9NPA" annotatedElement="_DQ5wd8NpEeSFjdDJNF9NPA">
              <body>This property contains the result, or value of the qualifying Observation.  In the generic Observation Qualifier class, the data type for this property can be anything.  In this sub-type, the value is constrained to be one of a set of codes from the SNOMED-CT coding system that represent the Diastolic Endpoint observed.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DQ5wfMNpEeSFjdDJNF9NPA" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DQ5we8NpEeSFjdDJNF9NPA" value="1"/>
            <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_DQ5wfcNpEeSFjdDJNF9NPA" type="_GmKqYGAfEd6a0qoC8Dh7hA">
              <language></language>
              <body>(BloodPressureMeasurementDiastolicEndpoint)</body>
            </defaultValue>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_xIY2cMNpEeSFjdDJNF9NPA" client="_DQ5wcMNpEeSFjdDJNF9NPA">
          <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_ZCu6gMNoEeSFjdDJNF9NPA"/>
        </packagedElement>
      </packagedElement>
      <packagedElement xmi:type="uml:Package" xmi:id="_gY2Z4IduEeOZ2vW3WfDP5Q" name="HeartRate">
        <eAnnotations xmi:id="_gY3A8IduEeOZ2vW3WfDP5Q" source="uml2.diagrams"/>
        <ownedComment xmi:id="_fsInoNynEeS8W_uFU6RjUw" annotatedElement="_gY2Z4IduEeOZ2vW3WfDP5Q">
          <body>Heart rate is the speed of the heartbeat measured by the number of poundings of the heart per unit of time — typically beats per minute (bpm).  The heart rate is commonly measured by observing the patient’s pulse, which is the physical expansion of the artery. The pulse commonly taken is from the radial artery at the wrist. Sometimes the pulse cannot be taken at the wrist and is taken at the elbow (brachial artery), at the neck against the carotid artery (carotid pulse), behind the knee (popliteal artery), or in the foot dorsalis pedis or posterior tibial arteries.  In addition, the heart rate may be measured directly electrocardiography (adapted from Wikipedia).&#xD;
&#xD;
This package represents the measurement (or “clinical observation”) of the patient’s heart rate.  It contains an Observation sub-type that constrains the type of observation to that of heart rate, and redefines the body Site and method properties to reference specific value sets for heart rate observation.  It also contains a redefined observation qualifier class that indicates how the patient’s body was positioned during the heart rate measurement.</body>
        </ownedComment>
        <packagedElement xmi:type="uml:Class" xmi:id="_EVpMQH-3EeOzENpLs8HIcg" name="HeartRateObservation">
          <ownedComment xmi:id="_esezYNylEeS8W_uFU6RjUw" annotatedElement="_EVpMQH-3EeOzENpLs8HIcg">
            <body>Heart rate is the speed of the heartbeat measured by the number of poundings of the heart per unit of time — typically beats per minute (bpm).  The heart rate is commonly measured by observing the patient’s pulse, which is the physical expansion of the artery. The pulse commonly taken is from the radial artery at the wrist. Sometimes the pulse cannot be taken at the wrist and is taken at the elbow (brachial artery), at the neck against the carotid artery (carotid pulse), behind the knee (popliteal artery), or in the foot dorsalis pedis or posterior tibial arteries.  In addition, the heart rate may be measured directly electrocardiography (adapted from Wikipedia).&#xD;
&#xD;
This class represents the measurement (or “clinical observation”) of the patient’s heart rate.  This class re-defines the generic clinical Observation class to fix the observed characteristic to LOINC 8867-4 and to set the data type of the observation value to a Physical Quantity Ratio. It also redefines the bodySite and method properties such that they are bound to the Heart Rate Measurement Site and Heart Rate Measurement Method valuesets, respectively.</body>
          </ownedComment>
          <generalization xmi:id="_8YJ9YIduEeOZ2vW3WfDP5Q" general="_nbH1LVaeEd6rJ7jpZ7LBFg"/>
          <ownedAttribute xmi:id="_qKVFkIdvEeOZ2vW3WfDP5Q" name="bodySite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_sPjFoIdvEeOZ2vW3WfDP5Q" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_sPjssIdvEeOZ2vW3WfDP5Q" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_qKVFkYdvEeOZ2vW3WfDP5Q" annotatedElement="_qKVFkIdvEeOZ2vW3WfDP5Q">
              <body>This property contains the code that specifies the anatomical site or system that is the focus of the observation.  In the generic clinical Observation class, this code is not “bound” to a particular value set.  In this class, the property is re-defined to a set of values that are appropriate to heart rate measurements.  These values come from the SNOMED-CT coding system.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qKVFk4dvEeOZ2vW3WfDP5Q"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qKVFkodvEeOZ2vW3WfDP5Q" value="1"/>
            <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_jYEDsMN1EeSFjdDJNF9NPA" type="_GmKqYGAfEd6a0qoC8Dh7hA">
              <language></language>
              <body>(HeartRateMeasurementSite)</body>
            </defaultValue>
          </ownedAttribute>
          <ownedAttribute xmi:id="_qYVOUH-5EeOzENpLs8HIcg" name="observedCharacteristic" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_qYVOUX-5EeOzENpLs8HIcg" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_sPk60IdvEeOZ2vW3WfDP5Q" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_qYVOUn-5EeOzENpLs8HIcg" annotatedElement="_qYVOUH-5EeOzENpLs8HIcg">
              <body>This property defines what was observed by using a value from a nationally recognized coding system.  In this case, we’re stating that the concept being observed is the Heart rate, which is LOINC 8867-4.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_qYVOVH-5EeOzENpLs8HIcg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_qYVOU3-5EeOzENpLs8HIcg" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_aoju4IdxEeOZ2vW3WfDP5Q" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=LOINC, c=8867-4"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_SkiDgIdwEeOZ2vW3WfDP5Q" name="observationMethod" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_TbtjIIdwEeOZ2vW3WfDP5Q" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_TbtjIYdwEeOZ2vW3WfDP5Q" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_SkiDgYdwEeOZ2vW3WfDP5Q" annotatedElement="_SkiDgIdwEeOZ2vW3WfDP5Q">
              <body>This property contains the code that specifies additional detail about the means or technique used to ascertain the Observation.  In the generic clinical Observation class, this code is not “bound” to a particular value set.  In this class, the property is re-defined to a set of values that are appropriate to heart rate measurements.  These values come from the SNOMED-CT coding system.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SkiDg4dwEeOZ2vW3WfDP5Q"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SkiDgodwEeOZ2vW3WfDP5Q" value="1"/>
            <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_gIOqoMN1EeSFjdDJNF9NPA" type="_GmKqYGAfEd6a0qoC8Dh7hA">
              <language></language>
              <body>(HeartRateMeasurementMethod)</body>
            </defaultValue>
          </ownedAttribute>
          <ownedAttribute xmi:id="_qYV1YH-5EeOzENpLs8HIcg" name="value" visibility="public" type="_420A62FD03B641886F63021C">
            <eAnnotations xmi:id="_sPmI8IdvEeOZ2vW3WfDP5Q" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_sPmI8YdvEeOZ2vW3WfDP5Q" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_qYV1YX-5EeOzENpLs8HIcg" annotatedElement="_qYV1YH-5EeOzENpLs8HIcg">
              <body>This property contains the result, or value of the clinical Observation.  In the generic clinical Observation class, the data type for this property can be anything.  Heart rate is expressed in terms of beats per minute.  Therefore, this property has been re-defined to constrain the data type to be a Rate Quantity (where the numerator is the number of beats (unit of measure heartbeat), and the denominator is one minute).</body>
            </ownedComment>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_escQgIdwEeOZ2vW3WfDP5Q" client="_EVpMQH-3EeOzENpLs8HIcg">
          <supplier xmi:type="uml:EnumerationLiteral" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_mHctAMNzEeSFjdDJNF9NPA"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_51drkMN6EeSFjdDJNF9NPA" client="_EVpMQH-3EeOzENpLs8HIcg">
          <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_A8YIEMN0EeSFjdDJNF9NPA"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_ccSkYMN1EeSFjdDJNF9NPA" client="_EVpMQH-3EeOzENpLs8HIcg">
          <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_ZwU_UMNzEeSFjdDJNF9NPA"/>
        </packagedElement>
      </packagedElement>
      <packagedElement xmi:type="uml:Package" xmi:id="_jPnxsId5EeOZ2vW3WfDP5Q" name="Height">
        <eAnnotations xmi:id="_jPnxsYd5EeOZ2vW3WfDP5Q" source="uml2.diagrams"/>
        <ownedComment xmi:id="_IlQY8N0mEeSZfdq7h5ueSA" annotatedElement="_jPnxsId5EeOZ2vW3WfDP5Q">
          <body>“Human height or stature is the distance from the bottom of the feet to the top of the head, standing erect. … Growth has long been recognized as a measure of the health of individuals” – Wikipedia.&#xD;
&#xD;
This package represents the measurement (or “clinical observation”) of the patient’s height or stature.  It contains an Observation sub-type that constrains the type of observation to that of Height, and a redefined observation qualifier class that indicates whether the height was actually measured or estimated.</body>
        </ownedComment>
        <packagedElement xmi:type="uml:Class" xmi:id="_jPo_4Id5EeOZ2vW3WfDP5Q" name="HeightObservation">
          <ownedComment xmi:id="_cvuuMN0mEeSZfdq7h5ueSA" annotatedElement="_jPo_4Id5EeOZ2vW3WfDP5Q">
            <body>“Human height or stature is the distance from the bottom of the feet to the top of the head, standing erect. … Growth has long been recognized as a measure of the health of individuals” – Wikipedia.&#xD;
&#xD;
This class represents the measurement (or “clinical observation”) of the patient’s Height.  This class re-defines the generic clinical Observation class to fix the observed characteristic to LOINC 8302-2 and to set the data type of the observation value to a Physical Quantity.</body>
          </ownedComment>
          <generalization xmi:id="_jPo_4Yd5EeOZ2vW3WfDP5Q" general="_nbH1LVaeEd6rJ7jpZ7LBFg"/>
          <ownedAttribute xmi:id="_jPo_6Id5EeOZ2vW3WfDP5Q" name="observedCharacteristic" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_jPo_6Yd5EeOZ2vW3WfDP5Q" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_jPo_6od5EeOZ2vW3WfDP5Q" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_jPo_64d5EeOZ2vW3WfDP5Q" annotatedElement="_jPo_6Id5EeOZ2vW3WfDP5Q">
              <body>This property defines what was observed by using a value from a nationally recognized coding system.  In this case, we’re stating that the concept being observed is the Height, which is LOINC 8302-2.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jPo_7Yd5EeOZ2vW3WfDP5Q" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jPo_7Id5EeOZ2vW3WfDP5Q" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_jPo_7od5EeOZ2vW3WfDP5Q" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=LOINC, c=8302-2"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_jPo_9Yd5EeOZ2vW3WfDP5Q" name="value" visibility="public" type="_420A62FD03B641886F630221">
            <eAnnotations xmi:id="_jPo_9od5EeOZ2vW3WfDP5Q" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_jPo_94d5EeOZ2vW3WfDP5Q" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_jPo_-Id5EeOZ2vW3WfDP5Q" annotatedElement="_jPo_9Yd5EeOZ2vW3WfDP5Q">
              <body>This property contains the result, or value of the clinical Observation.  In the generic clinical Observation class, the data type for this property can be anything.  Height is expressed in terms of centimeters or inches.  Therefore, this property has been re-defined to constrain the data type to be a Physical Quantity.</body>
            </ownedComment>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_jPpAEYd5EeOZ2vW3WfDP5Q" name="HeightQualifier">
          <ownedComment xmi:id="_B1-oEN0nEeSZfdq7h5ueSA" annotatedElement="_jPpAEYd5EeOZ2vW3WfDP5Q">
            <body>Occasionally, the patient’s Height cannot be measured directly, leading the clinician to estimate the Height, or rely on the patient’s stated Height.  This class records an observation of how the patient’s Height was determined.</body>
          </ownedComment>
          <generalization xmi:id="_jPpAEod5EeOZ2vW3WfDP5Q" general="_wBabQBcBEeOL3Nw-k5HkNw"/>
          <ownedAttribute xmi:id="_jPpAE4d5EeOZ2vW3WfDP5Q" name="observedCharacteristic" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_jPpAFId5EeOZ2vW3WfDP5Q" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_jPpAFYd5EeOZ2vW3WfDP5Q" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_jPpAFod5EeOZ2vW3WfDP5Q" annotatedElement="_jPpAE4d5EeOZ2vW3WfDP5Q">
              <body>This property defines what was observed that “qualifies” the primary, or “owning” Observation.  This property defines what was observed by citing a value from a nationally recognized coding system.  In this case, the value to be hard-coded for the height determination has yet to be determined.</body>
            </ownedComment>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_jPpAF4d5EeOZ2vW3WfDP5Q" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=TBD, c=TBD"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_jPpAGId5EeOZ2vW3WfDP5Q" name="value" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_jPpAGYd5EeOZ2vW3WfDP5Q" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_jPpAGod5EeOZ2vW3WfDP5Q" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_jPpAG4d5EeOZ2vW3WfDP5Q" annotatedElement="_jPpAGId5EeOZ2vW3WfDP5Q">
              <body>This property contains the result, or value of the qualifying Observation.  In the generic Observation Qualifier class, the data type for this property can be anything.  In this sub type, the value is constrained to be one of a set of codes from the SNOMED-CT coding system that represent how the patient’s Height was determined.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jPpAHYd5EeOZ2vW3WfDP5Q" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jPpAHId5EeOZ2vW3WfDP5Q" value="1"/>
            <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_KzeXwMNuEeSFjdDJNF9NPA" type="_GmKqYGAfEd6a0qoC8Dh7hA">
              <language></language>
              <body>(PatientHeightDeterminationMethod)</body>
            </defaultValue>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_BurWcMNuEeSFjdDJNF9NPA" client="_jPpAEYd5EeOZ2vW3WfDP5Q">
          <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_7T6H4MNsEeSFjdDJNF9NPA"/>
        </packagedElement>
      </packagedElement>
      <packagedElement xmi:type="uml:Package" xmi:id="_7n4HQId_EeOZ2vW3WfDP5Q" name="O2Saturation">
        <eAnnotations xmi:id="_7n4HQYd_EeOZ2vW3WfDP5Q" source="uml2.diagrams"/>
        <ownedComment xmi:id="_wLy5ANycEeS8W_uFU6RjUw" annotatedElement="_7n4HQId_EeOZ2vW3WfDP5Q">
          <body>“Oxygen saturation is a term referring to the fraction of oxygen-saturated hemoglobin relative to total hemoglobin (unsaturated + saturated) in the blood. The human body requires and regulates a very precise and specific balance of oxygen in the blood. Normal blood oxygen levels in humans are considered 95-100 percent. ... Levels below 80 percent may compromise organ function, such as the brain and heart” – Wikipedia.&#xD;
&#xD;
This package represents the measurement (or “clinical observation”) of the patient’s blood oxygen saturation level.  It contains an Observation sub-type that constrains the type of observation to that of oxygen saturation in arterial blood, and contains two observation qualifier classes that indicate whether and how the patient was on supplemental observation at the time of the observation.</body>
        </ownedComment>
        <packagedElement xmi:type="uml:Class" xmi:id="_7n58iId_EeOZ2vW3WfDP5Q" name="OxygenSaturationObservation">
          <ownedComment xmi:id="_lWtNgNyWEeS8W_uFU6RjUw" annotatedElement="_7n58iId_EeOZ2vW3WfDP5Q">
            <body>“Oxygen saturation is a term referring to the fraction of oxygen-saturated hemoglobin relative to total hemoglobin (unsaturated + saturated) in the blood. The human body requires and regulates a very precise and specific balance of oxygen in the blood. Normal blood oxygen levels in humans are considered 95-100 percent. ... Levels below 80 percent may compromise organ function, such as the brain and heart” – Wikipedia.&#xD;
&#xD;
This class represents the measurement (or “clinical observation”) of the patient’s blood oxygen saturation level.  This class re-defines the generic clinical Observation class to fix the observed characteristic to LOINC 2708-6 and to set the data type of the observation value to a Physical Quantity.</body>
          </ownedComment>
          <generalization xmi:id="_7n58iYd_EeOZ2vW3WfDP5Q" general="_nbH1LVaeEd6rJ7jpZ7LBFg"/>
          <ownedAttribute xmi:id="_7n58kId_EeOZ2vW3WfDP5Q" name="observedCharacteristic" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_7n58kYd_EeOZ2vW3WfDP5Q" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_7n58kod_EeOZ2vW3WfDP5Q" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_7n58k4d_EeOZ2vW3WfDP5Q" annotatedElement="_7n58kId_EeOZ2vW3WfDP5Q">
              <body>This property defines what was observed by using a value from a nationally recognized coding system.  In this case, we’re stating that the concept being observed is the Oxygen saturation in arterial blood, which is LOINC 2708-6.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7n58lYd_EeOZ2vW3WfDP5Q" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7n58lId_EeOZ2vW3WfDP5Q" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_7n58lod_EeOZ2vW3WfDP5Q" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=LOINC, c=2708-6"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_7n58nYd_EeOZ2vW3WfDP5Q" name="value" visibility="public" type="_420A62FD03B641886F630221">
            <eAnnotations xmi:id="_7n58nod_EeOZ2vW3WfDP5Q" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_7n58n4d_EeOZ2vW3WfDP5Q" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_7n58oId_EeOZ2vW3WfDP5Q" annotatedElement="_7n58nYd_EeOZ2vW3WfDP5Q">
              <body>This property contains the result, or value of the clinical Observation.  In the generic clinical Observation class, the data type for this property can be anything.  Blood oxygen saturation is expressed as a percentage of the total hemoglobin that is oxygen-saturated.  Therefore, this property has been re-defined to constrain the data type to be a Physical Quantity (where the unit of measure is per cent).</body>
            </ownedComment>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_7n58uYd_EeOZ2vW3WfDP5Q" name="SupplementalOxygenQualifier">
          <ownedComment xmi:id="_THEwINydEeS8W_uFU6RjUw" annotatedElement="_7n58uYd_EeOZ2vW3WfDP5Q">
            <body>If the patient was receiving supplemental oxygen during the time that the patient’s blood oxygen saturation level was measured, this class will indicate the amount of supplemental oxygen that the patient was receiving, expressed in liters per minute.  This information is important to know when interpreting the value of the primary observation, that of the patient’s arterial blood oxygen saturation.</body>
          </ownedComment>
          <generalization xmi:id="_7n58uod_EeOZ2vW3WfDP5Q" general="_wBabQBcBEeOL3Nw-k5HkNw"/>
          <ownedAttribute xmi:id="_7n58u4d_EeOZ2vW3WfDP5Q" name="observedCharacteristic" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_7n58vId_EeOZ2vW3WfDP5Q" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_7n58vYd_EeOZ2vW3WfDP5Q" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_7n58vod_EeOZ2vW3WfDP5Q" annotatedElement="_7n58u4d_EeOZ2vW3WfDP5Q">
              <body>This property defines what was observed that “qualifies” the primary, or “owning” Observation.  This property defines what was observed by citing value from a nationally recognized coding system.  In this case, the value will come from LOINC and will indicate that the qualifying observation is amount of supplementary oxygen that the patient is receiving.</body>
            </ownedComment>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_7n58v4d_EeOZ2vW3WfDP5Q" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=LOINC, c=TBD"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_7n58wId_EeOZ2vW3WfDP5Q" name="value" visibility="public" type="_420A62FD03B641886F63021C">
            <eAnnotations xmi:id="_7n58wYd_EeOZ2vW3WfDP5Q" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_7n58wod_EeOZ2vW3WfDP5Q" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_7n58w4d_EeOZ2vW3WfDP5Q" annotatedElement="_7n58wId_EeOZ2vW3WfDP5Q">
              <body>This property contains the result, or value of the qualifying Observation.  In the generic Observation Qualifier class, the data type for this property can be anything.  Supplemental oxygen is generally expressed in terms of liters (of oxygen flow) per minute.  Therefore, this property has been re-defined to constrain the data type to be a Rate Quantity (where the numerator will contain the number of liters (and the unit of measure will be liters) and the denominator will contain one minute).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7n58xYd_EeOZ2vW3WfDP5Q" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7n58xId_EeOZ2vW3WfDP5Q" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_5eaAAMOGEeSFjdDJNF9NPA" name="OxygenProvisionDeviceQualifier">
          <ownedComment xmi:id="_GjLqYNygEeS8W_uFU6RjUw" annotatedElement="_5eaAAMOGEeSFjdDJNF9NPA">
            <body>If the patient was receiving supplemental oxygen during the time that the patient’s blood oxygen saturation level or respiration rate was measured, this class will indicate what kind of device was being used to administer the oxygen.  This information is important to know when interpreting the value of the primary observation.</body>
          </ownedComment>
          <generalization xmi:id="_5eaAAcOGEeSFjdDJNF9NPA" general="_wBabQBcBEeOL3Nw-k5HkNw"/>
          <ownedAttribute xmi:id="_5eaAAsOGEeSFjdDJNF9NPA" name="observedCharacteristic" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_5eaAA8OGEeSFjdDJNF9NPA" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_5eaABMOGEeSFjdDJNF9NPA" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_5eaABcOGEeSFjdDJNF9NPA" annotatedElement="_5eaAAsOGEeSFjdDJNF9NPA">
              <body>This property defines what was observed that “qualifies” the primary, or “owning” Observation.  This property defines what was observed by citing value from a nationally recognized coding system.  In this case, the value will come from LOINC and will indicate that the qualifying observation is that of the device that was used to administer supplemental oxygen to the patient at the time that the oxygen saturation observation or the respiration rate observation was made.</body>
            </ownedComment>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_5eaABsOGEeSFjdDJNF9NPA" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=LOINC, c=TBD"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5eaAB8OGEeSFjdDJNF9NPA" name="value" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_5eaACMOGEeSFjdDJNF9NPA" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_5eaACcOGEeSFjdDJNF9NPA" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_5eaACsOGEeSFjdDJNF9NPA" annotatedElement="_5eaAB8OGEeSFjdDJNF9NPA">
              <body>This property contains the result, or value of the qualifying Observation.  In the generic Observation Qualifier class, the data type for this property can be anything.  In this sub-type, the value is constrained to be one of a set of codes from the SNOMED-CT coding system that categorizes the kind of device that was used to administer supplemental oxygen.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5eaADMOGEeSFjdDJNF9NPA" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5eaAC8OGEeSFjdDJNF9NPA" value="1"/>
            <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_ATS-wMOIEeSFjdDJNF9NPA" type="_GmKqYGAfEd6a0qoC8Dh7hA">
              <language></language>
              <body>(OxygenProvisionDevice)</body>
            </defaultValue>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_CCNXoMOIEeSFjdDJNF9NPA" client="_5eaAAMOGEeSFjdDJNF9NPA">
          <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_LeZXgMODEeSFjdDJNF9NPA"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_AyxocMQqEeSIzYl50ETw0A" client="_5eaAAMOGEeSFjdDJNF9NPA">
          <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_LeZXgMODEeSFjdDJNF9NPA"/>
        </packagedElement>
      </packagedElement>
      <packagedElement xmi:type="uml:Package" xmi:id="_dbRB4IeDEeOZ2vW3WfDP5Q" name="RespirationRate">
        <eAnnotations xmi:id="_dbRB4YeDEeOZ2vW3WfDP5Q" source="uml2.diagrams"/>
        <ownedComment xmi:id="_9xJucN0rEeSZfdq7h5ueSA" annotatedElement="_dbRB4IeDEeOZ2vW3WfDP5Q">
          <body>“The respiratory rate (RR), also known as the respiration rate, ventilation rate, ventilatory rate, ventilation frequency (Vf), respiration frequency (Rf), pulmonary ventilation rate, or breathing frequency, is the rate (frequency) of ventilation, that is, the number of breaths (inhalation-exhalation cycles) taken within a set amount of time (typically 60 seconds)” – Wikipedia.&#xD;
&#xD;
This package represents the measurement (or “clinical observation”) of the patient’s Respiration Rate.  It contains an Observation sub-type that constrains the type of observation to that of Respiration Rate, and two redefined observation qualifier classes that indicate: a) whether the patient at rest or exercising during the measurement, and b) what kind (if any) of assisted ventilation device was in use during the measurement.</body>
        </ownedComment>
        <packagedElement xmi:type="uml:Class" xmi:id="_dbSQyIeDEeOZ2vW3WfDP5Q" name="RespirationObservation">
          <ownedComment xmi:id="_7hrmMN0rEeSZfdq7h5ueSA" annotatedElement="_dbSQyIeDEeOZ2vW3WfDP5Q">
            <body>“The respiratory rate (RR), also known as the respiration rate, ventilation rate, ventilatory rate, ventilation frequency (Vf), respiration frequency (Rf), pulmonary ventilation rate, or breathing frequency, is the rate (frequency) of ventilation, that is, the number of breaths (inhalation-exhalation cycles) taken within a set amount of time (typically 60 seconds)” – Wikipedia.&#xD;
&#xD;
This class represents the measurement (or “clinical observation”) of the patient’s Respiration Rate.  This class re-defines the generic clinical Observation class to fix the observed characteristic to LOINC 9279-1 and to set the data type of the observation value to a Physical Quantity.</body>
          </ownedComment>
          <generalization xmi:id="_dbSQyYeDEeOZ2vW3WfDP5Q" general="_nbH1LVaeEd6rJ7jpZ7LBFg"/>
          <ownedAttribute xmi:id="_dbS3EoeDEeOZ2vW3WfDP5Q" name="observedCharacteristic" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_dbS3E4eDEeOZ2vW3WfDP5Q" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_dbS3FIeDEeOZ2vW3WfDP5Q" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_dbS3FYeDEeOZ2vW3WfDP5Q" annotatedElement="_dbS3EoeDEeOZ2vW3WfDP5Q">
              <body>This property defines what was observed by using a value from a nationally recognized coding system.  In this case, we’re stating that the concept being observed is the Respiration Rate, which is LOINC 9279-1.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dbS3F4eDEeOZ2vW3WfDP5Q" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dbS3FoeDEeOZ2vW3WfDP5Q" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_dbS3GIeDEeOZ2vW3WfDP5Q" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=LOINC, c=9279-1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_dbS3H4eDEeOZ2vW3WfDP5Q" name="value" visibility="public" type="_420A62FD03B641886F63021C">
            <eAnnotations xmi:id="_dbS3IIeDEeOZ2vW3WfDP5Q" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_dbS3IYeDEeOZ2vW3WfDP5Q" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_dbS3IoeDEeOZ2vW3WfDP5Q" annotatedElement="_dbS3H4eDEeOZ2vW3WfDP5Q">
              <body>This property contains the result, or value of the clinical Observation.  In the generic clinical Observation class, the data type for this property can be anything.  Respiration Rate is generally expressed in terms of breaths per minute.  Therefore, this property has been re-defined to constrain the data type to be a Rate Quantity.</body>
            </ownedComment>
          </ownedAttribute>
        </packagedElement>
      </packagedElement>
      <packagedElement xmi:type="uml:Package" xmi:id="_6SUBgIeKEeOZ2vW3WfDP5Q" name="Temperature">
        <eAnnotations xmi:id="_6SUBgYeKEeOZ2vW3WfDP5Q" source="uml2.diagrams"/>
        <ownedComment xmi:id="_5v14UN0vEeSZfdq7h5ueSA" annotatedElement="_6SUBgIeKEeOZ2vW3WfDP5Q">
          <body>“Temperature recording gives an indication of core body temperature which is normally tightly controlled (thermoregulation) as it affects the rate of chemical reactions. … The main reason for checking body temperature is to solicit any signs of systemic infection or inflammation in the presence of a fever (temp > 38.5 °C/101.3 °F or sustained temp > 38 °C/100.4 °F), or elevated significantly above the individual's normal temperature” – Wikipedia.&#xD;
&#xD;
This package represents the measurement (or “clinical observation”) of the patient’s Temperature.  It contains an Observation sub-type that constrains the type of observation to that of Temperature.</body>
        </ownedComment>
        <packagedElement xmi:type="uml:Class" xmi:id="_6SWd3oeKEeOZ2vW3WfDP5Q" name="TemperatureObservation">
          <ownedComment xmi:id="_31coMN0vEeSZfdq7h5ueSA" annotatedElement="_6SWd3oeKEeOZ2vW3WfDP5Q">
            <body>“Temperature recording gives an indication of core body temperature which is normally tightly controlled (thermoregulation) as it affects the rate of chemical reactions. … The main reason for checking body temperature is to solicit any signs of systemic infection or inflammation in the presence of a fever (temp > 38.5 °C/101.3 °F or sustained temp > 38 °C/100.4 °F), or elevated significantly above the individual's normal temperature” – Wikipedia.&#xD;
&#xD;
This class represents the measurement (or “clinical observation”) of the patient’s Temperature.  This class re-defines the generic clinical Observation class to fix the observed characteristic to LOINC 8310-5 and to set the data type of the observation value to a Physical Quantity.</body>
          </ownedComment>
          <generalization xmi:id="_6SWd34eKEeOZ2vW3WfDP5Q" general="_nbH1LVaeEd6rJ7jpZ7LBFg"/>
          <ownedAttribute xmi:id="_6SWd4IeKEeOZ2vW3WfDP5Q" name="bodySite" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_6SWd4YeKEeOZ2vW3WfDP5Q" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_6SWd4oeKEeOZ2vW3WfDP5Q" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_6SWd44eKEeOZ2vW3WfDP5Q" annotatedElement="_6SWd4IeKEeOZ2vW3WfDP5Q">
              <body>“Different parts of the body have different temperatures. Rectal and vaginal measurements taken directly inside the body cavity are typically slightly higher than oral measurements, and oral measurements are somewhat higher than skin measurements. Other places, such as under the arm or in the ear, produce different typical temperatures” – Wikipedia.&#xD;
&#xD;
This property contains the code that specifies the anatomical site or system that is the focus of the Observation.  In the generic clinical Observation class, this code is not “bound” to a particular value set.  In this class, the property is re-defined to a set of values that are appropriate to Temperature measurements.  These values come from the SNOMED-CT coding system.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6SWd5YeKEeOZ2vW3WfDP5Q"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6SWd5IeKEeOZ2vW3WfDP5Q" value="1"/>
            <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_7-eyEMNwEeSFjdDJNF9NPA" type="_GmKqYGAfEd6a0qoC8Dh7hA">
              <language></language>
              <body>(PatientBodyTemperatureMeasurementSite)</body>
            </defaultValue>
          </ownedAttribute>
          <ownedAttribute xmi:id="_6SWd5oeKEeOZ2vW3WfDP5Q" name="observedCharacteristic" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_6SWd54eKEeOZ2vW3WfDP5Q" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_6SWd6IeKEeOZ2vW3WfDP5Q" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_6SWd6YeKEeOZ2vW3WfDP5Q" annotatedElement="_6SWd5oeKEeOZ2vW3WfDP5Q">
              <body>This property defines what was observed by using a value from a nationally recognized coding system.  In this case, we’re stating that the concept being observed is the Temperature, which is LOINC 8310-5.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6SWd64eKEeOZ2vW3WfDP5Q" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6SWd6oeKEeOZ2vW3WfDP5Q" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_6SWd7IeKEeOZ2vW3WfDP5Q" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=LOINC, c=8310-5"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_6SWd84eKEeOZ2vW3WfDP5Q" name="value" visibility="public" type="_420A62FD03B641886F630221">
            <eAnnotations xmi:id="_6SWd9IeKEeOZ2vW3WfDP5Q" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_6SWd9YeKEeOZ2vW3WfDP5Q" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_6SWd9oeKEeOZ2vW3WfDP5Q" annotatedElement="_6SWd84eKEeOZ2vW3WfDP5Q">
              <body>This property contains the result, or value of the clinical Observation.  In the generic clinical Observation class, the data type for this property can be anything.  Temperature is generally expressed in terms of degrees Celsius or degrees Fahrenheit.  Therefore, this property has been re-defined to constrain the data type to be a Physical Quantity.</body>
            </ownedComment>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_6SWeA4eKEeOZ2vW3WfDP5Q" client="_6SWd3oeKEeOZ2vW3WfDP5Q">
          <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_BxlrEMNvEeSFjdDJNF9NPA"/>
        </packagedElement>
      </packagedElement>
      <packagedElement xmi:type="uml:Package" xmi:id="_MNRVwIeMEeOZ2vW3WfDP5Q" name="Weight">
        <eAnnotations xmi:id="_MNRVwYeMEeOZ2vW3WfDP5Q" source="uml2.diagrams"/>
        <ownedComment xmi:id="_fWl7YN0pEeSZfdq7h5ueSA" annotatedElement="_MNRVwIeMEeOZ2vW3WfDP5Q">
          <body>Human body weight refers “to a person's mass or weight. Body weight is measured in kilograms … or pounds. Strictly speaking, body weight is the measurement of weight without items located on the person. Practically though, body weight is measured with clothes on, but without shoes or heavy accessories such as mobile phones and wallets and using manual or digital weighing scales. Excess or reduced body weight is regarded as an indicator of determining a person's health, with body volume measurement providing an extra dimension by calculating the distribution of body weight.” – Wikipedia.&#xD;
&#xD;
This package represents the measurement (or “clinical observation”) of the patient’s Weight.  It contains an Observation sub-type that constrains the type of observation to that of Weight, and two redefined observation qualifier classes that indicate: a) whether the patient was clothed during the measurement, and b) whether the weight was actually measured or estimated.</body>
        </ownedComment>
        <packagedElement xmi:type="uml:Class" xmi:id="_MNR9zIeMEeOZ2vW3WfDP5Q" name="WeightObservation">
          <ownedComment xmi:id="_a_fYQN0pEeSZfdq7h5ueSA" annotatedElement="_MNR9zIeMEeOZ2vW3WfDP5Q">
            <body>Human body weight refers “to a person's mass or weight. Body weight is measured in kilograms … or pounds. Strictly speaking, body weight is the measurement of weight without items located on the person. Practically though, body weight is measured with clothes on, but without shoes or heavy accessories such as mobile phones and wallets and using manual or digital weighing scales. Excess or reduced body weight is regarded as an indicator of determining a person's health, with body volume measurement providing an extra dimension by calculating the distribution of body weight.” – Wikipedia.&#xD;
&#xD;
This class represents the measurement (or “clinical observation”) of the patient’s Weight.  This class re-defines the generic clinical Observation class to fix the observed characteristic to LOINC 3141-9 and to set the data type of the observation value to a Physical Quantity.</body>
          </ownedComment>
          <generalization xmi:id="_MNR9zYeMEeOZ2vW3WfDP5Q" general="_nbH1LVaeEd6rJ7jpZ7LBFg"/>
          <ownedAttribute xmi:id="_MNR91IeMEeOZ2vW3WfDP5Q" name="observedCharacteristic" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_MNR91YeMEeOZ2vW3WfDP5Q" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_MNR91oeMEeOZ2vW3WfDP5Q" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_MNR914eMEeOZ2vW3WfDP5Q" annotatedElement="_MNR91IeMEeOZ2vW3WfDP5Q">
              <body>This property defines what was observed by using a value from a nationally recognized coding system.  In this case, we’re stating that the concept being observed is the Weight, which is LOINC 3141-9.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MNR92YeMEeOZ2vW3WfDP5Q" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MNR92IeMEeOZ2vW3WfDP5Q" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_MNR92oeMEeOZ2vW3WfDP5Q" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=LOINC, c=3141-9"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_MNR924eMEeOZ2vW3WfDP5Q" name="observationMethod" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_MNR93IeMEeOZ2vW3WfDP5Q" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_MNR93YeMEeOZ2vW3WfDP5Q" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_1KN_wN0pEeSZfdq7h5ueSA" annotatedElement="_MNR924eMEeOZ2vW3WfDP5Q">
              <body>This property contains a code that specifies additional detail about the means or technique used to ascertain the Observation.  In the generic clinical Observation class, this code is not “bound” to a particular value set.  In this class, the property is re-defined to a set of values that are appropriate to heart rate measurements.  These values come from the SNOMED-CT coding system.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MNR94IeMEeOZ2vW3WfDP5Q"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MNR934eMEeOZ2vW3WfDP5Q" value="1"/>
            <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_3G_y0MN9EeSFjdDJNF9NPA" type="_GmKqYGAfEd6a0qoC8Dh7hA">
              <language></language>
              <body>(PatientWeightDeterminationDevice)</body>
            </defaultValue>
          </ownedAttribute>
          <ownedAttribute xmi:id="_MNR94YeMEeOZ2vW3WfDP5Q" name="value" visibility="public" type="_420A62FD03B641886F630221">
            <eAnnotations xmi:id="_MNSj4IeMEeOZ2vW3WfDP5Q" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_MNSj4YeMEeOZ2vW3WfDP5Q" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_MNSj4oeMEeOZ2vW3WfDP5Q" annotatedElement="_MNR94YeMEeOZ2vW3WfDP5Q">
              <body>This property contains the result, or value of the clinical Observation.  In the generic clinical Observation class, the data type for this property can be anything.  Weight is generally expressed in terms of kilograms or pounds.  Therefore, this property has been re-defined to constrain the data type to be a Physical Quantity.</body>
            </ownedComment>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_MNSj-4eMEeOZ2vW3WfDP5Q" name="WeightDeterminationMethod">
          <ownedComment xmi:id="_qlu_QN0nEeSZfdq7h5ueSA" annotatedElement="_MNSj-4eMEeOZ2vW3WfDP5Q">
            <body>Occasionally, the patient’s Weight cannot be measured directly, leading the clinician to estimate the Weight, or rely on the patient’s stated Weight.  This class records an observation of how the patient’s Height was determined.</body>
          </ownedComment>
          <generalization xmi:id="_ulzRAMOBEeSFjdDJNF9NPA" general="_wBabQBcBEeOL3Nw-k5HkNw"/>
          <ownedAttribute xmi:id="_MNSj_YeMEeOZ2vW3WfDP5Q" name="observedCharacteristic" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_MNSj_oeMEeOZ2vW3WfDP5Q" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_MNSj_4eMEeOZ2vW3WfDP5Q" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_MNSkAIeMEeOZ2vW3WfDP5Q" annotatedElement="_MNSj_YeMEeOZ2vW3WfDP5Q">
              <body>This property defines what was observed that “qualifies” the primary, or “owning” Observation.  This property defines what was observed by citing a value from a nationally recognized coding system.  In this case, the value to be hard-coded for the Weight determination has yet to be determined.</body>
            </ownedComment>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_MNSkAYeMEeOZ2vW3WfDP5Q" type="_GmKqYGAfEd6a0qoC8Dh7hA" value="cs=TBD, c=TBD"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_MNSkAoeMEeOZ2vW3WfDP5Q" name="value" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <eAnnotations xmi:id="_MNSkA4eMEeOZ2vW3WfDP5Q" source="http://www.eclipse.org/uml2/2.0.0/UML">
              <details xmi:id="_MNSkBIeMEeOZ2vW3WfDP5Q" key="redefine"/>
            </eAnnotations>
            <ownedComment xmi:id="_MNSkBYeMEeOZ2vW3WfDP5Q" annotatedElement="_MNSkAoeMEeOZ2vW3WfDP5Q">
              <body>This property contains the result, or value of the qualifying Observation.  In the generic Observation Qualifier class, the data type for this property can be anything.  In this sub type, the value is constrained to be one of a set of codes from the SNOMED-CT coding system that represent how the patient’s Weight was determined.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_MNSkB4eMEeOZ2vW3WfDP5Q" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_MNSkBoeMEeOZ2vW3WfDP5Q" value="1"/>
            <defaultValue xmi:type="uml:OpaqueExpression" xmi:id="_vgyvEMOAEeSFjdDJNF9NPA" type="_GmKqYGAfEd6a0qoC8Dh7hA">
              <language></language>
              <body>(PatientWeightDeterminationMethod)</body>
            </defaultValue>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_5dSUwMN9EeSFjdDJNF9NPA" client="_MNR9zIeMEeOZ2vW3WfDP5Q">
          <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_CGifAMN9EeSFjdDJNF9NPA"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Dependency" xmi:id="_xDOLIMOAEeSFjdDJNF9NPA" client="_MNSj-4eMEeOZ2vW3WfDP5Q">
          <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_sjs9wMN-EeSFjdDJNF9NPA"/>
        </packagedElement>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_r7hDwMN7EeSFjdDJNF9NPA" client="_dbS3O4eDEeOZ2vW3WfDP5Q">
        <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_Drv0MMN7EeSFjdDJNF9NPA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_vzIsUOQ6EeSuxrYeYCfuhA" client="_dbS3O4eDEeOZ2vW3WfDP5Q">
        <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_Drv0MMN7EeSFjdDJNF9NPA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_x0IkUMN4EeSFjdDJNF9NPA" client="_o8TWwIdwEeOZ2vW3WfDP5Q">
        <supplier xmi:type="uml:Enumeration" href="../gov.us.fhim.terminology/model/fhim-vocab.uml#_IbyfILxREeSyBtXdDFDzRA"/>
      </packagedElement>
    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_420A62FD03B6436137C60273" name="WomensHealth">
      <eAnnotations xmi:id="_OA-IteLiEduGJrQyRGTO1A" source="uml2.diagrams"/>
      <eAnnotations xmi:id="_OBRDoOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643C3333201E3" name="WomensHealthCaseSummary">
        <eAnnotations xmi:id="_N6aNuuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_N6aNteLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C3333201E3">
          <body>This class captures pertinent information of women's health case summarization of a patient for an assigned caseManager.  </body>
        </ownedComment>
        <ownedAttribute xmi:id="_wJ-D8IoVEd-_v4Q8joL6LQ" name="breastCancerFamilyHistory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_wJ-D8YoVEd-_v4Q8joL6LQ" annotatedElement="_wJ-D8IoVEd-_v4Q8joL6LQ">
            <body>Indicates whether the patient or the one of the patient's relatives have had breast cancer.  Possible values include: No family history,  2nd degree relative, 1st degree relative, 3: More than one 1st degree relatives, Personal history, or Unknown.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643C3375E035B" name="breastTreatment" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_N6tvsuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C3375E035B">
            <body>Identifies the current or next breast procedure or treatment recommended for this patient.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643C3377102FE" name="breastTreatmentDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_N6j-veLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C3377102FE">
            <body>The date when the current or next breast procedure or treatment should be completed.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643C3368800DD" name="cervicalTreatment" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_N6j-teLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C3368800DD">
            <body>Identifies the current or next cervical procedure or treatment recommended for this patient.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643C3369E0002" name="cervicalTreatmentDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_N6j-suLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C3369E0002">
            <body>The date when the current or next cervical procedure or treatment should be completed.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZNpagIoHEd-_v4Q8joL6LQ" name="estimatedDateOfConfinement" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_gQr_cIoHEd-_v4Q8joL6LQ" annotatedElement="_ZNpagIoHEd-_v4Q8joL6LQ">
            <body>An archaic term for the estimated date a baby might be born. It is determined based on the first day of a woman's last menstruation. See Naegele's rule.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0kvugIoHEd-_v4Q8joL6LQ" name="desDaughter" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_E2C9UIoJEd-_v4Q8joL6LQ" annotatedElement="_0kvugIoHEd-_v4Q8joL6LQ">
            <body>An indication of whether the patient was exposed to diethylstilbestrol (DES) in utero.  Possible values include: Yes, No, or Unknown.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PKlcUIoWEd-_v4Q8joL6LQ" name="historyOfSexualTrauma" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_azKpAIoWEd-_v4Q8joL6LQ" annotatedElement="_PKlcUIoWEd-_v4Q8joL6LQ">
            <body>Indicates whether the patient has experienced any sexual trauma (rape, sexual assault, etc.) as a civilian.  Possible values include: Yes, No, Declined to answer, Unknown.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CC4D68038A" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_N6aNuOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CC4D68038A">
            <body>Uniquely identifies the summary of the patient's Women's Health record.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FnAyIIoHEd-_v4Q8joL6LQ" name="isPregnant" visibility="public">
          <ownedComment xmi:id="_eBD90IoVEd-_v4Q8joL6LQ" annotatedElement="_FnAyIIoHEd-_v4Q8joL6LQ">
            <body>Indicates whether the patient is currently pregnant.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643C3371E025F" name="papRegimen" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_N9sLMuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C3371E025F">
            <body>Identifies the current Pap regimen for the patient.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643C33738022A" name="papRegimenStartDate" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_N9sLN-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_N9sLNeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C33738022A">
            <body>The date on which the patient began or will begin her current PAP regimen.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ewF78uLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ewF78-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_dpQFUIoWEd-_v4Q8joL6LQ" name="remarks" visibility="public">
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FfCrcYoTEd-_v4Q8joL6LQ" name="caseManager" visibility="public" type="_OnMeAHiUEd-xd69YcOIcPA" association="_FfCrcIoTEd-_v4Q8joL6LQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FfCrcooTEd-_v4Q8joL6LQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FfCrc4oTEd-_v4Q8joL6LQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CFE0960389" name="womensHealthNotification" visibility="public" type="_420A62FD03B643C3C79F037B" isUnique="false" association="_420A62FD03B643CFE08F00D6">
          <ownedComment xmi:id="_N_7m5uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CFE0960389">
            <body>Indicates the notification to the patient from the case manager.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N_7m6OLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N_7m6eLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DVrRYYn2Ed-_v4Q8joL6LQ" name="patient" visibility="public" type="_420A62FD03B6418A4E500034" association="_DVrRYIn2Ed-_v4Q8joL6LQ">
          <ownedComment xmi:id="_HnHRYIn2Ed-_v4Q8joL6LQ" annotatedElement="_DVrRYYn2Ed-_v4Q8joL6LQ">
            <body>Identifies the patient associated with the procedure, notification and/or refusal.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DVrRYon2Ed-_v4Q8joL6LQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DVrRY4n2Ed-_v4Q8joL6LQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6INHUYoYEd-_v4Q8joL6LQ" name="dataEnterer" visibility="public" type="_HxX44Aq7Ed-426xscrxYmQ" association="_6INHUIoYEd-_v4Q8joL6LQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6INHUooYEd-_v4Q8joL6LQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6INHU4oYEd-_v4Q8joL6LQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QFZIMYqZEd-LN5udiCQIHw" name="womensHealthProcedure" visibility="public" type="_420A62FD03B643C33BC1023E" association="_QFZIMIqZEd-LN5udiCQIHw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QFZIMoqZEd-LN5udiCQIHw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QFZIM4qZEd-LN5udiCQIHw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Kd-a8KMuEeOzLfgeAZKSFA" name="refusal" visibility="public" type="_420A62FD03B643C3CB600229" association="_Kd9M0KMuEeOzLfgeAZKSFA">
          <ownedComment xmi:id="_MUjiEKMuEeOzLfgeAZKSFA" annotatedElement="_Kd-a8KMuEeOzLfgeAZKSFA">
            <body>Indicates the procedure refused by the patient.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Kd_CAKMuEeOzLfgeAZKSFA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Kd_pEKMuEeOzLfgeAZKSFA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643C33BC1023E" name="WomensHealthProcedure">
        <eAnnotations xmi:id="_N7AqpuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_N6tvt-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C33BC1023E">
          <body>This class captures information about the procedures a patient has undergone and will undergo in future.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643C565C10179" name="accessionId" visibility="public">
          <ownedComment xmi:id="_N6tvuuLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C565C10179">
            <body>Accession number of the procedure associated with this patient's notification. (composed of the procedure's abbreviated code, a four digit year and a sequential number).     </body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643C33D8100CF" name="datePerformed" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_N625p-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_N625peLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C33D8100CF">
            <body>The date on which the procedure was performed. Dates in the future may not be entered.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ev8yDuLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ev8yD-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643C33DB8018D" name="dateRequired" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_N625rOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_N625quLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C33DB8018D">
            <body>The date used to determine that this procedure record is delinquent when a closed status has not been entered in the record.     </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ev8yEOLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ev8yEeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643C33E0B01B4" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_N7AqoeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_N625r-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C33E0B01B4">
            <body>Contains the status of the procedure record.   </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ev8yEuLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ev8yE-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VwtUYYoZEd-_v4Q8joL6LQ" name="performer" visibility="public" type="_7NSfgH_lEd-Ure_vzgD_TA" association="_VwtUYIoZEd-_v4Q8joL6LQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_VwtUYooZEd-_v4Q8joL6LQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_VwtUY4oZEd-_v4Q8joL6LQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0zoEwIoXEd-_v4Q8joL6LQ" name="procedure" visibility="public" type="_rr-pACaOEdyiJKb4ZqIfnw" association="_0zeTwIoXEd-_v4Q8joL6LQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0zoEwYoXEd-_v4Q8joL6LQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0zoEwooXEd-_v4Q8joL6LQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D7F7A50144" name="procedureResult" visibility="public" type="_420A62FD03B643D7DF67000A" isUnique="false" association="_420A62FD03B643D7F7A10199">
          <ownedComment xmi:id="_OAOh0-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7F7A50144">
            <body>Indicates the procedure result after the procedure is done to a patient.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OAOh1eLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OAOh1uLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6uRMUYoZEd-_v4Q8joL6LQ" name="relatedProcedure" visibility="public" type="_-9c0cIoXEd-_v4Q8joL6LQ" association="_6uRMUIoZEd-_v4Q8joL6LQ">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6uRMUooZEd-_v4Q8joL6LQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6uRMU4oZEd-_v4Q8joL6LQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643D7A3AE0264" name="treatmentFacility" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B643D7A3A501AC">
          <ownedComment xmi:id="_OAEw3uLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643D7A3AE0264">
            <body>The name of the health care facility where this procedure was performed.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OAEw4OLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OAEw4eLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643C3C79F037B" name="WomensHealthPatientNotification">
        <eAnnotations xmi:id="_N7Tlk-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_N7AqqeLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C3C79F037B">
          <body>This class captures information about notification.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643C3C7B7029A" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_N7Aqr-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C3C7B7029A">
            <body>Indicates the method used to notify the patient.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643C3C7A70156" name="dateCreated" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_N7AqrOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C3C7A70156">
            <body>The date the notification was first created.  It may be today's date or a date in the past.  A future date cannot be associated with this record.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bL-F8IqXEd-LN5udiCQIHw" name="dateDue" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_bL-F8YqXEd-LN5udiCQIHw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_bL-F8oqXEd-LN5udiCQIHw" annotatedElement="_bL-F8IqXEd-LN5udiCQIHw">
            <body>The date that this notification will be considered delinquent or past due if it does not have a status of closed</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bL-F9IqXEd-LN5udiCQIHw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bL-F84qXEd-LN5udiCQIHw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643C3CAEB0267" name="datePrinted" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_N7KbqeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_N7Kbp-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C3CAEB0267">
            <body>The date on which this letter was or will be printed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ev8yFuLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ev8yF-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_bQjgcIqWEd-LN5udiCQIHw" name="dateToPrint" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_bQjgcYqWEd-LN5udiCQIHw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_bQjgcoqWEd-LN5udiCQIHw" annotatedElement="_bQjgcIqWEd-LN5udiCQIHw">
            <body>The date on which this letter should be printed.  This date can then be used for automatic printing.  For &quot;reminder&quot; letters, the date to print would typically be based on the due date of the treatment need associated with the purpose for notification.  For &quot;results&quot; letters, the date to print would typically be the date that the results are made available.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bQjgdIqWEd-LN5udiCQIHw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bQjgc4qWEd-LN5udiCQIHw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__p6KcIoaEd-_v4Q8joL6LQ" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ"/>
        <ownedAttribute xmi:id="_MCpowIobEd-_v4Q8joL6LQ" name="outcomeOrResults" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_pGw4MIobEd-_v4Q8joL6LQ" annotatedElement="_MCpowIobEd-_v4Q8joL6LQ">
            <body>The results or outcome, which may be a goal or an event, associated with this patient's notification.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643C3C7C90386" name="purpose" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_N7KbpOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_N7KbouLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C3C7C90386">
            <body>Indicates the reason for the notification.   </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ev8yFOLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ev8yFeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643C3CB400060" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_N7KbruLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_N7KbrOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C3CB400060">
            <body>The status for this notification.  </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ev8yGOLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ev8yGeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643CF18410081" name="notifyingFacility" visibility="public" type="_420A62FD03B64242CAB30303" isUnique="false" association="_420A62FD03B643CF183D0356">
          <ownedComment xmi:id="_N-4eFOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643CF18410081">
            <body>The name of the health care facility that initiated and printed the letter or notification.    </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N_CPAeLiEduGJrQyRGTO1A" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N_CPAuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643C3CB600229" name="WomensHealthPatientRefusal">
        <eAnnotations xmi:id="_N7mgg-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_N7dWlOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C3CB600229">
          <body>This class captures information about the procedures a patient has refused.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B643C3CB670070" name="date" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_N7dWl-LiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C3CB670070">
            <body>The date the patient refused the procedure, test or examination.  </body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B643C3CB8A0374" name="reason" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_N7mggeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_N7dWneLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B643C3CB8A0374">
            <body>Indicates a general reason for why the patient refused treatment.   </body>
          </ownedComment>
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            <body>Identifies the procedure or type of health care the patient refused.    </body>
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        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B643D7DF67000A" name="WomensHealthProcedureResult">
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          <body>This class captures information about procedure results of a patient.</body>
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        <ownedAttribute xmi:id="_420A62FD03B643D7F0F801E7" name="clinicalImpression" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
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            <body>Contains the impression of the clinician performing the exam.   </body>
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            <body>Indicates whether ectocervical dysplasia was present, if an insufficient tissue sample was provided, or the sample was not examined for dysplasia.  Possible values include: Yes (present), No (not present), Not performed, Insufficient tissue present, etc.</body>
          </ownedComment>
        </ownedAttribute>
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        <ownedAttribute xmi:id="_MchHlYqaEd-LN5udiCQIHw" name="stageAtFinalDiagnosis" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA"/>
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            <body>Documents the findings after testing for sexually transmitted diseases.   </body>
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        </ownedAttribute>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B643CF183D0356" name="womensHealthPatientNotification_notifyingFacility" memberEnd="_420A62FD03B643CF18410081 _420A62FD03B643CF1841010D">
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            <body>Accession number of the procedure associated with this patient's notification. (composed of the procedure's abbreviated code, a four digit year and a sequential number).    </body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OAhcyOLiEduGJrQyRGTO1A"/>
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            <body>Indicates the patient's notification information for a specific accession number.</body>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OArNweLiEduGJrQyRGTO1A"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_DVrRYIn2Ed-_v4Q8joL6LQ" name="womensHealthCaseSummary_patient" memberEnd="_DVrRYYn2Ed-_v4Q8joL6LQ _DVrRZIn2Ed-_v4Q8joL6LQ">
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    </packagedElement>
    <packagedElement xmi:type="uml:Package" xmi:id="_MMS2oEDFEeO2aaQpQxRerg" name="Person">
      <eAnnotations xmi:id="_MMqqEEDFEeO2aaQpQxRerg" source="uml2.diagrams"/>
      <ownedComment xmi:id="_FDxmULa2Ed-Y0_knsxZjWg">
        <body>The Person domain contains information about Persons and other living entities.  Despite the package name, this package also includes animals, because they might be recipients of care or might be the subject of tests for either research or public health purposes.&#xD;
&#xD;
The Person domain also contains concepts associated with Persons (or Animals) when they are acting in the role of a Patient or other subject of interest in a healthcare setting.  This includes employment and occupational information as well as contact party information and next of kin information.  Concepts associated with Persons acting in the role of a healthcare provider are not modeled here, but rather in a separate Provider package.  That package also contains educational and specialty information suitable for credentialing purposes.&#xD;
&#xD;
This package contains two additional packages, one for birth certificate information and one for death certificate information.  While nearly all Persons will have a birth certificate, and eventually a death certificate, this information is not needed about Persons in every circumstance.  That having been said, some information such as birth date is typically recorded about persons and is also found on the birth certificate.  To handle these overlaps, some information is duplicated in both the Person class and the birth or death certificate observations, some observations are shared between the two (such as cause of death), and others are expected to be derivable.  Implementers have the flexibility to determine how best to instantiate these concepts for their purposes.&#xD;
&#xD;
The Person domain references three other packages: Provider, Common, and Datatypes.&#xD;
&#xD;
Concepts associated with Persons (and Organizations) acting in the role of a healthcare Provider are modeled in the Provider package.&#xD;
 &#xD;
Classes that are used in multiple domains are modeled in the Common package.&#xD;
&#xD;
The FHIM uses simple or “primitive” datatypes wherever possible, but does define several common structures.  See the Datatypes package for details on these.</body>
      </ownedComment>
      <ownedComment xmi:id="_EaFQEFO0EeOPsNTFFieZWw">
        <body>Note that the &quot;main&quot; FHIM model does not distinguish between &quot;enumerated&quot; and &quot;non-enumerated&quot; persons.  Indivudual &quot;Interoperability Models&quot;, which will be derived from the FHIM, will constrain the properties that are applicable to non-enumerated Persons, such as a Person who is acting as a Contact Party.</body>
      </ownedComment>
      <ownedComment xmi:id="_Mx8ZgNJqEeSWN8ZsMae6GQ">
        <body>Note that occasionally the FHIM will contain what appear to be circular references, for example, a Biological Entity can be a Patient (asPatient), which points to Animal and Person (subject).  When implementing the FHIM, one of these paths would be deleted based on the use case.  The FHIM shows that both pathways are potentially possible, but implementations will use different mechanisms to handle this.</body>
      </ownedComment>
      <packagedElement xmi:type="uml:Package" xmi:id="_IA_wsFjGEeG6Pp3Py7p1bw" name="BirthCertificate">
        <eAnnotations xmi:id="_IBBl4FjGEeG6Pp3Py7p1bw" source="uml2.diagrams"/>
        <ownedComment xmi:id="__SIHgLvrEeGQGoDxtoz2mA" annotatedElement="_bnjtEKBCEeGlSr96AT8gww _c5yJ8KBCEeGlSr96AT8gww">
          <body>Note: The information modeled in the Mother and Father classes can be derived from the Person class or could be stored in the BirthCertificate class.  The Mother and Father classes would probably *not* be instantiated in actual implementations.</body>
        </ownedComment>
        <ownedComment xmi:id="_u4O5EKCGEeKNT6obAX9SKQ" annotatedElement="_IA_wsFjGEeG6Pp3Py7p1bw">
          <body>This package contains information necessary to populate a Person's Birth Certificate, particularly the U.S. Standard Certificate of Live Birth, Revision 11/2003.  Note that some of the information in this package may be derived from a Person's demographic record; it is left to implementations to determine whether to store such information only once in the Person record or separately in both Person and Birth Certificate records.  Such information is modeled using derived properties, which appear on the diagram with a slash in front of the property name.  When deciding when to model a data element as a property of a Person or a property of their Birth Certificate, we tended to placing it in the Birth Certificate unless that property is commonly used elsewhere.  For example, although multipleBirthOrder is rarely needed about a Person throuhout their life, it is modeled in Person because it is used for identification and billing purposes for newborns.  On the other hand, the full postal address of a person's birthplace is only needed for the birthcertificate, so it is modeled in the Birth Certificate class.  Note that the Person class has a more abbreviated birth address, consisting of city and state, that is used for identifcation purposes.</body>
        </ownedComment>
        <packagedElement xmi:type="uml:Class" xmi:id="_BvzTEH2fEeGy1_tR17zNdw" name="BirthCertificate">
          <ownedComment xmi:id="_QOaFgKCFEeKNT6obAX9SKQ" annotatedElement="_BvzTEH2fEeGy1_tR17zNdw">
            <body>&quot;A birth certificate is a vital record that documents the birth of a child.  Depending on the jurisdiction, a record of birth might or might not contain verification of the event by such as a midwife or doctor.  In the U.S., the issuance of birth certificates is a function of the states.  These forms are completed by the attendant at birth or a hospital administrator, which are then forwarded to a local or state registrar, who stores the record and issues certified copies upon request.  The U.S. National Center for Health Statistics creates standard forms that are recommended for use by the individual states to document births. However, states are free to create their own forms. [adapted from wikipedia].  This class represents a Person's Birth Certificate, as defined by the U.S. Standard Certificate of Live Birth, Revision 11/2003.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_nip4oH29EeGy1_tR17zNdw" name="apgarScore5Minutes" visibility="public" type="_ZYu5cHUeEeGl_7Z-4li2AA">
            <ownedComment xmi:id="_2r61IH8uEeGaaPUCLjdvag" annotatedElement="_nip4oH29EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 51].  Contains the Apgar score (which is a simple and repeatable method to quickly and summarily assess the health of newborn children immediately after birth) 5 minutes after the birth of the infant.    &quot;The test is generally done at one and five minutes after birth, and may be repeated later if the score is and remains low. Scores 3 and below are generally regarded as critically low, 4 to 6 fairly low, and 7 to 10 generally normal.&quot; - Wikipedia.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_tYDlwH29EeGy1_tR17zNdw" name="apgarScore10Minutes" visibility="public" type="_ZYu5cHUeEeGl_7Z-4li2AA">
            <ownedComment xmi:id="_gbylgH8vEeGaaPUCLjdvag" annotatedElement="_tYDlwH29EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 51].  Contains the Apgar score (which is a simple and repeatable method to quickly and summarily assess the health of newborn children immediately after birth) 10 minutes after the birth of the infant.  This property is required if the 5 minute Apgar score is less than 6.    &quot;The test is generally done at one and five minutes after birth, and may be repeated later if the score is and remains low. Scores 3 and below are generally regarded as critically low, 4 to 6 fairly low, and 7 to 10 generally normal.&quot; - Wikipedia.</body>
            </ownedComment>
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          <ownedAttribute xmi:id="_3eO-0H2tEeGy1_tR17zNdw" name="attendantId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
            <ownedComment xmi:id="_QADn0KCCEeKNT6obAX9SKQ" annotatedElement="_3eO-0H2tEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 27].  Indicates the National Provider Identifier (NPI) of the attending clinician.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_wFLtoH2tEeGy1_tR17zNdw" name="attendantName" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ">
            <ownedComment xmi:id="_0mC4oH3MEeGy1_tR17zNdw" annotatedElement="_wFLtoH2tEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 27].  Indicates the name of the attending clinician.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_wFM7wH2tEeGy1_tR17zNdw" name="attendantTitleCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_2hWuwH3MEeGy1_tR17zNdw" annotatedElement="_wFM7wH2tEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 27].  Indicates the title of the attending clinician.  Choices include: MD, DO, CNM/CM, Other Midwife, or Other (if Other is chosen, attendantTitleOther is used to specify).</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_wFNi0H2tEeGy1_tR17zNdw" name="attendantTitleOther" visibility="public">
            <ownedComment xmi:id="_II07wH3NEeGy1_tR17zNdw" annotatedElement="_wFNi0H2tEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 27].  Indicates the title of the attending clinician.  If attendantTitleCategory is &quot;Other&quot;, then this property is used to specify.  Otherwise this property is not used.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_rhxN0H2iEeGy1_tR17zNdw" name="birthPlaceAddress" visibility="public" type="_420A62FD03B6418A8DCD02C2">
            <ownedComment xmi:id="_M5BnQH3AEeGy1_tR17zNdw" annotatedElement="_rhxN0H2iEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Fields 06 and 07].  The address of the location (i.e., institution, home, in the car on the way to the hospital) at which the infant was born.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_g67xAH2tEeGy1_tR17zNdw" name="birthPlaceCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_-Kvz8H3KEeGy1_tR17zNdw" annotatedElement="_g67xAH2tEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 26].  Categorizes the place at which the birth occurred .  Possible values include: Hospital; Freestanding birthing center; Home birth*; Clinic/Doctor's office; or Other**.  * = if Home birth is chosen, wasHomeDeliveryPlanned is used to indicate whether a home delivery was planned.  ** = if other is chosen, birthPlaceOther provides a free text in which to describe the location.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_lBcUYH2iEeGy1_tR17zNdw" name="birthPlaceFacility" visibility="public">
            <ownedComment xmi:id="_8Yt2oH2_EeGy1_tR17zNdw" annotatedElement="_lBcUYH2iEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 05].  The name of the facility at which the infant was born.  If not a facility (e.g., at home), the street address goes in field 5 on the report, but would be retreived from the BirthPlaceAddress property; this property would be unused.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_TrfRAH2pEeGy1_tR17zNdw" name="birthPlaceFacilityId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
            <ownedComment xmi:id="_oW7mgH3DEeGy1_tR17zNdw" annotatedElement="_TrfRAH2pEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 17].  Identifies the faclity at which the child was born.  Should be the National Provider Identifier for the facility.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_g68YEH2tEeGy1_tR17zNdw" name="birthPlaceOther" visibility="public">
            <ownedComment xmi:id="_RGcB4H3LEeGy1_tR17zNdw" annotatedElement="_g68YEH2tEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 26].  Provides further details in free text regarding the place at which the birth occurred .  Used only when birthPlaceCategory is &quot;Other&quot;.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_bIjvcH29EeGy1_tR17zNdw" name="birthWeight" visibility="public" type="_420A62FD03B641886F630221">
            <ownedComment xmi:id="_sfyDMH8sEeGaaPUCLjdvag" annotatedElement="_bIjvcH29EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 49].  The weight of the infant at birth.  Can be expressed in either pounds/ounces or grams.  The use of grams is preferred.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_kkmOEH2nEeGy1_tR17zNdw" name="certifierName" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ">
            <ownedComment xmi:id="_wHzzwH3BEeGy1_tR17zNdw" annotatedElement="_kkmOEH2nEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 11].  Indicates the name of the person who certified the birth of the infant.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5wT94H2nEeGy1_tR17zNdw" name="certifierTitleCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_-oRMgH3BEeGy1_tR17zNdw" annotatedElement="_5wT94H2nEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 11].  Indicates the title of the person who certified the birth of the infant.  Choices include: MD, DO, Hospital Administrator, CNM/CM, Other Midwife, or Other (if Other is chosen, certifierTitleOther is used to specify.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_BxQVgH2oEeGy1_tR17zNdw" name="certifierTitleOther" visibility="public">
            <ownedComment xmi:id="__cmzgH3BEeGy1_tR17zNdw" annotatedElement="_BxQVgH2oEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 11].  Indicates the title of the person who certified the birth of the infant.  If certifierTitleCategory is &quot;Other&quot;, then this property is used to specify.  Otherwise this property is not used.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_LRsxAH2oEeGy1_tR17zNdw" name="dateCertified" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_PaFj4H3CEeGy1_tR17zNdw" annotatedElement="_LRsxAH2oEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 12].  Indicates the date that the infant's birth was certified.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_LTGfMH2oEeGy1_tR17zNdw" name="dateFiledByRegistrar" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_SnQqgH3CEeGy1_tR17zNdw" annotatedElement="_LTGfMH2oEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 13].  Indicates the date that the birth certificate was filed by the registrar.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_bEBqMH28EeGy1_tR17zNdw" name="dateLastNormalMensesBegan" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_VgBSMH6EEeGaaPUCLjdvag" annotatedElement="_bEBqMH28EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 39].  Indicates the date on which the infant's mother last experienced the beginning of a normal menstrual cycle.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5sZDAH2uEeGy1_tR17zNdw" name="dateOfFirstPrenatalVisit" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_uhPysH3OEeGy1_tR17zNdw" annotatedElement="_5sZDAH2uEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 29a].  Provides the date of the first pre-natal care visit for the pregnancy resulting in this birth.  Note that Box 29a also has a &quot;No Prenatal care&quot; checkbox, which is not modeled; it is assumed that this box can be calculated based on whether or not numberOfPrenatalVisits = 0.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_NtgVAH28EeGy1_tR17zNdw" name="dateOfLastLiveBirth" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_1CPYQH6DEeGaaPUCLjdvag" annotatedElement="_NtgVAH28EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 35c].  Indicates the date on which the last child was born alive (e.g., not stillborn) to this infant's mother before this infant was born (i.e., not including this child).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0HGlsH6DEeGaaPUCLjdvag"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0HHMwH6DEeGaaPUCLjdvag" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_TcIrwH28EeGy1_tR17zNdw" name="dateOfLastOtherPregnancyOutcome" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_HMx2EH6EEeGaaPUCLjdvag" annotatedElement="_TcIrwH28EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 36b].  Indicates the date on which the last &quot;other pregnancy outcome (spontaneous or induced losses or ectopic pregnancies)&quot; occurred.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5uFsIH2uEeGy1_tR17zNdw" name="dateOfLastPrenatalVisit" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_4hSUQH3OEeGy1_tR17zNdw" annotatedElement="_5uFsIH2uEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 29b].  Provides the date of the last pre-natal care visit for the pregnancy resulting in this birth.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_Xllp4H27EeGy1_tR17zNdw" name="didMotherReceiveWicFood" visibility="public">
            <ownedComment xmi:id="_nQS4IH3PEeGy1_tR17zNdw" annotatedElement="_Xllp4H27EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 34].  Indicates whether the mother received Women and Infant Children (WIC) food assistance for herself during this pregnancy.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_xarTMH2oEeGy1_tR17zNdw" name="hasPaternityAcknowledgementBeenSigned" visibility="public">
            <ownedComment xmi:id="_JK_H4H3DEeGy1_tR17zNdw" annotatedElement="_xarTMH2oEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 15].  If the isMotherMarried property is false, i.e., the infant's mother was not married at birth, conception, or any time in between, this property indicates whether the father has signed a paternity acknowlegement.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_glUdoH2-EeGy1_tR17zNdw" name="infantTransferredToFacility" visibility="public">
            <ownedComment xmi:id="_ISCh0H8wEeGaaPUCLjdvag" annotatedElement="_glUdoH2-EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 56].  If the infant was transferred to another facility within 24 hours of delivery (i.e., wasInfantTransferred = true), this property is used to identify the receiving facility.  Not used when wasInfantTransferred = false.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_1_gHQH2-EeGy1_tR17zNdw" name="isInfantBreastFed" visibility="public">
            <ownedComment xmi:id="_Zj5rMH8wEeGaaPUCLjdvag" annotatedElement="_1_gHQH2-EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 58].  Indicates whether the infant was being breastfed at the time of discharge.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_ppmhkH2-EeGy1_tR17zNdw" name="isInfantLiving" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_UmsxYH8wEeGaaPUCLjdvag" annotatedElement="_ppmhkH2-EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 57].  Indicates whether the infant is living at the time the report (i.e., the US Standard Certificate Of Birth) was completed.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_ARtTsH27EeGy1_tR17zNdw" name="mothersHeight" visibility="public" type="_420A62FD03B641886F630221">
            <ownedComment xmi:id="_sWY4IH3jEeGy1_tR17zNdw" annotatedElement="_ARtTsH27EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 31].  Indicates the infant's mother height (displayed in feet/inches).</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_JyPOwH27EeGy1_tR17zNdw" name="mothersPrePregnancyWeight" visibility="public" type="_420A62FD03B641886F630221">
            <ownedComment xmi:id="_V0M0sH3PEeGy1_tR17zNdw" annotatedElement="_JyPOwH27EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 32].  Indicates the weight, in pounds, that the infant's mother normally weighed before this pregnancy.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_QKsloH27EeGy1_tR17zNdw" name="mothersWeightAtDelivery" visibility="public" type="_420A62FD03B641886F630221">
            <ownedComment xmi:id="_aYXjcH3PEeGy1_tR17zNdw" annotatedElement="_QKsloH27EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 33].  Indicates the weight, in pounds, that the infant's mother weighed just before delivery.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_SY1kEH2uEeGy1_tR17zNdw" name="motherTransferedFromFacility" visibility="public">
            <ownedComment xmi:id="_RNFVEH3OEeGy1_tR17zNdw" annotatedElement="_SY1kEH2uEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 28].  If the mother was transferred from another facility for maternal medical or fetal indications for delivery (i.e., wasMotherTransferred = true), this property is used to identify the transferring facility.  Not used when wasMotherTransferred = false.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_-rpNcH29EeGy1_tR17zNdw" name="multipleBirthOrder" visibility="public" isDerived="true">
            <ownedComment xmi:id="_-rpNcX29EeGy1_tR17zNdw" annotatedElement="_-rpNcH29EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 53].  Note that this property can probably be derived, as it is stored as part of the infant's Person record.  &quot;When a patient was part of a multiple birth, a value (number) indicating the patient's birth order is entered in this field.&quot; - HL7 Version 2.8, PID-25.  If the biological entity was born along with other siblings, this property indicates the order the entity was born.  For example, for a set of twins, this property indicates which twin was born first, and which was born second.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-rpNc329EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-rpNcn29EeGy1_tR17zNdw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_QNhlQH29EeGy1_tR17zNdw" name="newbornsMedicalRecordId" visibility="public">
            <ownedComment xmi:id="_e5-1wH6FEeGaaPUCLjdvag" annotatedElement="_QNhlQH29EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 48].  Uniquely identifies the newborn's medical record within the institution's set of records.  Note that this is modeled as a string, as this is all that is called for by the form, but it might be more properly modeled as an Id.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_6FOG0H27EeGy1_tR17zNdw" name="numberOfChildrenNowDead" visibility="public">
            <ownedComment xmi:id="_OIt6QH3QEeGy1_tR17zNdw" annotatedElement="_6FOG0H27EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 35b].  Indicates the number, of the children born alive to this infant's mother before this infant was born, that have since died.  Note that Box 35b has a checkbox titled &quot;None&quot;, which is not modeled - it is assumed that this checkbox can be calculated based on whether or not numberOfPreviousLiveBirths = 0).</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-D0DUH27EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-D0qYH27EeGy1_tR17zNdw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_wog70H27EeGy1_tR17zNdw" name="numberOfChildrenNowLiving" visibility="public">
            <ownedComment xmi:id="_s7Rd8H3PEeGy1_tR17zNdw" annotatedElement="_wog70H27EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 35a].  Indicates the number, of the children born alive to this infant's mother before this infant was born, that are still alive.  Note that Box 35a has a checkbox titled &quot;None&quot;, which is not modeled - it is assumed that this checkbox can be calculated based on whether or not numberOfPreviousLiveBirths = 0).</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-rKXMH27EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-rK-QH27EeGy1_tR17zNdw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_DebR4H28EeGy1_tR17zNdw" name="numberOfOtherPregnancyOutcomes" visibility="public">
            <ownedComment xmi:id="_Ebpn8H3kEeGy1_tR17zNdw" annotatedElement="_DebR4H28EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 36a].  Indicates the number of &quot;other pregnancy outcomes (spontaneous or induced losses or ectopic pregnancies)&quot;  Note that Box 36a has a checkbox titled &quot;None&quot;, which is not modeled - it is assumed that this checkbox can be calculated based on whether or this property is equal to 0.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_K5FsoH28EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_K5GTsH28EeGy1_tR17zNdw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_xXwTUH2uEeGy1_tR17zNdw" name="numberOfPrenatalVisits" visibility="public">
            <ownedComment xmi:id="_Aj8jIH3PEeGy1_tR17zNdw" annotatedElement="_xXwTUH2uEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 30].  Provides the number of pre-natal care visits for the pregnancy resulting in this birth.  Note that Box 29a also has a &quot;No Prenatal care&quot; checkbox, which is not modeled; it is assumed that this box can be calculated based on whether or not numberOfPrenatalVisits = 0.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_dXc60H27EeGy1_tR17zNdw" name="numberOfPreviousLiveBirths" visibility="public">
            <ownedComment xmi:id="_LamjoH3PEeGy1_tR17zNdw" annotatedElement="_dXc60H27EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 35].  Indicates the number of children born alive (e.g., not stillborn) to this infant's mother before this infant was born (i.e., not including this child).</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_gy2YwH29EeGy1_tR17zNdw" name="obstetricEstimateOfGestation" visibility="public" type="_420A62FD03B64239FAA800D9">
            <ownedComment xmi:id="_vZfbQH8sEeGaaPUCLjdvag" annotatedElement="_gy2YwH29EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 50].  Contains an estimate of gestational age of the infant, in weeks.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_XREsIJB3EeGFF50UGueAcQ" name="plurality" visibility="public">
            <ownedComment xmi:id="_nRjtMJB3EeGFF50UGueAcQ" annotatedElement="_XREsIJB3EeGFF50UGueAcQ">
              <body>[US Standard Certificate Of Birth Field 53].  The number of fetuses delivered live or dead at any time in the pregnancy regardless of gestational age or if the fetuses were delivered at different dates in the pregnancy.  ( Reabsorbed  fetuses, those which are not  delivered   (expulsed or extracted from the mother) should not be counted.)</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_heOtgH28EeGy1_tR17zNdw" name="principalPaymentSourceCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_Vzv78H6DEeGaaPUCLjdvag" annotatedElement="_heOtgH28EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 38].  Identifies the principal source of payment for this delivery.  Possible values include: Private Insurance; Medicaid; Self-pay; or Other.  If Other is chosen, the principalPaymentSourceOther property provides a free text in which the payment source could be specified.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_mZNZwH28EeGy1_tR17zNdw" name="principalPaymentSourceOther" visibility="public">
            <ownedComment xmi:id="_tawpgH6DEeGaaPUCLjdvag" annotatedElement="_mZNZwH28EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 38].  If the principalPaymentSourceCategory property contains &quot;Other&quot;, this property provides a free text in which the payment source could be specified.  Not used if the principalPaymentSourceCategory property is anything other than &quot;Other&quot;.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_yMqw0H2oEeGy1_tR17zNdw" name="wasHomeDeliveryPlanned" visibility="public">
            <ownedComment xmi:id="_cqWxAH3LEeGy1_tR17zNdw" annotatedElement="_yMqw0H2oEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 26].  If the birth took place at home (i.e., birthPlaceCategory=&quot;Home Birth&quot;), this property indicates whether such a home delivery was planned.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_YjZ1oH2-EeGy1_tR17zNdw" name="wasInfantTransferred" visibility="public">
            <ownedComment xmi:id="_wSfYcH8vEeGaaPUCLjdvag" annotatedElement="_YjZ1oH2-EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 56].  Indicates whether the infant was transferred to another facility within 24 hours of delivery.  If the answer is yes, the infantTransferredToFacility property is used to identify the receiving facility.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_BaLDgH2uEeGy1_tR17zNdw" name="wasMotherTransferred" visibility="public">
            <ownedComment xmi:id="_5SXoYH3NEeGy1_tR17zNdw" annotatedElement="_BaLDgH2uEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 28].  Indicates whether the mother was transferred from another facility for maternal medical or fetal indications for delivery.  If the answer is yes, the motherTransferedFromFacility property is used to identify the transferring facility.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_-rp0gH29EeGy1_tR17zNdw" name="wasMultipleBirth" visibility="public" isDerived="true">
            <eAnnotations xmi:id="_-rp0gX29EeGy1_tR17zNdw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
            <ownedComment xmi:id="_-rp0gn29EeGy1_tR17zNdw" annotatedElement="_-rp0gH29EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 52].  Note that this property can probably be derived, as it is stored as part of the infant's Person record.    &quot;This field indicates whether the patient was part of a multiple birth.&quot; - HL7 Version 2.8, PID-24    If the biological entity was born along with other siblings, this property indicates the order the entity was born.  For example, for a set of twins, this property indicates which twin was born first, and which was born second.  An indication as to whether the person was born along with other siblings as part of a single pregnancy.  This property is primarily used to distinguish records for newborn infants who have not yet have been given names.  This property may also be used in research situations to distinguish individuals who were part of a multi-child pregnancy.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-rp0hH29EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-rp0g329EeGy1_tR17zNdw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_yHvNgH2oEeGy1_tR17zNdw" name="wasSsnRequested" visibility="public">
            <ownedComment xmi:id="_fApMkH3DEeGy1_tR17zNdw" annotatedElement="_yHvNgH2oEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 16].  Indicates whether a Social Security Number has been requested for the child.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_-p4dcH2-EeGy1_tR17zNdw" name="cigaretteSmoking" visibility="public" type="_veY1kH28EeGy1_tR17zNdw" association="_-p0MAH2-EeGy1_tR17zNdw">
            <ownedComment xmi:id="_UeB7oH6CEeGaaPUCLjdvag" annotatedElement="_-p4dcH2-EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 37].  Describes whether and how much the infant's mother smoked before and/or during pregnancy.  The US Standard Certificate Of Birth Field 37 lists four time periods: Three months before pregnancy; first three months of pregnancy; second three months of pregnancy; and third trimester of pregnancy.  It then asks for the average number of cigarettes OR packs of cigarettes smoked per day for each of these time periods.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-p5EgH2-EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-p5rkH2-EeGy1_tR17zNdw" value="4"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_CcP70H2_EeGy1_tR17zNdw" name="infection" visibility="public" type="_imFucH2xEeGy1_tR17zNdw" association="_CcOGoH2_EeGy1_tR17zNdw">
            <ownedComment xmi:id="_EhkFoH6HEeGaaPUCLjdvag" annotatedElement="_CcP70H2_EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 42].  Contains a list of infections present and/or treated during this pregnancy.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Gonorrhea; Syphilis; Chlamydia; Hepatitis B; Hepatitis C; None of the above.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CcQi4H2_EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CcQi4X2_EeGy1_tR17zNdw" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_FimowH2_EeGy1_tR17zNdw" name="laborAndDeliveryCharacteristic" visibility="public" type="_U9vM8H2yEeGy1_tR17zNdw" association="_Fii-YH2_EeGy1_tR17zNdw">
            <ownedComment xmi:id="_ipNuEH8pEeGaaPUCLjdvag" annotatedElement="_FimowH2_EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 45].  Contains a list of observations regarding the labor and delivery of the infant.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Induction of labor; Augmentation of labor; Non-vertex presentation; Steroids (glucocorticoids) for fetal long maturation received by the mother prior to delivery; Antibiotics received by the mother during labor; Clinical chorioamnionitis diagnosed during labor or maternal temperature >= 38C (100.4F); Moderate/heavy meconium staining of the amniotic fluid; Fetal intolerance of labor such that one or more of the following actions were taken: in-utero resuscitative measures, further fetal assessment, or operative delivery; Epidural or spinal anesthesia during labor; None of the above.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Fin24H2_EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Fiod8H2_EeGy1_tR17zNdw" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_GieKUH2_EeGy1_tR17zNdw" name="maternalMorbidity" visibility="public" type="_BYA4oH20EeGy1_tR17zNdw" association="_GiZ44H2_EeGy1_tR17zNdw">
            <ownedComment xmi:id="_xRZ0kH8rEeGaaPUCLjdvag" annotatedElement="_GieKUH2_EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 47].  Contains a list of complications associated with labor and delivery.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Maternal transfusion; Third or fourth degree perineal laceration; ruptured uterus; Unplanned hysterectomy; Admission to intensive care unit; Unplanned operating room procedure following delivery; None of the above.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GifYcH2_EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GifYcX2_EeGy1_tR17zNdw" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_I_lF8H2_EeGy1_tR17zNdw" name="newbornAbnormalCondition" visibility="public" type="_G4UDAH21EeGy1_tR17zNdw" association="_I_hbkH2_EeGy1_tR17zNdw">
            <ownedComment xmi:id="_46DOsH8wEeGaaPUCLjdvag" annotatedElement="_I_lF8H2_EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 54].  Contains a list of abnormal conditions of the newborn.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Assisted ventilation required immediately following delivery; Assisted ventilation required for more than six hours; NICU admission; Newborn given surfactant replacement therapy; Antibiotics received by the newborn for suspected neonatal sepsis; Seizure or serious neurologic dysfunction; Significant birth injury (skeletal fractures(s), peripheral nerve injury, and/or soft tissue/solid organ hemorrhage which require intervention); None of the above.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_I_mUEH2_EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_I_mUEX2_EeGy1_tR17zNdw" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_KLdDMH2_EeGy1_tR17zNdw" name="newbornCongenitalAnomaly" visibility="public" type="_G60kcH21EeGy1_tR17zNdw" association="_KLbOAH2_EeGy1_tR17zNdw">
            <ownedComment xmi:id="_lXviUH9UEeG8JPxVazzwbQ" annotatedElement="_KLdDMH2_EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 55].  Contains a list of congenital anomalies of the newborn.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of anomalies listed above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Anencephaly; Meningomyelocele/Spinal bifida; Cyanotic congenital heart disease; Congenital diaphramic hernia; Omphalocele; Gastroschisis; Limb reduction defect (excluding congenital amputation and dwarfing syndromes); Cleft lip with or without cleft palate; Cleft palate alone; Down Syndrome, Karyotype confirmed; Down Syndrome, Karyotype pending; Suspected chromosomal disorder, Karyotype confirmed; Suspected chromosomal disorder, Karyotype pending; Hypospadias; None of anomalies listed above.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_KLdqQH2_EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KLdqQX2_EeGy1_tR17zNdw" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_HAY1YH2_EeGy1_tR17zNdw" name="obstetricProcedure" visibility="public" type="_MfZ2EH2vEeGy1_tR17zNdw" association="_HAUj8H2_EeGy1_tR17zNdw">
            <ownedComment xmi:id="_nDUesH8lEeGaaPUCLjdvag" annotatedElement="_HAY1YH2_EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 43].  Contains a list of obstetric procedures performed during this pregnancy.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Cervical cerclage; Tocolysis; External cephalic version, Successful; External cephalic version, Failed; None of the above.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HAZccH2_EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HAZccX2_EeGy1_tR17zNdw" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_Hgf40H2_EeGy1_tR17zNdw" name="onsetOfLabor" visibility="public" type="_hdA7oH2zEeGy1_tR17zNdw" association="_HgcOcH2_EeGy1_tR17zNdw">
            <ownedComment xmi:id="_Djl54H8pEeGaaPUCLjdvag" annotatedElement="_Hgf40H2_EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 44].  Contains a list of adverse events associated with the onset of labor.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Premature rupture of the membranes (prolonged, &amp;amp;gt; 12 hours); Precipitous labor; Prolonged labor; None of the above.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HghG8H2_EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HghuAH2_EeGy1_tR17zNdw" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_IfDLwH2_EeGy1_tR17zNdw" name="riskFactor" visibility="public" type="_LZIKgH2vEeGy1_tR17zNdw" association="_IfAvgH2_EeGy1_tR17zNdw">
            <ownedComment xmi:id="_BXkEQH6GEeGaaPUCLjdvag" annotatedElement="_IfDLwH2_EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 41].  Contains a list of risk factors that were encountered during this pregnancy.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Diabetes, Pre-pregnancy (diagnosis prior to this pregnancy); Diabetes, Gestational (diagnosis in this pregnancy); Hypertension, Prepregnancy (chronic); Hypertension, Gestational (PIH, preclampsia); Hypertension, Eclampsia; Previous preterm birth; Other previous poor pregnancy outcome (includes perinatal death, small-for-gestational age / intrauterine growth restricted birth); Pregnancy resulted from infertility treatment, Fertility-enhancing drugs, Artificial insemination or intrauterine insemination; Pregnancy resulted from infertility treatment, Assisted reproductive technology (e.g., in vitro fertilization (IVF) gamete intrafallopian transfer (GIFT)); Mother had a previous cesarean delivery - if yes, how many**; None of the above.  **=if &quot;Mother had a previous cesarean delivery&quot; is chosen, a subclass of RiskFactor is used to contain the number of previous cesarean deliveries.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IfDy0H2_EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IfEZ4H2_EeGy1_tR17zNdw" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_ygRQ4H8qEeGaaPUCLjdvag" name="methodOfDelivery" visibility="public" type="_wB79oH2zEeGy1_tR17zNdw" association="_yfYgEH8qEeGaaPUCLjdvag">
            <ownedComment xmi:id="_onIMEH8rEeGaaPUCLjdvag" annotatedElement="_ygRQ4H8qEeGaaPUCLjdvag">
              <body>[US Standard Certificate Of Birth Field 46].  Contains a list of observations regarding the delivery of the infant.  Possible values include: Was delivery with forceps attempted by unsuccessful? - Yes; Was delivery with forceps attempted by unsuccessful? - No; Was delivery with vacuum extraction attempted by unsuccessful? - Yes; Was delivery with vacuum extraction attempted by unsuccessful? - No; Fetal presentation at birth, Cephalic; Fetal presentation at birth, Breech; Fetal presentation at birth, Other; Final route and method of delivery, Vaginal/Spontaneous; Final route and method of delivery, Vaginal/Forceps; Final route and method of delivery, Vaginal/Vacuum; Final route and method of delivery, Cesarean, trial of labor attempted; Cesarean, trial of labor not attempted.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ygTtIH8qEeGaaPUCLjdvag"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ygUUMH8qEeGaaPUCLjdvag" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_jPyeILvrEeGQGoDxtoz2mA" name="mother" visibility="public" type="_bnjtEKBCEeGlSr96AT8gww" association="_jPhYYLvrEeGQGoDxtoz2mA">
            <ownedComment xmi:id="_HuVCULvtEeGQGoDxtoz2mA" annotatedElement="_jPyeILvrEeGQGoDxtoz2mA">
              <body>Contains demographic information about the newborn's mother.  Note that the properties of this class can be derived from Person and therefore are all marked as Derived, yet we wanted to clearly show where the specific fields on the birth certificate can be found, so they are in this class for logical model purposes.   This class would probably not be instantiated in actual implentations.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_jP1hcLvrEeGQGoDxtoz2mA" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_jP2IgLvrEeGQGoDxtoz2mA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_ulNeQLvrEeGQGoDxtoz2mA" name="father" visibility="public" type="_c5yJ8KBCEeGlSr96AT8gww" association="_ulJM0LvrEeGQGoDxtoz2mA">
            <ownedComment xmi:id="_LjbEkLvtEeGQGoDxtoz2mA" annotatedElement="_ulNeQLvrEeGQGoDxtoz2mA">
              <body>Contains demographic information about the newborn's father.  Note that the properties of this class can be derived from Person and therefore are all marked as Derived, yet we wanted to clearly show where the specific fields on the birth certificate can be found, so they are in this class for logical model purposes.   This class would probably not be instantiated in actual implentations.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ulOsYLvrEeGQGoDxtoz2mA" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ulPTcLvrEeGQGoDxtoz2mA" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_LZIKgH2vEeGy1_tR17zNdw" name="RiskFactor">
          <ownedComment xmi:id="_zdI7UH6GEeGaaPUCLjdvag" annotatedElement="_LZIKgH2vEeGy1_tR17zNdw">
            <body>[US Standard Certificate Of Birth Field 41].  Contains a list of risk factors that were encountered during this pregnancy.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Diabetes, Pre-pregnancy (diagnosis prior to this pregnancy); Diabetes, Gestational (diagnosis in this pregnancy); Hypertension, Prepregnancy (chronic); Hypertension, Gestational (PIH, preclampsia); Hypertension, Eclampsia; Previous preterm birth; Other previous poor pregnancy outcome (includes perinatal death, small-for-gestational age / intrauterine growth restricted birth); Pregnancy resulted from infertility treatment, Fertility-enhancing drugs, Artificial insemination or intrauterine insemination; Pregnancy resulted from infertility treatment, Assisted reproductive technology (e.g., in vitro fertilization (IVF) gamete intrafallopian transfer (GIFT)); Mother had a previous cesarean delivery - if yes, how many**; None of the above.  **=if &quot;Mother had a previous cesarean delivery&quot; is chosen, a subclass of RiskFactor is used to contain the number of previous cesarean deliveries.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_yZYBAH2xEeGy1_tR17zNdw" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_1NSqUH6GEeGaaPUCLjdvag" annotatedElement="_yZYBAH2xEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 41].  Contains a list of risk factors that were encountered during this pregnancy.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Diabetes, Pre-pregnancy (diagnosis prior to this pregnancy); Diabetes, Gestational (diagnosis in this pregnancy); Hypertension, Prepregnancy (chronic); Hypertension, Gestational (PIH, preclampsia); Hypertension, Eclampsia; Previous preterm birth; Other previous poor pregnancy outcome (includes perinatal death, small-for-gestational age / intrauterine growth restricted birth); Pregnancy resulted from infertility treatment, Fertility-enhancing drugs, Artificial insemination or intrauterine insemination; Pregnancy resulted from infertility treatment, Assisted reproductive technology (e.g., in vitro fertilization (IVF) gamete intrafallopian transfer (GIFT)); Mother had a previous cesarean delivery - if yes, how many**; None of the above.  **=if &quot;Mother had a previous cesarean delivery&quot; is chosen, a subclass of RiskFactor is used to contain the number of previous cesarean deliveries.</body>
            </ownedComment>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_MfZ2EH2vEeGy1_tR17zNdw" name="ObstetricProcedure">
          <ownedComment xmi:id="_ruqMcH8lEeGaaPUCLjdvag" annotatedElement="_MfZ2EH2vEeGy1_tR17zNdw">
            <body>[US Standard Certificate Of Birth Field 43].  This class represents obstetric procedures performed during this pregnancy.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Cervical cerclage; Tocolysis; External cephalic version, Successful; External cephalic version, Failed; None of the above.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_UpSxgH2zEeGy1_tR17zNdw" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_sr7tAH8lEeGaaPUCLjdvag" annotatedElement="_UpSxgH2zEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 43].  Categorizes the obstetric procedure performed during this pregnancy.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Cervical cerclage; Tocolysis; External cephalic version, Successful; External cephalic version, Failed; None of the above.</body>
            </ownedComment>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_eqcYQH2xEeGy1_tR17zNdw" name="PreviousCesareanDelivery">
          <ownedComment xmi:id="_8eXEMH6GEeGaaPUCLjdvag" annotatedElement="_eqcYQH2xEeGy1_tR17zNdw">
            <body>[US Standard Certificate Of Birth Field 41].  If the RiskFactor encountered during this pregnancy is &quot;Mother had a previous cesarean delivery&quot; this subclass of RiskFactor is used to contain the number of previous cesarean deliveries.</body>
          </ownedComment>
          <generalization xmi:id="_3FjcQH2xEeGy1_tR17zNdw" general="_LZIKgH2vEeGy1_tR17zNdw"/>
          <ownedAttribute xmi:id="__oPPAH2xEeGy1_tR17zNdw" name="quantity" visibility="public">
            <ownedComment xmi:id="_BDuFwH6HEeGaaPUCLjdvag" annotatedElement="__oPPAH2xEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 41].  The number of previous cesarean deliveries experienced by the infant's mother prior to this pregnancy.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_imFucH2xEeGy1_tR17zNdw" name="Infection">
          <ownedComment xmi:id="_YMhF8H6KEeGaaPUCLjdvag" annotatedElement="_imFucH2xEeGy1_tR17zNdw">
            <body>[US Standard Certificate Of Birth Field 42].  This class represents an infection present and/or treated during this pregnancy.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Gonorrhea; Syphilis; Chlamydia; Hepatitis B; Hepatitis C; None of the above.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_MrJEoH2yEeGy1_tR17zNdw" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_axiAYH6KEeGaaPUCLjdvag" annotatedElement="_MrJEoH2yEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 42].  Categorizes an infection present and/or treated during this pregnancy.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Gonorrhea; Syphilis; Chlamydia; Hepatitis B; Hepatitis C; None of the above.</body>
            </ownedComment>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_U9vM8H2yEeGy1_tR17zNdw" name="LaborAndDeliveryCharacteristic">
          <ownedComment xmi:id="_sRUbUH8qEeGaaPUCLjdvag" annotatedElement="_U9vM8H2yEeGy1_tR17zNdw">
            <body>[US Standard Certificate Of Birth Field 45].  This class represents an observation regarding the labor and delivery of the infant.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Induction of labor; Augmentation of labor; Non-vertex presentation; Steroids (glucocorticoids) for fetal long maturation received by the mother prior to delivery; Antibiotics received by the mother during labor; Clinical chorioamnionitis diagnosed during labor or maternal temperature >= 38C (100.4F); Moderate/heavy meconium staining of the amniotic fluid; Fetal intolerance of labor such that one or more of the following actions were taken: in-utero resuscitative measures, further fetal assessment, or operative delivery; Epidural or spinal anesthesia during labor; None of the above.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_U9vM8X2yEeGy1_tR17zNdw" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_vuPOIH8qEeGaaPUCLjdvag" annotatedElement="_U9vM8X2yEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 45].  Categorizes the observation regarding the labor and delivery of the infant.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Induction of labor; Augmentation of labor; Non-vertex presentation; Steroids (glucocorticoids) for fetal long maturation received by the mother prior to delivery; Antibiotics received by the mother during labor; Clinical chorioamnionitis diagnosed during labor or maternal temperature >= 38C (100.4F); Moderate/heavy meconium staining of the amniotic fluid; Fetal intolerance of labor such that one or more of the following actions were taken: in-utero resuscitative measures, further fetal assessment, or operative delivery; Epidural or spinal anesthesia during labor; None of the above.</body>
            </ownedComment>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_hdA7oH2zEeGy1_tR17zNdw" name="OnsetOfLabor">
          <ownedComment xmi:id="_EXPkYH8pEeGaaPUCLjdvag" annotatedElement="_hdA7oH2zEeGy1_tR17zNdw">
            <body>[US Standard Certificate Of Birth Field 44].  This class represents an adverse event associated with the onset of labor.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Premature rupture of the membranes (prolonged, &amp;amp;gt; 12 hours); Precipitous labor; Prolonged labor; None of the above.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_hdA7oX2zEeGy1_tR17zNdw" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_M08wgH8pEeGaaPUCLjdvag" annotatedElement="_hdA7oX2zEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 44].  Categorizes an adverse event associated with the onset of labor.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Premature rupture of the membranes (prolonged, &amp;amp;gt; 12 hours); Precipitous labor; Prolonged labor; None of the above.</body>
            </ownedComment>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_wB79oH2zEeGy1_tR17zNdw" name="MethodOfDelivery">
          <ownedComment xmi:id="_mjvYAH8rEeGaaPUCLjdvag" annotatedElement="_wB79oH2zEeGy1_tR17zNdw">
            <body>[US Standard Certificate Of Birth Field 46].  This class represents an observation regarding the delivery of the infant.  Possible values include: Was delivery with forceps attempted by unsuccessful? - Yes; Was delivery with forceps attempted by unsuccessful? - No; Was delivery with vacuum extraction attempted by unsuccessful? - Yes; Was delivery with vacuum extraction attempted by unsuccessful? - No; Fetal presentation at birth, Cephalic; Fetal presentation at birth, Breech; Fetal presentation at birth, Other; Final route and method of delivery, Vaginal/Spontaneous; Final route and method of delivery, Vaginal/Forceps; Final route and method of delivery, Vaginal/Vacuum; Final route and method of delivery, Cesarean, trial of labor attempted; Cesarean, trial of labor not attempted.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_wB79oX2zEeGy1_tR17zNdw" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_u9iUgH8rEeGaaPUCLjdvag" annotatedElement="_wB79oX2zEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 46].  Categorizes the observation regarding the delivery of the infant.  Possible values include: Was delivery with forceps attempted by unsuccessful? - Yes; Was delivery with forceps attempted by unsuccessful? - No; Was delivery with vacuum extraction attempted by unsuccessful? - Yes; Was delivery with vacuum extraction attempted by unsuccessful? - No; Fetal presentation at birth, Cephalic; Fetal presentation at birth, Breech; Fetal presentation at birth, Other; Final route and method of delivery, Vaginal/Spontaneous; Final route and method of delivery, Vaginal/Forceps; Final route and method of delivery, Vaginal/Vacuum; Final route and method of delivery, Cesarean, trial of labor attempted; Cesarean, trial of labor not attempted.</body>
            </ownedComment>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_BYA4oH20EeGy1_tR17zNdw" name="MaternalMorbidity">
          <ownedComment xmi:id="_SSFnQH8sEeGaaPUCLjdvag" annotatedElement="_BYA4oH20EeGy1_tR17zNdw">
            <body>[US Standard Certificate Of Birth Field 47].  This class represents a complications associated with labor and delivery.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Maternal transfusion; Third or fourth degree perineal laceration; ruptured uterus; Unplanned hysterectomy; Admission to intensive care unit; Unplanned operating room procedure following delivery; None of the above.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_BYA4oX20EeGy1_tR17zNdw" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_iloHMH8sEeGaaPUCLjdvag" annotatedElement="_BYA4oX20EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 47].  Categorizes  complications associated with labor and delivery.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Maternal transfusion; Third or fourth degree perineal laceration; ruptured uterus; Unplanned hysterectomy; Admission to intensive care unit; Unplanned operating room procedure following delivery; None of the above.</body>
            </ownedComment>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_G4UDAH21EeGy1_tR17zNdw" name="NewbornAbnormalCondition">
          <ownedComment xmi:id="_KsbrMH8xEeGaaPUCLjdvag" annotatedElement="_G4UDAH21EeGy1_tR17zNdw">
            <body>[US Standard Certificate Of Birth Field 54].  This class represents an abnormal condition of the newborn.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Assisted ventilation required immediately following delivery; Assisted ventilation required for more than six hours; NICU admission; Newborn given surfactant replacement therapy; Antibiotics received by the newborn for suspected neonatal sepsis; Seizure or serious neurologic dysfunction; Significant birth injury (skeletal fractures(s), peripheral nerve injury, and/or soft tissue/solid organ hemorrhage which require intervention); None of the above.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_G4UDAX21EeGy1_tR17zNdw" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_ODAlcH8xEeGaaPUCLjdvag" annotatedElement="_G4UDAX21EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 54].  Categorizes the of abnormal condition of the newborn.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of the above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Assisted ventilation required immediately following delivery; Assisted ventilation required for more than six hours; NICU admission; Newborn given surfactant replacement therapy; Antibiotics received by the newborn for suspected neonatal sepsis; Seizure or serious neurologic dysfunction; Significant birth injury (skeletal fractures(s), peripheral nerve injury, and/or soft tissue/solid organ hemorrhage which require intervention); None of the above.</body>
            </ownedComment>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_G60kcH21EeGy1_tR17zNdw" name="NewbornCongenitalAnomaly">
          <ownedComment xmi:id="_RNRXoH9VEeG8JPxVazzwbQ" annotatedElement="_G60kcH21EeGy1_tR17zNdw">
            <body>[US Standard Certificate Of Birth Field 55].  This class represents a congenital anomaly of the newborn.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of anomalies listed above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Anencephaly; Meningomyelocele/Spinal bifida; Cyanotic congenital heart disease; Congenital diaphramic hernia; Omphalocele; Gastroschisis; Limb reduction defect (excluding congenital amputation and dwarfing syndromes); Cleft lip with or without cleft palate; Cleft palate alone; Down Syndrome, Karyotype confirmed; Down Syndrome, Karyotype pending; Suspected chromosomal disorder, Karyotype confirmed; Suspected chromosomal disorder, Karyotype pending; Hypospadias; None of anomalies listed above.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_G60kcX21EeGy1_tR17zNdw" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_TO4qEH9VEeG8JPxVazzwbQ" annotatedElement="_G60kcX21EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 55].  Categorizes the congenital anomaly of the newborn.  On the form, this is a multiple-choice question (i.e., &quot;check all that apply&quot;), although one of the choices is &quot;None of anomalies listed above&quot;, so if that one is chosen, there should not be any others chosen.  Possible values include: Anencephaly; Meningomyelocele/Spinal bifida; Cyanotic congenital heart disease; Congenital diaphramic hernia; Omphalocele; Gastroschisis; Limb reduction defect (excluding congenital amputation and dwarfing syndromes); Cleft lip with or without cleft palate; Cleft palate alone; Down Syndrome, Karyotype confirmed; Down Syndrome, Karyotype pending; Suspected chromosomal disorder, Karyotype confirmed; Suspected chromosomal disorder, Karyotype pending; Hypospadias; None of anomalies listed above.</body>
            </ownedComment>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_veY1kH28EeGy1_tR17zNdw" name="CigaretteSmoking">
          <ownedComment xmi:id="_baZQ0H6CEeGaaPUCLjdvag" annotatedElement="_veY1kH28EeGy1_tR17zNdw">
            <body>[US Standard Certificate Of Birth Field 37].  Describes whether and how much the infant's mother smoked before and/or during pregnancy.  The US Standard Certificate Of Birth Field 37 lists four time periods: Three months before pregnancy; first three months of pregnancy; second three months of pregnancy; and third trimester of pregnancy.  It then asks for the average number of cigarettes OR packs of cigarettes smoked per day for each of these time periods.  This class is modeled such that there is one instance per time period, and therefore will have up to (exactly?) four instances.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_zFs6gH28EeGy1_tR17zNdw" name="timePeriodCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_lWFd4H6CEeGaaPUCLjdvag" annotatedElement="_zFs6gH28EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 37].  Describes whether and how much the infant's mother smoked before and/or during pregnancy.  The US Standard Certificate Of Birth Field 37 lists four time periods: Three months before pregnancy; first three months of pregnancy; second three months of pregnancy; and third trimester of pregnancy.  It then asks for the average number of cigarettes OR packs of cigarettes smoked per day for each of these time periods.  This class is modeled such that there is one instance per time period, and therefore will have up to (exactly?) four instances.  This property indicates which of the four time periods is being documented by the number of cigarettes or number of packs of cigarettes properties.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_4-6woH28EeGy1_tR17zNdw" name="numberOfCigarettes" visibility="public">
            <ownedComment xmi:id="_9WwooH6CEeGaaPUCLjdvag" annotatedElement="_4-6woH28EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 37].  Describes the average number of cigarettes smoked per day for the time period identified by the timePeriodCategory property.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__5QskH28EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__5RToH28EeGy1_tR17zNdw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_A01kAH29EeGy1_tR17zNdw" name="numberOfPacks" visibility="public">
            <ownedComment xmi:id="_MQ8I8H6DEeGaaPUCLjdvag" annotatedElement="_A01kAH29EeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 37].  Describes the average number of packs of cigarettes smoked per day for the time period identified by the timePeriodCategory property.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_A01kAn29EeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_A01kAX29EeGy1_tR17zNdw" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_-p0MAH2-EeGy1_tR17zNdw" name="birthCertificate_cigaretteSmoking" memberEnd="_-p4dcH2-EeGy1_tR17zNdw _-p8u4H2-EeGy1_tR17zNdw">
          <ownedEnd xmi:id="_-p8u4H2-EeGy1_tR17zNdw" name="" visibility="public" type="_BvzTEH2fEeGy1_tR17zNdw" association="_-p0MAH2-EeGy1_tR17zNdw"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_CcOGoH2_EeGy1_tR17zNdw" name="birthCertificate_infection" memberEnd="_CcP70H2_EeGy1_tR17zNdw _CcTmMH2_EeGy1_tR17zNdw">
          <ownedEnd xmi:id="_CcTmMH2_EeGy1_tR17zNdw" name="" visibility="public" type="_BvzTEH2fEeGy1_tR17zNdw" association="_CcOGoH2_EeGy1_tR17zNdw"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_Fii-YH2_EeGy1_tR17zNdw" name="birthCertificate_laborAndDeliveryCharacteristic" memberEnd="_FimowH2_EeGy1_tR17zNdw _FirhQH2_EeGy1_tR17zNdw">
          <ownedEnd xmi:id="_FirhQH2_EeGy1_tR17zNdw" name="" visibility="public" type="_BvzTEH2fEeGy1_tR17zNdw" association="_Fii-YH2_EeGy1_tR17zNdw"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_GiZ44H2_EeGy1_tR17zNdw" name="birthCertificate_maternalMorbidity" memberEnd="_GieKUH2_EeGy1_tR17zNdw _GiibwH2_EeGy1_tR17zNdw">
          <ownedEnd xmi:id="_GiibwH2_EeGy1_tR17zNdw" name="" visibility="public" type="_BvzTEH2fEeGy1_tR17zNdw" association="_GiZ44H2_EeGy1_tR17zNdw"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_HAUj8H2_EeGy1_tR17zNdw" name="birthCertificate_obstetricProcedure" memberEnd="_HAY1YH2_EeGy1_tR17zNdw _HAbRoH2_EeGy1_tR17zNdw">
          <ownedEnd xmi:id="_HAbRoH2_EeGy1_tR17zNdw" name="" visibility="public" type="_BvzTEH2fEeGy1_tR17zNdw" association="_HAUj8H2_EeGy1_tR17zNdw"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_HgcOcH2_EeGy1_tR17zNdw" name="birthCertificate_onsetOfLabor" memberEnd="_Hgf40H2_EeGy1_tR17zNdw _HgkxUH2_EeGy1_tR17zNdw">
          <ownedEnd xmi:id="_HgkxUH2_EeGy1_tR17zNdw" name="" visibility="public" type="_BvzTEH2fEeGy1_tR17zNdw" association="_HgcOcH2_EeGy1_tR17zNdw"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_IfAvgH2_EeGy1_tR17zNdw" name="birthCertificate_riskFactor" memberEnd="_IfDLwH2_EeGy1_tR17zNdw _IfFoAH2_EeGy1_tR17zNdw">
          <ownedEnd xmi:id="_IfFoAH2_EeGy1_tR17zNdw" name="" visibility="public" type="_BvzTEH2fEeGy1_tR17zNdw" association="_IfAvgH2_EeGy1_tR17zNdw"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_I_hbkH2_EeGy1_tR17zNdw" name="birthCertificate_newbornAbnormalCondition" memberEnd="_I_lF8H2_EeGy1_tR17zNdw _I_pXYH2_EeGy1_tR17zNdw">
          <ownedEnd xmi:id="_I_pXYH2_EeGy1_tR17zNdw" name="" visibility="public" type="_BvzTEH2fEeGy1_tR17zNdw" association="_I_hbkH2_EeGy1_tR17zNdw"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_KLbOAH2_EeGy1_tR17zNdw" name="birthCertificate_newbornCongenitalAnomaly" memberEnd="_KLdDMH2_EeGy1_tR17zNdw _KLffcH2_EeGy1_tR17zNdw">
          <ownedEnd xmi:id="_KLffcH2_EeGy1_tR17zNdw" name="" visibility="public" type="_BvzTEH2fEeGy1_tR17zNdw" association="_KLbOAH2_EeGy1_tR17zNdw"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_yfYgEH8qEeGaaPUCLjdvag" name="birthCertificate_methodOfDelivery" memberEnd="_ygRQ4H8qEeGaaPUCLjdvag _yghvkH8qEeGaaPUCLjdvag">
          <ownedEnd xmi:id="_yghvkH8qEeGaaPUCLjdvag" name="" visibility="public" type="_BvzTEH2fEeGy1_tR17zNdw" association="_yfYgEH8qEeGaaPUCLjdvag"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_bnjtEKBCEeGlSr96AT8gww" name="Mother">
          <ownedComment xmi:id="_GhWR0LvtEeGQGoDxtoz2mA" annotatedElement="_bnjtEKBCEeGlSr96AT8gww">
            <body>Contains demographic information about the newborn's mother.  Note that the properties of this class can be derived from Person and therefore are all marked as Derived, yet we wanted to clearly show where the specific fields on the birth certificate can be found, so they are in this class for logical model purposes.   This class would probably not be instantiated in actual implentations.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_q-n1wH2oEeGy1_tR17zNdw" name="isMotherMarried" visibility="public" isDerived="true">
            <ownedComment xmi:id="_Fz0XwH3DEeGy1_tR17zNdw" annotatedElement="_q-n1wH2oEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 15].  Indicates whether the infant's mother was married at birth, conception, or any time in between.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_xWn5oH2oEeGy1_tR17zNdw" name="isMothersMailingAddressSameAsResidence" visibility="public" isDerived="true">
            <ownedComment xmi:id="__ngmgH3CEeGy1_tR17zNdw" annotatedElement="_xWn5oH2oEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 14].  Indicates whether the mother's mailing address and the mother's residence address at the time of the infant's birth are the same or different.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_wcnIcH2oEeGy1_tR17zNdw" name="isMothersResidenceInsideCityLimits" visibility="public" isDerived="true">
            <ownedComment xmi:id="_pOOs0H3BEeGy1_tR17zNdw" annotatedElement="_wcnIcH2oEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 09g].  Indicates whether the mother's residence at the time of the infant's birth is within city limits.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_QPLw8H2jEeGy1_tR17zNdw" name="mothersBirthAddress" visibility="public" type="_420A62FD03B6418A8DCD02C2" isDerived="true">
            <ownedComment xmi:id="_O22JYH3BEeGy1_tR17zNdw" annotatedElement="_QPLw8H2jEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 08d].  The birthplace (limited to State, Territory, or Foreign Country) of the infant's mother.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_xyKN0H2iEeGy1_tR17zNdw" name="mothersCurrentLegalName" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ" isDerived="true">
            <ownedComment xmi:id="_bOsFQH3AEeGy1_tR17zNdw" annotatedElement="_xyKN0H2iEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 08a].  The legal name of the infant's mother at the time of the infant's birth.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_3_hvAH2iEeGy1_tR17zNdw" name="mothersDateOfBirth" visibility="public" type="_420A62FD03B64244824602F5" isDerived="true">
            <ownedComment xmi:id="_m48F4H3AEeGy1_tR17zNdw" annotatedElement="_3_hvAH2iEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 08b].  The infant's mother's date of birth.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_kY0xAH2pEeGy1_tR17zNdw" name="mothersEducationLevel" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true">
            <ownedComment xmi:id="_XvpOsH3EEeGy1_tR17zNdw" annotatedElement="_kY0xAH2pEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 20].  Categorizes the degree or level of school completed by the infant's mother at the time of delivery.  Possible values include: 8th grade or less; 9th-12th grade, no diploma; High school graduate or GED completed; Some college credit, but no degree; Associate degree (e.g., AA, AS); Bachelor's degree (e.g., BA, AB, BS); Master's degree (e.g., MA, MS, MEng, MSW, MBA); Doctorate (e.g., PhD, EdD), or Professional degree (e.g., MD, DDS, DVM, LLB, JD).</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_vuEqoH2sEeGy1_tR17zNdw" name="motherHispanicOriginCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true">
            <ownedComment xmi:id="_8Q-doH3EEeGy1_tR17zNdw" annotatedElement="_vuEqoH2sEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 21].  Indicates whether the infant's mother is of Hispanic origin, and if so, further categorizes her ethnicity.  Possible values include: No, not Spanish/Hispanic/Latina; Yes, Mexican, Mexican American, Chicana; Yes, Puerto Rican; Yes, Cuban; and Yes, other Spanish/Hispanic/Latina.  If &quot;Yes, other Spanish/Hispanic/Latina&quot; is chosen, then the motherHispanicOriginOther is used to further specify.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="__BACIH2sEeGy1_tR17zNdw" name="motherHispanicOriginOther" visibility="public" isDerived="true">
            <ownedComment xmi:id="_lyBAcH3IEeGy1_tR17zNdw" annotatedElement="__BACIH2sEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 21].  If motherHispanicOriginCategory is &quot;Yes, other Spanish/Hispanic/Latina&quot;, then this free text property is used to further specify the infant's mother's ethnicity.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_-2Mr4H2iEeGy1_tR17zNdw" name="mothersMaidenName" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ" isDerived="true">
            <ownedComment xmi:id="_9gQ4EH3AEeGy1_tR17zNdw" annotatedElement="_-2Mr4H2iEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 08c].  The legal name of the infant's mother at the time of her birth.  Note that this might be derived from the infant's Person record, as this is used as a Person Demographic property for purposes of Identity Management.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_SQCcIH2oEeGy1_tR17zNdw" name="mothersMailingAddress" visibility="public" type="_420A62FD03B6418A8DCD02C2" isDerived="true">
            <ownedComment xmi:id="_q4px0H3CEeGy1_tR17zNdw" annotatedElement="_SQCcIH2oEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 14].  The mailing address of the mother at the time of the infant's birth.  Used if different than the mothersResidenceAddress</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_n3feAH2uEeGy1_tR17zNdw" name="mothersMedicalRecordId" visibility="public" isDerived="true">
            <ownedComment xmi:id="_atws8H6FEeGaaPUCLjdvag" annotatedElement="_n3feAH2uEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 40].  Uniquely identifies the mother's medical record within the institution's set of records.  Note that this is modeled as a string, as this is all that is called for by the form, but it might be more properly modeled as an Id.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_HLYCkH2tEeGy1_tR17zNdw" name="mothersRaceCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true">
            <ownedComment xmi:id="_Hwf4IH3JEeGy1_tR17zNdw" annotatedElement="_HLYCkH2tEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 22].  Indicates the race(s) that the infant's mother considers herself to be.  Possible values include: White; Black, or African American; American Indian or Alaska Native**; Asian Indian; Chinese; Filipino; Japanese; Korean; Vietnamese; Other Asian**; Native Hawaiian; Guamanian or Chamorro; Samoan; Other Pacific Islander**; Other**.  **If Alaska Native is chosen, the mothersRaceOther free text field is used to specify the name of her enrolled or principal tribe; if Other Asian, Other Pacific Islander, or Other is chosen, the mothersRaceOther free text field is used to provide further specificity.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_IYcB4H3JEeGy1_tR17zNdw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_IYcB4X3JEeGy1_tR17zNdw" value="*"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_HLZQsH2tEeGy1_tR17zNdw" name="mothersRaceOther" visibility="public" isDerived="true">
            <ownedComment xmi:id="_Yz_Y4H3KEeGy1_tR17zNdw" annotatedElement="_HLZQsH2tEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 22].  Provides further specificity for the infant's mother's race.  Used only if mothersRaceCategory is Alaska Native, Other Asian, Other Pacific Islander, or Other.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_5vbCgH2mEeGy1_tR17zNdw" name="mothersResidenceAddress" visibility="public" type="_420A62FD03B6418A8DCD02C2" isDerived="true">
            <ownedComment xmi:id="_i0arEH3BEeGy1_tR17zNdw" annotatedElement="_5vbCgH2mEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 09a-f].  The address of the mother's residence at the time of the infant's birth.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_hrb9sH2pEeGy1_tR17zNdw" name="mothersSsn" visibility="public" isDerived="true">
            <ownedComment xmi:id="_u4P-cH3DEeGy1_tR17zNdw" annotatedElement="_hrb9sH2pEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 18].  The Social Security Number of the infant's mother.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_eFtKgKBCEeGlSr96AT8gww" name="asPerson" visibility="public" type="_420A62FD03B6425125E800E0" association="_eFrVUKBCEeGlSr96AT8gww">
            <ownedComment xmi:id="_XvjqQLvtEeGQGoDxtoz2mA" annotatedElement="_eFtKgKBCEeGlSr96AT8gww">
              <body>A pointer to the Person record of the newborn's mother.  This shows the logical relationship between the Mother role and the Person class, yet this property might not be actually instantiated.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eFtxkKBCEeGlSr96AT8gww" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eFuYoKBCEeGlSr96AT8gww" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_c5yJ8KBCEeGlSr96AT8gww" name="Father">
          <ownedComment xmi:id="_Kcw-gLvtEeGQGoDxtoz2mA" annotatedElement="_c5yJ8KBCEeGlSr96AT8gww">
            <body>Contains demographic information about the newborn's father.  Note that the properties of this class can be derived from Person and therefore are all marked as Derived, yet we wanted to clearly show where the specific fields on the birth certificate can be found, so they are in this class for logical model purposes.   This class would probably not be instantiated in actual implentations.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_fQw88H2nEeGy1_tR17zNdw" name="fathersBirthAddress" visibility="public" type="_420A62FD03B6418A8DCD02C2" isDerived="true">
            <ownedComment xmi:id="_S_lgYH3BEeGy1_tR17zNdw" annotatedElement="_fQw88H2nEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 10c].  The birthplace (limited to State, Territory, or Foreign Country) of the infant's father.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_YiAl8H2nEeGy1_tR17zNdw" name="fathersCurrentLegalName" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ" isDerived="true">
            <ownedComment xmi:id="_fvCD8H3AEeGy1_tR17zNdw" annotatedElement="_YiAl8H2nEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 10a].  The legal name of the infant's father at the time of the infant's birth.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_cCBJAH2nEeGy1_tR17zNdw" name="fathersDateOfBirth" visibility="public" type="_420A62FD03B64244824602F5" isDerived="true">
            <ownedComment xmi:id="_qB4z0H3AEeGy1_tR17zNdw" annotatedElement="_cCBJAH2nEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 10b].  The infant's father's date of birth.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_JwfyEH2qEeGy1_tR17zNdw" name="fathersEducationLevel" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true">
            <ownedComment xmi:id="_ZjnGsH3EEeGy1_tR17zNdw" annotatedElement="_JwfyEH2qEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 23].  Categorizes the degree or level of school completed by the infant's father at the time of delivery.  Possible values include: 8th grade or less; 9th-12th grade, no diploma; High school graduate or GED completed; Some college credit, but no degree; Associate degree (e.g., AA, AS); Bachelor's degree (e.g., BA, AB, BS); Master's degree (e.g., MA, MS, MEng, MSW, MBA); Doctorate (e.g., PhD, EdD), or Professional degree (e.g., MD, DDS, DVM, LLB, JD).</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_O5-tAH2tEeGy1_tR17zNdw" name="fatherHispanicOriginCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true">
            <ownedComment xmi:id="_9-_-UH3HEeGy1_tR17zNdw" annotatedElement="_O5-tAH2tEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 24].  Indicates whether the infant's father is of Hispanic origin, and if so, further categorizes her ethnicity.  Possible values include: No, not Spanish/Hispanic/Latino; Yes, Mexican, Mexican American, Chicano; Yes, Puerto Rican; Yes, Cuban; and Yes, other Spanish/Hispanic/Latino.  If &quot;Yes, other Spanish/Hispanic/Latino&quot; is chosen, then the fatherHispanicOriginOther is used to further specify.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_O5_7IH2tEeGy1_tR17zNdw" name="fatherHispanicOriginOther" visibility="public" isDerived="true">
            <ownedComment xmi:id="_9KEsAH3IEeGy1_tR17zNdw" annotatedElement="_O5_7IH2tEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 24].  If fatherHispanicOriginCategory is &quot;Yes, other Spanish/Hispanic/Latino&quot;, then this free text property is used to further specify the infant's father's ethnicity.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_O6BJQH2tEeGy1_tR17zNdw" name="fathersRaceCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA" isDerived="true">
            <ownedComment xmi:id="_QXnCcH3KEeGy1_tR17zNdw" annotatedElement="_O6BJQH2tEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 25].  Indicates the race(s) that the infant's father considers himself to be.  Possible values include: White; Black, or African American; American Indian or Alaska Native**; Asian Indian; Chinese; Filipino; Japanese; Korean; Vietnamese; Other Asian**; Native Hawaiian; Guamanian or Chamorro; Samoan; Other Pacific Islander**; Other**.  **If Alaska Native is chosen, the fathersRaceOther free text field is used to specify the name of his enrolled or principal tribe; if Other Asian, Other Pacific Islander, or Other is chosen, the fathersRaceOther free text field is used to provide further specificity.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_O6BwUH2tEeGy1_tR17zNdw" name="fathersRaceOther" visibility="public" isDerived="true">
            <ownedComment xmi:id="_qFLM0H3KEeGy1_tR17zNdw" annotatedElement="_O6BwUH2tEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 25].  Provides further specificity for the infant's father's race.  Used only if fathersRaceCategory is Alaska Native, Other Asian, Other Pacific Islander, or Other.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_ttKqMH2pEeGy1_tR17zNdw" name="fathersSsn" visibility="public" isDerived="true">
            <ownedComment xmi:id="_wPDZUH3DEeGy1_tR17zNdw" annotatedElement="_ttKqMH2pEeGy1_tR17zNdw">
              <body>[US Standard Certificate Of Birth Field 19].  The Social Security Number of the infant's father.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_evRr8KBCEeGlSr96AT8gww" name="asPerson" visibility="public" type="_420A62FD03B6425125E800E0" association="_evNagKBCEeGlSr96AT8gww">
            <ownedComment xmi:id="_Y0J60LvtEeGQGoDxtoz2mA" annotatedElement="_evRr8KBCEeGlSr96AT8gww">
              <body>A pointer to the Person record of the newborn's father.  This shows the logical relationship between the Father role and the Person class, yet this property might not be actually instantiated.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evSTAKBCEeGlSr96AT8gww" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evS6EKBCEeGlSr96AT8gww" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_eFrVUKBCEeGlSr96AT8gww" name="mother_asPerson" memberEnd="_eFtKgKBCEeGlSr96AT8gww _eFvmwKBCEeGlSr96AT8gww">
          <ownedEnd xmi:id="_eFvmwKBCEeGlSr96AT8gww" name="" visibility="public" type="_bnjtEKBCEeGlSr96AT8gww" association="_eFrVUKBCEeGlSr96AT8gww"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_evNagKBCEeGlSr96AT8gww" name="father_asPerson" memberEnd="_evRr8KBCEeGlSr96AT8gww _evVWUKBCEeGlSr96AT8gww">
          <ownedEnd xmi:id="_evVWUKBCEeGlSr96AT8gww" name="" visibility="public" type="_c5yJ8KBCEeGlSr96AT8gww" association="_evNagKBCEeGlSr96AT8gww"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_jPhYYLvrEeGQGoDxtoz2mA" name="birthCertificate_mother" memberEnd="_jPyeILvrEeGQGoDxtoz2mA _jP5y4LvrEeGQGoDxtoz2mA">
          <ownedEnd xmi:id="_jP5y4LvrEeGQGoDxtoz2mA" name="" visibility="public" type="_BvzTEH2fEeGy1_tR17zNdw" association="_jPhYYLvrEeGQGoDxtoz2mA"/>
        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_ulJM0LvrEeGQGoDxtoz2mA" name="birthCertificate_father" memberEnd="_ulNeQLvrEeGQGoDxtoz2mA _ulSWwLvrEeGQGoDxtoz2mA">
          <ownedEnd xmi:id="_ulSWwLvrEeGQGoDxtoz2mA" name="" visibility="public" type="_BvzTEH2fEeGy1_tR17zNdw" association="_ulJM0LvrEeGQGoDxtoz2mA"/>
        </packagedElement>
      </packagedElement>
      <packagedElement xmi:type="uml:Package" xmi:id="_E_Oo0FjGEeG6Pp3Py7p1bw" name="DeathCertificate">
        <eAnnotations xmi:id="_E_ZA4FjGEeG6Pp3Py7p1bw" source="uml2.diagrams"/>
        <packagedElement xmi:type="uml:Class" xmi:id="_XDFE4NmHEeChWYqvVB0Hpw" name="Informant">
          <ownedComment xmi:id="_xXHAcDG6EeGoIvbvHHPRDA" annotatedElement="_XDFE4NmHEeChWYqvVB0Hpw">
            <body>[US Standard Certificate Of Death Fields 13a - c].  Identifies the person who informed the authorities  of the decedent's death.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_e_cMsKCMEeKNT6obAX9SKQ" name="informantsName" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ" isDerived="true">
            <ownedComment xmi:id="_e_cMsaCMEeKNT6obAX9SKQ" annotatedElement="_e_cMsKCMEeKNT6obAX9SKQ">
              <body>[US Standard Certificate Of Death Fields 13a].  The legal name of the person who informed the authorities  of the decedent's death.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_e_da0KCMEeKNT6obAX9SKQ" name="informantsMailingAddress" visibility="public" type="_420A62FD03B6418A8DCD02C2" isDerived="true">
            <ownedComment xmi:id="_e_da0aCMEeKNT6obAX9SKQ" annotatedElement="_e_da0KCMEeKNT6obAX9SKQ">
              <body>[US Standard Certificate Of Death Fields 13c].  The mailing address of the person who informed the authorities  of the decedent's death.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_66PVcNmHEeChWYqvVB0Hpw" name="relationToDecedent" visibility="public">
            <ownedComment xmi:id="_2ZpGMDG6EeGoIvbvHHPRDA" annotatedElement="_66PVcNmHEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Fields 13b].  Specifies the relationship between the person who informed the authorities  of the decedent's death to the decedent.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_bzBl0dmHEeChWYqvVB0Hpw" name="asPerson" visibility="public" type="_420A62FD03B6425125E800E0" association="_bzBl0NmHEeChWYqvVB0Hpw">
            <ownedComment xmi:id="_OHKoAKCMEeKNT6obAX9SKQ" annotatedElement="_bzBl0dmHEeChWYqvVB0Hpw">
              <body>A pointer to the Person record of the informant, where name and address information may be obtained.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bzBl0tmHEeChWYqvVB0Hpw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bzBl09mHEeChWYqvVB0Hpw" value="1"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_AYmwsNmKEeChWYqvVB0Hpw" name="Injury">
          <ownedComment xmi:id="_3TwP8DG4EeGoIvbvHHPRDA" annotatedElement="_AYmwsNmKEeChWYqvVB0Hpw">
            <body>[US Standard Certificate Of Death Fields 38 - 44].  Information related to cases where the decedents death was due to injury or poisoning.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_FxVI4NmKEeChWYqvVB0Hpw" name="dateTime" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_DbdooDG5EeGoIvbvHHPRDA" annotatedElement="_FxVI4NmKEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 38].  The date and time that the injury or poisoning occurred  that eventually lead to the decedent's death.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_j5AuINmKEeChWYqvVB0Hpw" name="howInjuryOccurred" visibility="public">
            <ownedComment xmi:id="_lFQCsDG5EeGoIvbvHHPRDA" annotatedElement="_j5AuINmKEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 43].  A textual description of how the injury occurred .</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_IaVygNmKEeChWYqvVB0Hpw" name="injuryPlace" visibility="public">
            <ownedComment xmi:id="_Z2-MYDG5EeGoIvbvHHPRDA" annotatedElement="_IaVygNmKEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 40].  The general place (such as restaurant, vacant lot, or home) where the injury occurred.  Company or organization names are not to be used. (For example,  factory , not  Standard Manufacturing, Inc. )</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_T0h94NmKEeChWYqvVB0Hpw" name="injuryPlaceAddress" visibility="public" type="_420A62FD03B6418A8DCD02C2">
            <ownedComment xmi:id="_oc1CgDG5EeGoIvbvHHPRDA" annotatedElement="_T0h94NmKEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 42].  The street address of the location at which the injury or poisoning occurred .</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_hpQO0NmGEeChWYqvVB0Hpw" name="transportationInjuryCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_-h4OEDG5EeGoIvbvHHPRDA" annotatedElement="_hpQO0NmGEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 44].  If the injury was transportation related, this property categories whether the injury occurred  while the decedent was a: Driver/Operator, Passenger, Pedestrian, or Other.  Driver/operator and passenger should be designated for modes other than motor vehicles such as bicycles. Other applies to watercraft, aircraft, animal, or people attached to outside of vehicles (e.g. surfers).</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_M9fNkNmKEeChWYqvVB0Hpw" name="wasWorkplaceInjury" visibility="public">
            <ownedComment xmi:id="_FMHRcDG6EeGoIvbvHHPRDA" annotatedElement="_M9fNkNmKEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 41].  Indicates whether the injury or poisoning occurred at work.  An injury may occur at work regardless of whether the injury occurred in the course of the decedent's usual occupation.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          </ownedAttribute>
        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="__qoF0NmIEeChWYqvVB0Hpw" name="PronouncementOfDeath">
          <ownedComment xmi:id="_AfCMYDG8EeGoIvbvHHPRDA" annotatedElement="__qoF0NmIEeChWYqvVB0Hpw">
            <body>[US Standard Certificate Of Death Fields 24 - 31].  The opinion or determination, based on a physical assessment, that life has ceased.  A series of steps that need to occur to determine that a death has occurred. Involves examining patients to determine death, notifying families and in recording proper documentation of a death.  Death pronouncements are generally conducted by a physician.</body>
          </ownedComment>
          <ownedAttribute xmi:id="_aL_rsNmJEeChWYqvVB0Hpw" name="dateTimeOfActualOrPresumedDeath" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_XZGRMDG4EeGoIvbvHHPRDA" annotatedElement="_aL_rsNmJEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 29 and 30].  Contains the actual or presumed date and time of death as completed by person who pronounced or certified the decedent's death.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_0YLhMNmIEeChWYqvVB0Hpw" name="dateTimePronouncedDead" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_6yutsDG3EeGoIvbvHHPRDA" annotatedElement="_0YLhMNmIEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Fields 24 and 25].  Date and time that the decedent was pronounced dead.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_UVrYkNmJEeChWYqvVB0Hpw" name="dateTimeSigned" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_ICc3UDG4EeGoIvbvHHPRDA" annotatedElement="_UVrYkNmJEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 28].  Date that the person who pronounced or certified the decedent's death signed the Certificate of Death.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_jKbmUNmJEeChWYqvVB0Hpw" name="wasMedicalExaminerOrCoronerContacted" visibility="public">
            <ownedComment xmi:id="_NR7z8DG4EeGoIvbvHHPRDA" annotatedElement="_jKbmUNmJEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 31].  Indicates whether the medical examiner or coroner was contacted.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_pPnb4dmJEeChWYqvVB0Hpw" name="author" visibility="public" type="_hXa7cAq6Ed-426xscrxYmQ" association="_pPnb4NmJEeChWYqvVB0Hpw">
            <ownedComment xmi:id="_YBtwYDG4EeGoIvbvHHPRDA" annotatedElement="_pPnb4dmJEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 27].  The person who pronounced or certified the decedent's death.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pPnb4tmJEeChWYqvVB0Hpw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pPnb49mJEeChWYqvVB0Hpw" value="1"/>
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        </packagedElement>
        <packagedElement xmi:type="uml:Class" xmi:id="_SNJ_INmEEeChWYqvVB0Hpw" name="DeathCertificate">
          <ownedComment xmi:id="_TnQmADGyEeGoIvbvHHPRDA" annotatedElement="_SNJ_INmEEeChWYqvVB0Hpw">
            <body>A document issued by a medical practitioner certifying the deceased state of a person.  In the United States, this is typically the U.S. Standard Certificate of Death (Rev. 11/2003).</body>
          </ownedComment>
          <ownedAttribute xmi:id="_0xaOoNmKEeChWYqvVB0Hpw" name="dateFiled" visibility="public" type="_420A62FD03B64244824602F5">
            <ownedComment xmi:id="_xrWEsDGyEeGoIvbvHHPRDA" annotatedElement="_0xaOoNmKEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 50].  The date the Certificate of Death was filed with the Registrar.</body>
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          </ownedAttribute>
          <ownedAttribute xmi:id="_NPUhQNmGEeChWYqvVB0Hpw" name="didTobaccoUseContribute" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_9DS0YDGyEeGoIvbvHHPRDA" annotatedElement="_NPUhQNmGEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 35].  Indicates whether it is the opinion of the Medical Certifier that the use of tobacco contributed to he person's death.  Possible values include: Yes, No, Probably, Unknown.</body>
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          </ownedAttribute>
          <ownedAttribute xmi:id="_61KTENmFEeChWYqvVB0Hpw" name="dispositionCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_MFQ-wDGzEeGoIvbvHHPRDA" annotatedElement="_61KTENmFEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 18].  Categories the method of the disposition of the body.  Possible values include: Burial, Cremation, Donation, Entombment, Removal from State.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bZFuIDGzEeGoIvbvHHPRDA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bZFuITGzEeGoIvbvHHPRDA" value="1"/>
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          <ownedAttribute xmi:id="_W78ssNmIEeChWYqvVB0Hpw" name="dispositionOther" visibility="public">
            <ownedComment xmi:id="_akbXADGzEeGoIvbvHHPRDA" annotatedElement="_W78ssNmIEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 18].  A textual description of the method of the disposition of the body, when none of possible values of dispositionCategory applies (in other words, a description for &quot;Other&quot;).</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_d6zc8DGzEeGoIvbvHHPRDA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_d6zc8TGzEeGoIvbvHHPRDA" value="1"/>
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          <ownedAttribute xmi:id="_v22IMNmBEeChWYqvVB0Hpw" name="mannerOfDeath" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_WNi9UNmCEeChWYqvVB0Hpw" annotatedElement="_v22IMNmBEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 37].  Categorizes the underlying cause of death.  Possible values include: Natural, Homicide, Accident, Suicide, Pending Investigation, Could not be Determined.  For more details, see http://www.cdc.gov/nchs/data/misc/hb_cod.pdf </body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_0kEvgNmFEeChWYqvVB0Hpw" name="placeOfDeathCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_0kEvgdmFEeChWYqvVB0Hpw" annotatedElement="_0kEvgNmFEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 14].  Categories the location of the person's death.  Possible values include: If death occurred  in a Hospital:  Inpatient, Emergency Room/Outpatient, Dead on Arrival; If death occurred  somewhere other than in a Hospital:  Hospice facility, Nursing home/Long term care facility, Decedent s home.</body>
            </ownedComment>
          </ownedAttribute>
          <ownedAttribute xmi:id="_n66IMNmIEeChWYqvVB0Hpw" name="placeOfDeathOther" visibility="public">
            <ownedComment xmi:id="_e6FTMDG0EeGoIvbvHHPRDA" annotatedElement="_n66IMNmIEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 14].  A textual description of the place of death, when none of possible values of placeOfDeath applies (in other words, a description for &quot;Other&quot;).</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
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          <ownedAttribute xmi:id="_WApM8NmGEeChWYqvVB0Hpw" name="pregnancyStatusCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
            <ownedComment xmi:id="_BJ_SEDG1EeGoIvbvHHPRDA" annotatedElement="_WApM8NmGEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 36].  If the decedent is female, this property provides an indication of whether she was pregnant at or near the time of death.  This information is important in determining pregnancy-related mortality.  Possible values include: Not pregnant within past year, Pregnant at time of death, Not pregnant, but pregnant within 42 days of death, Not pregnant, but pregnant 43 days to 1 year before death, Unknown if pregnant within the past year.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BrA7gDG1EeGoIvbvHHPRDA"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BrA7gTG1EeGoIvbvHHPRDA" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_PXggUNmHEeChWYqvVB0Hpw" name="survivingSpousesName" visibility="public">
            <ownedComment xmi:id="_UR9BcDG1EeGoIvbvHHPRDA" annotatedElement="_PXggUNmHEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 10].  If the decedent was married at the time of death, this property contains the full name of the surviving spouse. If the surviving spouse is the wife, her name prior to first marriage should be entered. This item is used in establishing proper insurance settlements and other survivor benefits.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_QnyR4NmGEeChWYqvVB0Hpw" name="wasAutopsyFindingsAvailable" visibility="public">
            <ownedComment xmi:id="_kNWuMDG1EeGoIvbvHHPRDA" annotatedElement="_QnyR4NmGEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 34].  If an autopsy was performed, this property indicates whether the autopsy findings were available to complete the cause of death.  This property should be null (i.e., &quot;blank&quot;) if no autopsy was performed.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_JYzisNmGEeChWYqvVB0Hpw" name="wasAutopsyPerformed" visibility="public">
            <ownedComment xmi:id="_k3URMDG1EeGoIvbvHHPRDA" annotatedElement="_JYzisNmGEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 33].  Indicates whether either a partial or full autopsy was performed.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_iwEiYNmFEeChWYqvVB0Hpw" name="wasEverInArmedForces" visibility="public">
            <ownedComment xmi:id="_C8mCsDG2EeGoIvbvHHPRDA" annotatedElement="_iwEiYNmFEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 8].  Indicates whether the decedent was ever in the U.S. Armed Forces.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_bplA0NmFEeChWYqvVB0Hpw" name="wasResidenceInsideCityLimits" visibility="public">
            <ownedComment xmi:id="_J2TsgDG2EeGoIvbvHHPRDA" annotatedElement="_bplA0NmFEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 7g].  Indicates whether the decedent's residence is inside city limits.</body>
            </ownedComment>
            <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_bMDFYdmHEeChWYqvVB0Hpw" name="informant" visibility="public" type="_XDFE4NmHEeChWYqvVB0Hpw" association="_bMDFYNmHEeChWYqvVB0Hpw">
            <ownedComment xmi:id="_spieEDG6EeGoIvbvHHPRDA" annotatedElement="_bMDFYdmHEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Fields 13a - c].  Identifies the person who informed the authorities  of the decedent's death.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bMDFYtmHEeChWYqvVB0Hpw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bMDFY9mHEeChWYqvVB0Hpw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_Mmf70dmIEeChWYqvVB0Hpw" name="facilityAtDeath" visibility="public" type="_420A62FD03B64242CAB30303" association="_Mmf70NmIEeChWYqvVB0Hpw">
            <ownedComment xmi:id="_nbwucDG2EeGoIvbvHHPRDA" annotatedElement="_Mmf70dmIEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Fields 15 - 17].  Place at which death occurred.  If death did not occur at an institution, only the address is used.  Note that the address includes County.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Mmf70tmIEeChWYqvVB0Hpw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Mmf709mIEeChWYqvVB0Hpw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_er1JgNmIEeChWYqvVB0Hpw" name="funeralFacility" visibility="public" type="_HC458BscEd--ZY2-pbJ-Pw" association="_errYgNmIEeChWYqvVB0Hpw">
            <ownedComment xmi:id="_rTw6wDG2EeGoIvbvHHPRDA" annotatedElement="_er1JgNmIEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Field 21 and 23].  Identifies the funeral facility, including license information.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_er1JgdmIEeChWYqvVB0Hpw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_er1JgtmIEeChWYqvVB0Hpw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_ncBXUdmJEeChWYqvVB0Hpw" name="pronouncementOfDeath" visibility="public" type="__qoF0NmIEeChWYqvVB0Hpw" association="_ncBXUNmJEeChWYqvVB0Hpw">
            <ownedComment xmi:id="__n2FsDG7EeGoIvbvHHPRDA" annotatedElement="_ncBXUdmJEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Fields 24 - 31].  The opinion or determination, based on a physical assessment, that life has ceased.  A series of steps that need to occur to determine that a death has occurred. Involves examining patients to determine death, notifying families and in recording proper documentation of a death.  Death pronouncements are generally conducted by a physician.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ncBXUtmJEeChWYqvVB0Hpw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ncBXU9mJEeChWYqvVB0Hpw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_ZLA6YdmKEeChWYqvVB0Hpw" name="injury" visibility="public" type="_AYmwsNmKEeChWYqvVB0Hpw" association="_ZLA6YNmKEeChWYqvVB0Hpw">
            <ownedComment xmi:id="_22ly0DG4EeGoIvbvHHPRDA" annotatedElement="_ZLA6YdmKEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Fields 38 - 44].  Information related to cases where the decedents death was due to injury or poisoning.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZLA6YtmKEeChWYqvVB0Hpw"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZLA6Y9mKEeChWYqvVB0Hpw" value="1"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_RfKMgdmLEeChWYqvVB0Hpw" name="certifier" visibility="public" type="_ciFhEHpAEd-44ra0dfiJCw" association="_RfKMgNmLEeChWYqvVB0Hpw">
            <ownedComment xmi:id="_jrqPADG4EeGoIvbvHHPRDA" annotatedElement="_RfKMgdmLEeChWYqvVB0Hpw">
              <body>[US Standard Certificate Of Death Fields 45, 47 - 49].  The practitioner who certified the information contained in the Certificate of Death.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RfKMgtmLEeChWYqvVB0Hpw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RfKMg9mLEeChWYqvVB0Hpw" value="1"/>
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        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_bMDFYNmHEeChWYqvVB0Hpw" name="deathCertificate_informant" memberEnd="_bMDFYdmHEeChWYqvVB0Hpw _bMMPUNmHEeChWYqvVB0Hpw">
          <ownedEnd xmi:id="_bMMPUNmHEeChWYqvVB0Hpw" name="" visibility="public" type="_SNJ_INmEEeChWYqvVB0Hpw" association="_bMDFYNmHEeChWYqvVB0Hpw">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bMMPUdmHEeChWYqvVB0Hpw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bMMPUtmHEeChWYqvVB0Hpw" value="1"/>
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        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_Mmf70NmIEeChWYqvVB0Hpw" name="deathCertificate_facilityAtDeath" memberEnd="_Mmf70dmIEeChWYqvVB0Hpw _Mmf71NmIEeChWYqvVB0Hpw">
          <ownedEnd xmi:id="_Mmf71NmIEeChWYqvVB0Hpw" name="" visibility="public" type="_SNJ_INmEEeChWYqvVB0Hpw" association="_Mmf70NmIEeChWYqvVB0Hpw">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Mmf71dmIEeChWYqvVB0Hpw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Mmf71tmIEeChWYqvVB0Hpw" value="1"/>
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        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_ncBXUNmJEeChWYqvVB0Hpw" name="deathCertificate_pronouncementOfDeath" memberEnd="_ncBXUdmJEeChWYqvVB0Hpw _ncLIUNmJEeChWYqvVB0Hpw">
          <ownedEnd xmi:id="_ncLIUNmJEeChWYqvVB0Hpw" name="" visibility="public" type="_SNJ_INmEEeChWYqvVB0Hpw" association="_ncBXUNmJEeChWYqvVB0Hpw">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ncLIUdmJEeChWYqvVB0Hpw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ncLIUtmJEeChWYqvVB0Hpw" value="1"/>
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        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_errYgNmIEeChWYqvVB0Hpw" name="deathCertificate_funeralFacility" memberEnd="_er1JgNmIEeChWYqvVB0Hpw _er1Jg9mIEeChWYqvVB0Hpw">
          <ownedEnd xmi:id="_er1Jg9mIEeChWYqvVB0Hpw" name="" visibility="public" type="_SNJ_INmEEeChWYqvVB0Hpw" association="_errYgNmIEeChWYqvVB0Hpw">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_er1JhNmIEeChWYqvVB0Hpw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_er1JhdmIEeChWYqvVB0Hpw" value="1"/>
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        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_ZLA6YNmKEeChWYqvVB0Hpw" name="deathCertificate_injury" memberEnd="_ZLA6YdmKEeChWYqvVB0Hpw _ZLA6ZNmKEeChWYqvVB0Hpw">
          <ownedEnd xmi:id="_ZLA6ZNmKEeChWYqvVB0Hpw" name="" visibility="public" type="_SNJ_INmEEeChWYqvVB0Hpw" association="_ZLA6YNmKEeChWYqvVB0Hpw">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZLA6ZdmKEeChWYqvVB0Hpw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZLA6ZtmKEeChWYqvVB0Hpw" value="1"/>
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        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_RfKMgNmLEeChWYqvVB0Hpw" name="deathCertificate_certifier" memberEnd="_RfKMgdmLEeChWYqvVB0Hpw _RfKMhNmLEeChWYqvVB0Hpw">
          <ownedEnd xmi:id="_RfKMhNmLEeChWYqvVB0Hpw" name="" visibility="public" type="_SNJ_INmEEeChWYqvVB0Hpw" association="_RfKMgNmLEeChWYqvVB0Hpw">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RfKMhdmLEeChWYqvVB0Hpw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RfKMhtmLEeChWYqvVB0Hpw" value="1"/>
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        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_pPnb4NmJEeChWYqvVB0Hpw" name="pronouncementOfDeath_author" memberEnd="_pPnb4dmJEeChWYqvVB0Hpw _pPnb5NmJEeChWYqvVB0Hpw">
          <ownedEnd xmi:id="_pPnb5NmJEeChWYqvVB0Hpw" name="" visibility="public" type="__qoF0NmIEeChWYqvVB0Hpw" association="_pPnb4NmJEeChWYqvVB0Hpw">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pPnb5dmJEeChWYqvVB0Hpw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pPnb5tmJEeChWYqvVB0Hpw" value="1"/>
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        </packagedElement>
        <packagedElement xmi:type="uml:Association" xmi:id="_bzBl0NmHEeChWYqvVB0Hpw" name="informant_asPerson" memberEnd="_bzBl0dmHEeChWYqvVB0Hpw _bzLW0NmHEeChWYqvVB0Hpw">
          <ownedEnd xmi:id="_bzLW0NmHEeChWYqvVB0Hpw" name="" visibility="public" type="_XDFE4NmHEeChWYqvVB0Hpw" association="_bzBl0NmHEeChWYqvVB0Hpw">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bzLW0dmHEeChWYqvVB0Hpw" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bzLW0tmHEeChWYqvVB0Hpw" value="1"/>
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        </packagedElement>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_sdrb8I0tEeCD3bb30FJGhQ" name="AdvanceDirective">
        <ownedComment xmi:id="_nN9-EJX6EeCD7vwmJe8BlA" annotatedElement="_sdrb8I0tEeCD3bb30FJGhQ">
          <body>A legal document (as a living will or durable power of attorney for healthcare) signed by a competent person to provide guidance for medical and health-care decisions (as the termination of life support or organ donation) in the event the person becomes incompetent to make such decisions.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_zUydsI0tEeCD3bb30FJGhQ" name="category" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_OP9UQJXtEeCD7vwmJe8BlA" annotatedElement="_zUydsI0tEeCD3bb30FJGhQ">
            <body>Categorizes the kind of Advance Directive.&#xD;
&quot;Indicates the patient's instructions to the healthcare facility.&quot; - HL7 Version 2.8, PD1-15.</body>
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        </ownedAttribute>
        <ownedAttribute xmi:id="_YVyVwAYwEeGz0dkadElrkQ" name="comments" visibility="public">
          <ownedComment xmi:id="_roDrkDG9EeGoIvbvHHPRDA" annotatedElement="_YVyVwAYwEeGz0dkadElrkQ">
            <body>Remarks concerning the Advance Directive.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_JAsc4MJLEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_JAtD8MJLEeK_EPjbFxtubQ" value="1"/>
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        <ownedAttribute xmi:id="_S38RAMJaEeK_EPjbFxtubQ" name="dateLastVerified" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_m2_ZYMJaEeK_EPjbFxtubQ" annotatedElement="_S38RAMJaEeK_EPjbFxtubQ">
            <body>&quot;The date that ... the advance directive [was] last validated.&quot; - HL7 Version 2.8, PD1-21.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XdGeQMJaEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XdHFUMJaEeK_EPjbFxtubQ" value="1"/>
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        <ownedAttribute xmi:id="_zUx2oI0tEeCD3bb30FJGhQ" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_df5CIJXtEeCD7vwmJe8BlA" annotatedElement="_zUx2oI0tEeCD3bb30FJGhQ">
            <body>The time period over which the Advance Directive is effective.  Note that the end date is typically blank for active Advance Directives.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LqfwsMJLEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LqfwscJLEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_O8sfcAYwEeGz0dkadElrkQ" name="image" visibility="public" type="_420A62FD03B64586C73900D7">
          <ownedComment xmi:id="_isUfoDG9EeGoIvbvHHPRDA" annotatedElement="_O8sfcAYwEeGz0dkadElrkQ">
            <body>A scanned image of the signed paper form, if applicable.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_kJmV8DG9EeGoIvbvHHPRDA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_kJmV8TG9EeGoIvbvHHPRDA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SP7x0AYwEeGz0dkadElrkQ" name="paperLocator" visibility="public">
          <ownedComment xmi:id="_pw4ukDG9EeGoIvbvHHPRDA" annotatedElement="_SP7x0AYwEeGz0dkadElrkQ">
            <body>Information to locate the original paper form, if applicable.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Kos8gMJLEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_KotjkMJLEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_eXxsYJXtEeCD7vwmJe8BlA" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_eXxsYZXtEeCD7vwmJe8BlA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_eXxsYpXtEeCD7vwmJe8BlA" annotatedElement="_eXxsYJXtEeCD7vwmJe8BlA">
            <body>Indicates the state of the Advance Directive, as defined in the Act state-transition model in the HL7 RIM.  Possible values include: New, Held, Canceled, Active, Suspended, Aborted, Completed, Nullified, and Obsolete.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eXxsZJXtEeCD7vwmJe8BlA" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eXxsY5XtEeCD7vwmJe8BlA" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_oYIbwO_4Ed6OG-vjYTopTQ" name="AnimalPatient">
        <ownedComment xmi:id="_q51eYALOEd-4q5si9Q3m-w" annotatedElement="_oYIbwO_4Ed6OG-vjYTopTQ">
          <body>A specialization of the Patient role containing information specific to non-human patients.</body>
        </ownedComment>
        <generalization xmi:id="_OALocBA1Ed-2E9qx-lgHBg" general="_420A62FD03B6418A4E500034"/>
        <ownedAttribute xmi:id="_CFWpcYVKEd-6PJo369YzhQ" name="subject" visibility="public" type="_N8vOgOaWEd6YGfoXAoNmMA" association="_CFWpcIVKEd-6PJo369YzhQ">
          <ownedComment xmi:id="_bSEY0O6uEd-crcWiXVDZrQ" annotatedElement="_CFWpcYVKEd-6PJo369YzhQ">
            <body>Pointer to the animal playing the role of patient (AnimalPatient).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CFWpcoVKEd-6PJo369YzhQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CFWpc4VKEd-6PJo369YzhQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_KBfhMOEVEd6EKMSYA1gKjA" name="BiologicalEntity" isAbstract="true">
        <ownedComment xmi:id="_PUrMYBqMEd-j8JC21F3W2A" annotatedElement="_KBfhMOEVEd6EKMSYA1gKjA">
          <body>This class represents an organism, whether it is currently alive or not.  This class is equivalent to the HL7 V3 Living Subject class.</body>
        </ownedComment>
        <generalization xmi:id="_covX0BA2Ed-2E9qx-lgHBg" general="_MF0JYOEVEd6EKMSYA1gKjA"/>
        <ownedAttribute xmi:id="_9kHJAFjvEeG6Pp3Py7p1bw" name="isOrganDonor" visibility="public">
          <ownedComment xmi:id="_GX22kFjwEeG6Pp3Py7p1bw" annotatedElement="_9kHJAFjvEeG6Pp3Py7p1bw">
            <body>Indicates whether the patient has consented to be an organ donor upon their demise.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DLCVQMJEEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DLC8UMJEEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Ey3dgIq5Ed-W_sKBWcwIbA" name="age" visibility="public" type="_420A62FD03B64239FAA800D9" isDerived="true">
          <ownedComment xmi:id="_diPhUIq5Ed-W_sKBWcwIbA" annotatedElement="_Ey3dgIq5Ed-W_sKBWcwIbA">
            <body>The length of time that an organism has lived.  Note that this property will typically be derived or calculated as needed, and as such may not always be present as a separate concept.  Added 7/8/10 for vMR.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QZQ44Iq5Ed-W_sKBWcwIbA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QZQ44Yq5Ed-W_sKBWcwIbA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tmvb0Pc6Ed-hU-zq4VwY5Q" name="ageAtDeath" visibility="public" type="_420A62FD03B64239FAA800D9" isDerived="true">
          <ownedComment xmi:id="_EC7pIPdIEd-hU-zq4VwY5Q" annotatedElement="_tmvb0Pc6Ed-hU-zq4VwY5Q">
            <body>The length of time that a now-deceased organism had lived. Note that this property will typically be derived or calculated as needed, and as such may not always be present as a separate concept. Added 11/23/2010 for Problem List.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tmyfIvc6Ed-hU-zq4VwY5Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tmyfIfc6Ed-hU-zq4VwY5Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_h_4ZcMChEeGTTrvHOo3_pw" name="ageGroup" visibility="public" isDerived="true">
          <ownedComment xmi:id="_h_4ZccChEeGTTrvHOo3_pw" annotatedElement="_h_4ZcMChEeGTTrvHOo3_pw">
            <body>This is a user-defined property that categorizes a person or animal entity based on their age.  The strata used to classify the entity vary according to the purpose of use, therefore this property is derived and ought never be considered outside the context of the stratification.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_h_4Zc8ChEeGTTrvHOo3_pw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_h_4ZcsChEeGTTrvHOo3_pw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6426E8690032C" name="dateOfBirth" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_yKfUsBqMEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6426E8690032C">
            <body>The date and time of the birth or hatching of the living subject.&#xD;
&#xD;
&quot;The patient's date and time of birth.&quot; - HL7 Version 2.8, PID-7.&#xD;
&quot;The next of kin/associated party's birth date and time.&quot; - HL7 Version 2.8, NK1-16.&#xD;
&quot;The birth date for the person.&quot; - HL7 FHIR, Person.birthDate.&#xD;
&quot;The date of birth for the individual.&quot; - HL7 FHIR, Patient.birthDate.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_d_E_gMJEEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_d_E_gcJEEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645538E6E008E" name="dateOfDeath" visibility="public" type="_420A62FD03B64244824602F5">
          <eAnnotations xmi:id="_NQP2YeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_24iYMBqMEd-j8JC21F3W2A" annotatedElement="_420A62FD03B645538E6E008E">
            <body>This property contains the date (and optionally time) that the subject died. If the date of death is known, the isDeceased property should be set to true.  However, in some cases it might only be known that the subject is deceased while the actual date of death might be unknown, so it is possible that the isDeceased property could be true even though this dateOfDeath property is empty.&#xD;
&#xD;
&quot;Contains the date and time at which the patient death occurred.&quot; - HL7 Version 2.8, PID-29.&#xD;
&quot;Indicates if the individual is deceased or not.&quot; - HL7 FHIR, Patient.deceased[x].  Note that FHIR has a single concept with a choice of datatypes (dateTime or boolean), thus FHIR handles both the dateOfDeath and isDeceased concepts in a single field.  The FHIM separates these two into separate properties.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evNLLuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evNLL-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645538E6E00AD" name="isDeceased" visibility="public">
          <eAnnotations xmi:id="_NQP2b-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_7SKq4BqMEd-j8JC21F3W2A" annotatedElement="_420A62FD03B645538E6E00AD">
            <body>This property indicates whether or not the subject is deceased.  Among other uses, this field (as an alternative to examining the date of death) is often used to quickly separate living patients from dead ones.  If the date of death is known, this field could be calculated on the basis of whether the date of death is filled in.  However, in some cases it might only be known that the patient is deceased while the actual date of death might be unknown.  Therefore this property is not modeled as a calculated field, but can be manually populated.&#xD;
&#xD;
&quot;Indicates whether the patient is deceased.&quot; - HL7 Version 2.8, PID-30.&#xD;
&quot;Indicates if the individual is deceased or not.&quot; - HL7 FHIR, Patient.deceased[x].  Note that FHIR has a single concept with a choice of datatypes (dateTime or boolean), thus FHIR handles both the dateOfDeath and isDeceased concepts in a single field.  The FHIM separates these two into separate properties.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evNLNOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evNLNeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Q_1pgOm_Ed6i8ZcSzaiIHw" name="multipleBirthOrder" visibility="public">
          <ownedComment xmi:id="_AM4RYBqNEd-j8JC21F3W2A" annotatedElement="_Q_1pgOm_Ed6i8ZcSzaiIHw">
            <body>If the biological entity was born along with other siblings, this property indicates the order the entity was born.  For example, for a set of twins, this property indicates which twin was born first and which was born second.  This property is primarily used to distinguish records for newborn infants who have not yet have been given names.  This property may also be used in research situations to distinguish individuals who were part of a multi-child pregnancy.&#xD;
&quot;When a patient was part of a multiple birth, a value (number) indicating the patient's birth order is entered in this field.&quot; - HL7 Version 2.8, PID-25.&#xD;
&quot;Indicates whether the patient is part of a multiple or indicates the actual birth order.&quot; - HL7 FHIR, Patient.multipleBirth[x].  Note that FHIR has a single concept with a choice of datatypes (boolean or integer), thus FHIR handles both the multipleBirthOrder and wasMultipleBirth concepts in a single field.  The FHIM separates these two into separate properties.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FBH68AIMEd-VSqNkiZ4fOA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FBH68QIMEd-VSqNkiZ4fOA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645538E6E007E" name="wasMultipleBirth" visibility="public">
          <eAnnotations xmi:id="_NQ1sROLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_I9UMQBqNEd-j8JC21F3W2A" annotatedElement="_420A62FD03B645538E6E007E">
            <body>This property serves as an indication as to whether the person was born along with other siblings as part of a single pregnancy.  This property is primarily used to distinguish records for newborn infants who have not yet have been given names.  This property may also be used in research situations to distinguish individuals who were part of a multi-child pregnancy.&#xD;
&quot;Indicates whether the patient was part of a multiple birth.&quot; - HL7 Version 2.8, PID-24.&#xD;
&quot;Indicates whether the patient is part of a multiple or indicates the actual birth order.&quot; - HL7 FHIR, Patient.multipleBirth[x].  Note that FHIR has a single concept with a choice of datatypes (boolean or integer), thus FHIR handles both the multipleBirthOrder and wasMultipleBirth concepts in a single field.  The FHIM separates these two into separate properties.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evNLRuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evNLR-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6456339840258" name="asPatient" visibility="public" type="_420A62FD03B6418A4E500034" isUnique="false" association="_420A62FD03B64563398301DB">
          <ownedComment xmi:id="_TzgNcC6SEd6RGqZb7W4v4w" annotatedElement="_420A62FD03B6456339840258">
            <body>Pointer to the role of a person or animal as a recipient of health care services from a healthcare provider.  Note that if the person or animal is a research subject, a different association (asResearchSubject) is used.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NUtfsuLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NUtfs-LiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_E2uWQNmUEeChWYqvVB0Hpw" name="causeOfDeath" visibility="public" type="_7TcCINmTEeChWYqvVB0Hpw" association="_E2r6ANmUEeChWYqvVB0Hpw">
          <ownedComment xmi:id="_z22ucDG8EeGoIvbvHHPRDA" annotatedElement="_E2uWQNmUEeChWYqvVB0Hpw">
            <body>A pointer to zero or more Cause Of Death instances that provide information on the condition(s) that caused or contributed to the death of the organism.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_E2u9UNmUEeChWYqvVB0Hpw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_E2vkYNmUEeChWYqvVB0Hpw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_7TcCINmTEeChWYqvVB0Hpw" name="CauseOfDeath">
        <ownedComment xmi:id="_NMLG4On-EeCkWsmL2aWuUQ" annotatedElement="_7TcCINmTEeChWYqvVB0Hpw">
          <body>The condition(s) that caused or contributed to the death of the organism.    For Humans, the U.S. Standard Certificate of Death (Rev 11/2003) requires the entry of &quot;the chain of events-diseases, injuries, or complications-that directly caused the death&quot;, beginning with the &quot;immediate cause (final disease or condition resulting in death)&quot; and ending with the &quot;underlying cause (disease or injury that initiated the events resulting in death).&quot;  Note the CDC Center for Vital Statistics is required to report this information to the World Health Organization (WHO).  The WHO requires that this data be reported using ICD-10 codes.  For Non-humans, the coding system to be used for non-humans has not been determined at this time.  Added 11/23/2010 for Problem List.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_nPnSANmUEeChWYqvVB0Hpw" name="causeOfDeath" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_nPnSAdmUEeChWYqvVB0Hpw" annotatedElement="_nPnSANmUEeChWYqvVB0Hpw">
            <body>[US Standard Certificate Of Death Field 32].  A condition that caused or contributed to the death of the organism.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nPnSA9mUEeChWYqvVB0Hpw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nPnSAtmUEeChWYqvVB0Hpw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cbKQ8NmUEeChWYqvVB0Hpw" name="precedence" visibility="public">
          <ownedComment xmi:id="_OUwwoDG9EeGoIvbvHHPRDA" annotatedElement="_cbKQ8NmUEeChWYqvVB0Hpw">
            <body>Causal order of the cause of death entries, i.e., primary, secondary, etc.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Integer"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_jrPhcNmWEeChWYqvVB0Hpw" name="timeInterval" visibility="public" type="_420A62FD03B64239FAA800D9">
          <ownedComment xmi:id="_ET_2UDG9EeGoIvbvHHPRDA" annotatedElement="_jrPhcNmWEeChWYqvVB0Hpw">
            <body>[US Standard Certificate Of Death Field 32].  The approximate interval between onset of the identified condition and death.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_rcGNABsvEd--ZY2-pbJ-Pw" name="Citizen">
        <ownedComment xmi:id="_eV2hoDA6Ed-1aYBV65Lrnw" annotatedElement="_rcGNABsvEd--ZY2-pbJ-Pw">
          <body>'A native or naturalized member of a state or nation who owes allegiance to its government and is entitled to its protection' - Dictionary.com&#xD;
&#xD;
&quot;Contains the information related to a person's country citizenship. For country citizenship HL7 recommends using ISO table 3166....&quot; - HL7 Version 2.8, PID-26.&#xD;
&quot;Identif(ies) the next of kin/associated party's citizenship.&quot; - HL7 Version 2.8, NK1-19.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_4x_3IRsvEd--ZY2-pbJ-Pw" name="country" visibility="public" type="_mHCz4BsvEd--ZY2-pbJ-Pw" association="_4x_3IBsvEd--ZY2-pbJ-Pw">
          <ownedComment xmi:id="_J0AYwDA7Ed-1aYBV65Lrnw" annotatedElement="_4x_3IRsvEd--ZY2-pbJ-Pw">
            <body>'A relatively large group of people organized under a single, usually independent government; a country.' - American Heritage Dictionary.  An organization created to govern a country, which has the power to grant citizenship to its people.&#xD;
&#xD;
&quot;Contains the information related to a person's country citizenship. For country citizenship HL7 recommends using ISO table 3166....&quot; - HL7 Version 2.8, PID-26.&#xD;
&quot;Identif(ies) the next of kin/associated party's citizenship.&quot; - HL7 Version 2.8, NK1-19.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4x_3IhsvEd--ZY2-pbJ-Pw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4x_3IxsvEd--ZY2-pbJ-Pw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Lpwo8I3oEeC71dGAKsmahg" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_85j44JNqEeCyufOLCDZkFA" annotatedElement="_Lpwo8I3oEeC71dGAKsmahg">
            <body>The time period during which the person is or was a citizen of the associated Nation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Otk_QI3oEeC71dGAKsmahg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OtlmUI3oEeC71dGAKsmahg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B64248829E032E" name="ContactParty">
        <eAnnotations xmi:id="_NThM1OLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_7YV5cBqOEd-j8JC21F3W2A" annotatedElement="_420A62FD03B64248829E032E">
          <body>The person who should be contacted on the patients behalf under specified situations.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6455390F101F8" name="contactCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_JPzRIBqSEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6455390F101F8">
            <body>Indicates the circumstances under which this person is the contact party for the person identified in the owning Person class.&#xD;
&quot;Indicates the specific relationship role....  This field specifies the role that the next of kin/associated parties plays with regard to the patient.&quot; - HL7 Version 2.8, NK1-7.  See HL7 Table 131 for suggested values.&#xD;
&quot;The nature of the relationship between the patient and the contact person.&quot; - HL7 FHIR, Patient.contact.relationship.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_XQYIAOoEEeCkWsmL2aWuUQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_XQYIAeoEEeCkWsmL2aWuUQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KCvJ0AS7EeKZRNRj-xVwIw" name="contactReason" visibility="public">
          <ownedComment xmi:id="_PFMXEAS7EeKZRNRj-xVwIw" annotatedElement="_KCvJ0AS7EeKZRNRj-xVwIw">
            <body>&quot;Identifies how the contact should be used (e.g., contact employer if patient is unable to work).&quot; - HL7 Version 2.8, NK1-29.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_N1u6UAS7EeKZRNRj-xVwIw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_N1vhYAS7EeKZRNRj-xVwIw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64248831F005A" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_LSoEgBqSEd-j8JC21F3W2A" annotatedElement="_420A62FD03B64248831F005A">
            <body>The date range during which this person is a contact party for the patient.&#xD;
&quot;The start date of the contact role.&quot; - HL7 Version 2.8, NK1-8.&#xD;
&quot;The end date of the contact role.&quot; - HL7 Version 2.8, NK1-9.&#xD;
&quot;The period during which this contact person or organization is valid to be contacted relating to this patient.&quot; - HL7 FHIR, Patient.contact.period.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dwQU0MJOEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dwQ74MJOEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_397OgFjtEeG6Pp3Py7p1bw" name="isPrimaryContact" visibility="public">
          <ownedComment xmi:id="_B4Z6oFjuEeG6Pp3Py7p1bw" annotatedElement="_397OgFjtEeG6Pp3Py7p1bw">
            <body>Indicates whether this person is the primary one to contact.  Added for MyHealtheVet.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_hjhLEMJOEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_hjhyIMJOEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_p4Fc0AMxEeKTM4I4vlc5xg" name="asPerson" visibility="public" type="_420A62FD03B6425125E800E0" association="_p3ZgUAMxEeKTM4I4vlc5xg">
          <ownedComment xmi:id="_GdnYgKCTEeKNT6obAX9SKQ" annotatedElement="_p4Fc0AMxEeKTM4I4vlc5xg">
            <body>A pointer to a Person who is acting in the Role of ContactParty.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_p4HSAAMxEeKTM4I4vlc5xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_p4HSAQMxEeKTM4I4vlc5xg" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_mHCz4BsvEd--ZY2-pbJ-Pw" name="Country">
        <ownedComment xmi:id="_H7pI8DA7Ed-1aYBV65Lrnw" annotatedElement="_mHCz4BsvEd--ZY2-pbJ-Pw">
          <body>&quot;A community of people composed of one or more nationalities and possessing a more or less defined territory and government.&quot; – Merriam-Webster.  An organization created to govern a country, which has the power to grant citizenship to its people.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_N5_kkBswEd--ZY2-pbJ-Pw" name="code" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Tz_3ADA7Ed-1aYBV65Lrnw" annotatedElement="_N5_kkBswEd--ZY2-pbJ-Pw">
            <body>Identifies the country.&#xD;
&quot;Contains the information related to a person's country citizenship. For country citizenship HL7 recommends using ISO table 3166....&quot; - HL7 Version 2.8, PID-26.&#xD;
&quot;Identif(ies) the next of kin/associated party's citizenship.&quot; - HL7 Version 2.8, NK1-19.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6418A501902C7" name="Employee">
        <eAnnotations xmi:id="_NPfofeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_cFvOoBqNEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6418A501902C7">
          <body>This class represents information about a person in the role of an employee of some organization.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_Q-x98ANSEeKTM4I4vlc5xg" name="employeeId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_0-z2oANSEeKTM4I4vlc5xg" annotatedElement="_Q-x98ANSEeKTM4I4vlc5xg">
            <body>&quot;The number that the employer assigns to the employee that is acting as next of kin/associated parties. However, if the contact role is the patient's employer, this field contains the employee number of the patient at their place of employment.&quot; - HL7 Version 2.8, NK1-12.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6Rc4sAinEeKmtKel3KkMBA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6RdfwAinEeKmtKel3KkMBA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B642131AEA03BA" name="employmentDuration" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_frXRgBqNEd-j8JC21F3W2A" annotatedElement="_420A62FD03B642131AEA03BA">
            <body>The date range during which a person is an employee in a given employment relationship.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evDaMuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evDaM-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6431D9F120316" name="employmentStatus" visibility="public">
          <ownedComment xmi:id="_jkgtUBqNEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6431D9F120316">
            <body>Indicates the state of the Employee instance, as defined in the Role state-transition model in the HL7 RIM.  Possible values include: Pending, Canceled, Active, Suspended, Terminated, and Nullified.&#xD;
&quot;The next of kin/associated party's job status.&quot; - HL7 Version 2.8, NK1-34. Possible values include (from HL7 Table 311): Permanent; Temporary; Other; Unknown.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evDaNuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evDaN-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64266779500EB" name="jobTitle" visibility="public">
          <eAnnotations xmi:id="_NPWej-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_pHUOkBqNEd-j8JC21F3W2A" annotatedElement="_420A62FD03B64266779500EB">
            <body>'The title of the job held, for example, Vice President, Senior Technical Analyst. This is a local name for the employee's occupation that doesn't necessarily correspond to any scheme for categorizing occupation.' (HL7 v3)&#xD;
&quot;The title of the next of kin/associated parties at their place of employment.  However, if the contact role is the patient's employer, this field contains the job title of the patient at their place of employment.&quot; - HL7 Version 2.8, NK1-10.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evDaNOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evDaNeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oFBQruwVEd6PwKowkorMOw" name="occupation" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_soBVMBqNEd-j8JC21F3W2A" annotatedElement="_oFBQruwVEd6PwKowkorMOw">
            <body>&quot;A value that qualifies the classification of 'kind-of-work' based upon a recognized industry or jurisdictional standard.&quot; - HL7 Version 3 RIM.&#xD;
&quot;The employer's job code and the employee classification used for the next of kin/associated parties at their place of employment. However, if the contact role is the patient's employer, this field contains the job code/class of the patient at their place of employment.&quot; - HL7 Version 2.8, NK1-11.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oFBQsuwVEd6PwKowkorMOw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oFBQsewVEd6PwKowkorMOw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_aP2xshAyEd-2E9qx-lgHBg" name="workAddress" visibility="public" type="_420A62FD03B6418A8DCD02C2">
          <ownedComment xmi:id="_w7ZO4BqNEd-j8JC21F3W2A" annotatedElement="_aP2xshAyEd-2E9qx-lgHBg">
            <body>The person's office address.  First choice for business related contacts during business hours.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_nzsTMMJPEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_nzsTMcJPEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_aP2xsBAyEd-2E9qx-lgHBg" name="workPhone" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_1ZWA4BqNEd-j8JC21F3W2A" annotatedElement="_aP2xsBAyEd-2E9qx-lgHBg">
            <body>The person's office telephone number.  First choice for business related contacts during business hours.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_og4wYMJPEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_og5XcMJPEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_zruIULZJEeGWl-7OlqBMDw" name="employer" visibility="public" type="_rbFH0LZJEeGWl-7OlqBMDw" association="_zrp24LZJEeGWl-7OlqBMDw">
          <ownedComment xmi:id="_nQSQcLZLEeGWl-7OlqBMDw" annotatedElement="_zruIULZJEeGWl-7OlqBMDw">
            <body>Pointer to the employer for which this person is an employee.&#xD;
&quot;The name of the organization that serves as a next of kin/associated party or as the next of kin of the patient.  This field may also be used to communicate the name of the organization at which the associated party works.&quot; - HL7 Version 2.8, NK1-13.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_zrvWcLZJEeGWl-7OlqBMDw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_zrv9gLZJEeGWl-7OlqBMDw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_rbFH0LZJEeGWl-7OlqBMDw" name="Employer">
        <ownedComment xmi:id="_mIs9ULZLEeGWl-7OlqBMDw" annotatedElement="_rbFH0LZJEeGWl-7OlqBMDw">
          <body>A person or business that employs one or more people, especially for wages or salary.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_5e-gYLZJEeGWl-7OlqBMDw" name="industryClassification" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_5uJ58LZLEeGWl-7OlqBMDw" annotatedElement="_5e-gYLZJEeGWl-7OlqBMDw">
            <body>A categorization of the type of activity in which an organization is engaged.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_k7sFoOV0EeGA8s9JtidNVQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_k7sssOV0EeGA8s9JtidNVQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0eJq0LZJEeGWl-7OlqBMDw" name="organization" visibility="public" type="_420A62FD03B6418AA15801A9" association="_0eFZYLZJEeGWl-7OlqBMDw">
          <ownedComment xmi:id="_qf_GoLZLEeGWl-7OlqBMDw" annotatedElement="_0eJq0LZJEeGWl-7OlqBMDw">
            <body>Pointer to the organization playing the role of employer.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0eK48LZJEeGWl-7OlqBMDw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0eLgALZJEeGWl-7OlqBMDw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_MF0JYOEVEd6EKMSYA1gKjA" name="Entity" isAbstract="true">
        <ownedComment xmi:id="__7Ux4BqNEd-j8JC21F3W2A" annotatedElement="_MF0JYOEVEd6EKMSYA1gKjA">
          <body>'A physical thing, group of physical things or an organization capable of participating in Acts while in a role.  An entity is a physical object that has, had or will have existence. The only exception to this is Organization, which while not having a physical presence, fulfills the other characteristics of an Entity.  Entity stipulates the thing itself, not the Roles it may play: the Role of Patient, e.g., is played by the Person Entity.'  HL7 RIM.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_8ABmQBsXEd--ZY2-pbJ-Pw" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_RcE4IBsYEd--ZY2-pbJ-Pw" annotatedElement="_8ABmQBsXEd--ZY2-pbJ-Pw">
            <body>An identifier that uniquely identifies the individual.  Note that this property can hold more than one value, and that the datatype contains an indicator of the kind of identifier that is assigned.  For example, a Person record might contain an SSN, a driver's license number, and a locally-assigned id.  These identifiers, while different, all identify the same individual.  However, the FHIM calls out certain Ids that are specifically required.  For example, the Person class explictly contains an SSN property.  In the case when an Id is explicitly modeled, that Id type should not be included in this property.  Therefore, an SSN should not be instantiated in this property, because a separate SSN field exists for that purpose.&#xD;
&quot;This field contains the list of identifiers (one or more) used by the healthcare facility to uniquely identify a patient (e.g., medical record number, billing number, birth registry, national unique individual identifier, etc.).&quot; - HL7 Version 2.8, PID-3&#xD;
&quot;Identifier for a person within a particular scope.&quot; - HL7 FHIR, Person.identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_to6m4IAbEeGE1-mzJa42fw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_to7N8IAbEeGE1-mzJa42fw" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_vDN9UF-OEd-WjrW-OJ9BNQ" name="HealthRecord">
        <ownedComment xmi:id="_vDN9UV-OEd-WjrW-OJ9BNQ" annotatedElement="_vDN9UF-OEd-WjrW-OJ9BNQ">
          <body>This class is used to store a reference to the health record that is the subject of the consent rules in the Consent Directive.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_vDN9Ul-OEd-WjrW-OJ9BNQ" name="recordId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_vDN9U1-OEd-WjrW-OJ9BNQ" annotatedElement="_vDN9Ul-OEd-WjrW-OJ9BNQ">
            <body>The id of the record that is the target of a consent directive.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vDN9VV-OEd-WjrW-OJ9BNQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vDN9VF-OEd-WjrW-OJ9BNQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_vDN9Vl-OEd-WjrW-OJ9BNQ" name="recordLocation" visibility="public">
          <ownedComment xmi:id="_vDN9V1-OEd-WjrW-OJ9BNQ" annotatedElement="_vDN9Vl-OEd-WjrW-OJ9BNQ">
            <body>The location of the record that is the target of a consent directive.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vDN9WV-OEd-WjrW-OJ9BNQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vDN9WF-OEd-WjrW-OJ9BNQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_l0XegO_4Ed6OG-vjYTopTQ" name="HumanPatient">
        <ownedComment xmi:id="_uyCgQBqOEd-j8JC21F3W2A" annotatedElement="_l0XegO_4Ed6OG-vjYTopTQ">
          <body>A specialization of the Patient role containing information specific to only human patients (such as confidentiality code).&#xD;
&#xD;
Notes:&#xD;
We removed veryImportantPerson code (4/4/2013) because we do not have a use-case for it.  It was perhaps more useful pre-HIPAA for privacy reasons, or intra-organizational for special treatment purposes, but we do not foresee any inter-organizational requirements at this time.  Note that this property mapped to PV1-16.</body>
        </ownedComment>
        <generalization xmi:id="_NU0XQBA1Ed-2E9qx-lgHBg" general="_420A62FD03B6418A4E500034"/>
        <ownedAttribute xmi:id="_dTlJsFLTEd-aupaAgPbDFw" name="subject" visibility="public" type="_420A62FD03B6425125E800E0" association="_dTbYsFLTEd-aupaAgPbDFw">
          <ownedComment xmi:id="_l4DbUIVLEd-6PJo369YzhQ" annotatedElement="_dTlJsFLTEd-aupaAgPbDFw">
            <body>Pointer to the person who is playing the role of patient (HumanPatient).</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_dTlJsVLTEd-aupaAgPbDFw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_dTlJslLTEd-aupaAgPbDFw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6418A95BD037E" name="LanguageCapability">
        <eAnnotations xmi:id="_NRInM-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_FLhqwBqPEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6418A95BD037E">
          <body>The language communication capabilities for a Person.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B6418A994A0104" name="isPreferred" visibility="public">
          <eAnnotations xmi:id="_NQ_dROLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_I4KUkBqPEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6418A994A0104">
            <body>Specifies whether or not the language is preferred by the person for the associated method of expression.&#xD;
&quot;Indicates whether or not the Patient prefers this language (over other languages he masters up a certain level).&quot; - HL7 FHIR, Patient.communication.preferred.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evNLSOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evNLSeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6418A96D500A5" name="language" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_KjvsoBqPEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6418A96D500A5">
            <body>A language for which the Person has some level of proficiency for written or spoken communication.&#xD;
&quot;The patient's primary language.  HL7 recommends using ISO table 639&quot; - HL7 Version 2.8, PID-15.&#xD;
&quot;The next of kin/associated party's primary speaking language.&quot; - HL7 Version 2.8, NK1-20.&#xD;
&quot;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.&quot; - HL7 FHIR, Patient.communication.language.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evNLSuLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evNLS-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6418A983702B7" name="methodOfExpression" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_MFyuMBqPEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6418A983702B7">
            <body>The means by which the person is capable of communicating in the language.  Examples of method of expression would be written and spoken.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evNLTOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evNLTeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6418A98AA03A3" name="proficiencyLevel" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_NRInMeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_OJ-McBqPEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6418A98AA03A3">
            <body>&quot;A value representing the level of proficiency in a language.&quot; - HL7 V3.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evNLTuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evNLT-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_N8vOgOaWEd6YGfoXAoNmMA" name="Animal">
        <ownedComment xmi:id="_L_cjsBqREd-j8JC21F3W2A" annotatedElement="_N8vOgOaWEd6YGfoXAoNmMA">
          <body>A subtype of LivingSubject that includes all animals except the species homo sapiens which might be the subject of Healthcare-related activities.  Note that this class does not include microorganisms, insects, plants, etc.  A separate MicroOrganism class exists in Laboratory to handle identification of microorganisms in Laboratory Tests.&#xD;
*** Note: This class serves as a placeholder for information needed to support future use cases. ***</body>
        </ownedComment>
        <generalization xmi:id="_XYBsIBA2Ed-2E9qx-lgHBg" general="_KBfhMOEVEd6EKMSYA1gKjA"/>
        <ownedAttribute xmi:id="_420A62FD03B6455395A201F1" name="biologicalSex" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NQixVOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6455395A201F1">
            <body>The sex of a living subject.  Note that the biological sex is different from administrative gender which is defined for administrative purposes.  This attribute reflects the karyotypic sex of the patient, regardless of whether sexual organs may have been altered.  For example, a neutered dog will still have the same underlying chromosomes.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_gMzrsI3nEeC71dGAKsmahg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_gM050I3nEeC71dGAKsmahg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_aQFIEIVKEd-6PJo369YzhQ" name="name" visibility="public">
          <ownedComment xmi:id="_sjImEO6wEd-crcWiXVDZrQ" annotatedElement="_aQFIEIVKEd-6PJo369YzhQ">
            <body>A name used to identify the non-human individual.  Typically used only when the individual is a pet or a beast of burden.  Examples include &quot;Spot&quot;, &quot;Fido&quot;, &quot;Seattle Slew&quot;. Note that this property is typically not used when the subject is a lower order organism or a stock animal.&#xD;
&quot;Contains one or more of the names of the patient....  For animals, if a Name Type of &quot;R&quot; is used, use &quot;Name Context&quot; to identify the authority with which the animal's name is registered.&quot; - HL7 Version 2.8, PID-5.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SK7cAMJEEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SK8DEMJEEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QGMWELKLEeK_s63jeeMxMg" name="isNeutered" visibility="public" type="_yQqY4LyGEeGK2djLWlLFew">
          <ownedComment xmi:id="_602C4LKLEeK_s63jeeMxMg" annotatedElement="_QGMWELKLEeK_s63jeeMxMg">
            <body>Indicates whether the animal has been altered such that they cannot procreate.  Note that information that the animal has been neutered can also be modeled in a clinical domain as a procedure or observation, however it is captured in this domain as a simple property.&#xD;
&quot;Indicates the current state of the animal's reproductive organs.&quot; - HL7 FHIR, Patient.animal.genderStatus.  Note that FHIR models this concept as a code with values Neutered, Intact.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_agejoLKLEeK_s63jeeMxMg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_agfKsLKLEeK_s63jeeMxMg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_l4p8UOOSEd-8X4J7aT-aiQ" name="primaryIntent" visibility="public">
          <ownedComment xmi:id="_uq_VUO6uEd-crcWiXVDZrQ" annotatedElement="_l4p8UOOSEd-8X4J7aT-aiQ">
            <body>&quot;The primary use for which the living subject was bred or grown.&quot; - HL7 Version 2.8, PID-38.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QGOZUMJEEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QGPAYMJEEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KpChwIVKEd-6PJo369YzhQ" name="organismTaxon" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_0JMqcO6uEd-crcWiXVDZrQ" annotatedElement="_KpChwIVKEd-6PJo369YzhQ">
            <body>A categorization of non-human biological entities. Possible values include canine, German Shepherd, staphylococcus aureus, etc.&#xD;
Note that breed is no longer a stand-alone concept, as this information is included in the SNOMED species hierarchy.  Thus, this property handles both species and breed, and the separate breed property was removed.&#xD;
&#xD;
&quot;The species of living organism.  This may include the common or scientific name, based on the coding system(s) used.  SNOMED is the recommended coding system.&quot; - HL7 Version 2.8, PID-35.&#xD;
&quot;The specific breed of animal.  This field, unlike Species and Strain is specific to animals and cannot be generally used for all living organisms.  SNOMED is the recommended coding system.&quot; - HL7 Version 2.8, PID-36.&#xD;
&quot;Identifies the high level taxonomic categorization of the kind of animal.&quot; - HL7 FHIR, Patient.animal.species.&#xD;
&quot;Identifies the detailed categorization of the kind of animal.&quot; - HL7 FHIR, Patient.animal.breed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_eWspkGy2EeKS_YH7dVt7vw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_eWtQoGy2EeKS_YH7dVt7vw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Np3dgJ1WEeKGRqm0H7Eu1A" name="OccupationalHistoryObservation">
        <ownedComment xmi:id="_Fk6AMJ1kEeKGRqm0H7Eu1A" annotatedElement="_Np3dgJ1WEeKGRqm0H7Eu1A">
          <body>This class records observations regarding the usual occupation of a person, and what industries the person has worked in.  This information is needed primarily for occupation safety and workplace-related illness tracking purposes, but it is often asked for other non-healthcare related reasons, such as insurance.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_FmDz4E42EeOOotSac0xoEA" name="currentIndustryClassification" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_FmDz4U42EeOOotSac0xoEA" annotatedElement="_FmDz4E42EeOOotSac0xoEA">
            <body>A categorization of the type of activity in which an organization is engaged.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FmDz4042EeOOotSac0xoEA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FmDz4k42EeOOotSac0xoEA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BSY_QE42EeOOotSac0xoEA" name="currentOccupation" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_BSY_QU42EeOOotSac0xoEA" annotatedElement="_BSY_QE42EeOOotSac0xoEA">
            <body>&quot;A value that qualifies the classification of 'kind-of-work' based upon a recognized industry or jurisdictional standard.&quot; - HL7 Version 3 RIM.&#xD;
&quot;The employer's job code and the employee classification used for the next of kin/associated parties at their place of employment. However, if the contact role is the patient's employer, this field contains the job code/class of the patient at their place of employment.&quot; - HL7 Version 2.8, NK1-11.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BSY_Q042EeOOotSac0xoEA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BSY_Qk42EeOOotSac0xoEA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_k_CfAEGrEeOEEpWN37sQ2g" name="dateObserved" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_vnUFQEGrEeOEEpWN37sQ2g" annotatedElement="_k_CfAEGrEeOEEpWN37sQ2g">
            <body>The date upon which the observation of the Person's Occupational History was made.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_pdHz4EGrEeOEEpWN37sQ2g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_pdIa8EGrEeOEEpWN37sQ2g" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_OvALkOV1EeGA8s9JtidNVQ" name="usualIndustry" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_OvALk-V1EeGA8s9JtidNVQ" annotatedElement="_OvALkOV1EeGA8s9JtidNVQ">
            <body>The kind of industry in which the Person normally works; generally this will be the industry in which the Person has longest worked.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_OvALleV1EeGA8s9JtidNVQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_OvALlOV1EeGA8s9JtidNVQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__IYcAOV0EeGA8s9JtidNVQ" name="usualOccupation" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="__IYcAuV0EeGA8s9JtidNVQ" annotatedElement="__IYcAOV0EeGA8s9JtidNVQ">
            <body>The kind of work in which the Person has been engaged the most amount of time.&#xD;
&#xD;
&quot;A value that qualifies the classification of 'kind-of-work' based upon a recognized industry or jurisdictional standard.&quot; - HL7 Version 3 RIM.&#xD;
&#xD;
Note that the definition of this property needs to be refined.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="__IYcBOV0EeGA8s9JtidNVQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="__IYcA-V0EeGA8s9JtidNVQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7wk0sEcGEeKYw8d4t3T9cw" name="yearsInCurrentOccupation" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_7wk0sUcGEeKYw8d4t3T9cw" annotatedElement="_7wk0sEcGEeKYw8d4t3T9cw">
            <body>The length of time in years in which the Person has been engaged in the occupation in which he or she is currently engaged.  Added for Public Health Reporting Initiative, 10/12/2012.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_7wk0s0cGEeKYw8d4t3T9cw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_7wk0skcGEeKYw8d4t3T9cw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_UQyyYBSXEeKpJeaG5gXc6Q" name="yearsInUsualOccupation" visibility="public" type="_N-BAoNYeEd62cosTNS-_lw">
          <ownedComment xmi:id="_xlc_QBSXEeKpJeaG5gXc6Q" annotatedElement="_UQyyYBSXEeKpJeaG5gXc6Q">
            <body>The length of time in years in which the Person has been engaged in the occupation in which he or she has longest held.  Added for Public Health Reporting Initiative, 10/12/2012.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZSgYwBSXEeKpJeaG5gXc6Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZSg_0BSXEeKpJeaG5gXc6Q" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_9_9I8AQAEeKZsvne-rOhhA" name="OrganizationalRepresentative">
        <ownedComment xmi:id="_CD6toAQBEeKZsvne-rOhhA" annotatedElement="_9_9I8AQAEeKZsvne-rOhhA">
          <body>Represents an organization that has an interest in or may represent a Person, for example, a Veteran Service Organization.&#xD;
&quot;The name of the organization that serves as a next of kin/associated party or as the next of kin of the patient.  This field may also be used to communicate the name of the organization at which the associated party works.&quot; - HL7 Version 2.8, NK1-13.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_SEkAUAS9EeKZRNRj-xVwIw" name="address" visibility="public" type="_420A62FD03B6418A8DCD02C2">
          <ownedComment xmi:id="_SEkAUQS9EeKZRNRj-xVwIw" annotatedElement="_SEkAUAS9EeKZRNRj-xVwIw">
            <body>&quot;The addresses of the contact person depending on the value of the relationship defined in NK1-3 - Relationship.  This field is typically used when the NK1 is an organization.&quot; - HL7 Version 2.8, NK1-32.&#xD;
&quot;Address for the contact person.&quot; - HL7 FHIR, Patient.contact.address.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SEkAUwS9EeKZRNRj-xVwIw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SEkAUgS9EeKZRNRj-xVwIw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ecamoPm7EeSJ3abZ9RQzyQ" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_ecamofm7EeSJ3abZ9RQzyQ" annotatedElement="_ecamoPm7EeSJ3abZ9RQzyQ">
            <body>The date range during which this person is a contact party for the patient.&#xD;
&quot;The start date of the contact role.&quot; - HL7 Version 2.8, NK1-8.&#xD;
&quot;The end date of the contact role.&quot; - HL7 Version 2.8, NK1-9.&#xD;
&quot;The period during which this contact person or organization is valid to be contacted relating to this patient.&quot; - HL7 FHIR, Patient.contact.period.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ecamo_m7EeSJ3abZ9RQzyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ecamovm7EeSJ3abZ9RQzyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_DoRcUAQBEeKZsvne-rOhhA" name="name" visibility="public">
          <ownedComment xmi:id="_G7xNYAQBEeKZsvne-rOhhA" annotatedElement="_DoRcUAQBEeKZsvne-rOhhA">
            <body>&quot;The name of the organization that serves as a next of kin/associated party or as the next of kin of the patient.  This field may also be used to communicate the name of the organization at which the associated party works.&quot; - HL7 Version 2.8, NK1-13.&#xD;
&quot;Organization on behalf of which the contact is acting or for which the contact is working.&quot; - HL7 FHIR, Patient.contact.organization.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SEiyMAS9EeKZRNRj-xVwIw" name="pointOfContactName" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ">
          <eAnnotations xmi:id="_SEiyMQS9EeKZRNRj-xVwIw" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_SEiyMwS9EeKZRNRj-xVwIw" annotatedElement="_SEiyMAS9EeKZRNRj-xVwIw">
            <body>&quot;Contains one or more of the names of the person to contact, depending on the value of the relationship defined in NK1-3 - Relationship.  This field is typically needed when the NK1 is an organization.&quot; - HL7 Version 2.8, NK1-30.&#xD;
&quot;A name associated with the contact person.&quot; - HL7 FHIR, Patient.contact.name.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_SEiyNQS9EeKZRNRj-xVwIw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_SEiyNAS9EeKZRNRj-xVwIw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_SEkAVAS9EeKZRNRj-xVwIw" name="telecom" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_SEkAVQS9EeKZRNRj-xVwIw" annotatedElement="_SEkAVAS9EeKZRNRj-xVwIw">
            <body>&quot;The telephone numbers of the contact person depending on the value of the relationship defined in NK1-3 - Relationship.  This field is typically needed when the NK1 is an organization.&quot; - HL7 Version 2.8, NK1-31.&#xD;
&quot;A contact detail for the person, e.g. a telephone number or an email address.&quot; - HL7 FHIR, Patient.contact.telecom.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_d5n58MJTEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_d5ohAMJTEeK_EPjbFxtubQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6418A4E500034" name="Patient">
        <eAnnotations xmi:id="_NPWeguLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_RFfQcBqREd-j8JC21F3W2A" annotatedElement="_420A62FD03B6418A4E500034">
          <body>A role of a person or animal as a recipient of health care services from a healthcare provider.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_2-aeMNghEeG3E4mt6RKX5Q" name="beginDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Gbo6MKChEeKNT6obAX9SKQ" annotatedElement="_2-aeMNghEeG3E4mt6RKX5Q">
            <body>The first date upon which the Person or Animal was a Patient of the associated Healthcare Provider.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_HkQ_UMJEEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_HkRmYMJEEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8a5VANghEeG3E4mt6RKX5Q" name="endDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_Ywg_wKChEeKNT6obAX9SKQ" annotatedElement="_8a5VANghEeG3E4mt6RKX5Q">
            <body>The last date upon which the Person or Animal was a Patient of the associated Healthcare Provider.  For inactive patients, particularly in outpatient situations, this date is often not known.  Each organization will set its own rules regarding when a patient is no longer considered active, often if they have not seen nor heard from the patient in over a year.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_INC2kMJEEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_INDdoMJEEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_VL1fMNrKEd-fKY5dgJoxiA" name="mothersIdentifier" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_B_P0QO6vEd-crcWiXVDZrQ" annotatedElement="_VL1fMNrKEd-fKY5dgJoxiA">
            <body>A unique identifer for the person's mother.&#xD;
&quot;This field is used, for example, as a link field for newborns.  Typically a patient ID or account number may be used.  This field can contain multiple identifiers for the same mother.&quot; - HL7 Version 2.8, PID-21.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_enUiMNrKEd-fKY5dgJoxiA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_enUiMdrKEd-fKY5dgJoxiA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6422B959E03BD" name="patientId" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_XPxocBqREd-j8JC21F3W2A" annotatedElement="_420A62FD03B6422B959E03BD">
            <body>A unique identifier for the Person or Animal while in the role of Patient.  Note that the patient Id is assigned by the Healthcare Provider (organization), and that the Id data type includes an assigning authority component which identifies the organization that assigned the id.  A single Person will typically have multiple patient Ids; one at each organization which considers that Person a Patient.&#xD;
&quot;Contains the list of identifiers (one or more) used by the healthcare facility to uniquely identify a patient (e.g., medical record number, billing number, birth registry, national unique individual identifier, etc.).&quot; - HL7 Version 2.8, PID-3.&#xD;
&quot;An identifier for this patient.&quot; - HL7 FHIR, Patient.identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evDaLuLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evDaL-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6424898A200CA" name="status" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_NPMthOLiEduGJrQyRGTO1A" annotatedElement="_420A62FD03B6424898A200CA">
            <body>Indicates the state of the Patient Role instance.  This property is used, among other purposes, to determine whether the Patient should be included in a particular population, such as the &quot;denominator&quot; for various quality-reporting criteria.  Possible values are Active, Inactive-Moved or gone elsewhere, Inactive-Lost to follow up, Inactive-Unspecified, Inactive-Permanently.  Note that the preceeding four Inactive states correspond to the V3 Terminated state.&#xD;
&#xD;
Note that for public health reporting purposes, this status indicates the active/inactive status of the patient at the provider site level. See MIROW “Management of Moved or Gone Elsewhere (MOGE) and Other Patient Status Designations in IIS guidelines.&#xD;
&#xD;
&quot;Whether this patient record is in active use.&quot; - HL7 FHIR, Patient.active.  Note that FHIR has a boolean field indicating that the patient is active or not, while the FHIM has a more expressive set of statuses.  A FHIM value of Active would correspond to true in FHIR, while all of the Inactive status types would correspond to a false in FHIR.  When migrating from FHIR to FHIM, a false would translate to Inactive-Unspecified.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evDaLOLjEdutr_MT9HkPyQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evDaLeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8AqXcNgeEeG3E4mt6RKX5Q" name="managingOrganization" visibility="public" type="_aW26cBsbEd--ZY2-pbJ-Pw" association="_8AmGANgeEeG3E4mt6RKX5Q">
          <ownedComment xmi:id="_kgiRMKChEeKNT6obAX9SKQ" annotatedElement="_8AqXcNgeEeG3E4mt6RKX5Q">
            <body>Pointer to the Healthcare Provider that has established a Patient record for the Person or Animal being treated.  Note that the Patient class represents a Role that the Person or Animal is playing; the Healthcare Provider is &quot;scoping&quot; that role.  A single Person will have multiple Patient roles with different Healthcare Providers, and may have more than one with the same Provider, especially in in-patient settings.&#xD;
&quot;Organization that is the custodian of the patient record.&quot; - HL7 FHIR, Patient.managingOrganization.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8ArlkNgeEeG3E4mt6RKX5Q" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8ArlkdgeEeG3E4mt6RKX5Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-xnv4V-OEd-WjrW-OJ9BNQ" name="healthRecord" visibility="public" type="_vDN9UF-OEd-WjrW-OJ9BNQ" association="_-xnv4F-OEd-WjrW-OJ9BNQ">
          <ownedComment xmi:id="_UutWUO6qEd-crcWiXVDZrQ" annotatedElement="_-xnv4V-OEd-WjrW-OJ9BNQ">
            <body>Pointer to records regarding the Patient's healthcare that are subject to the consent rules in Consent Directives.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-xnv4l-OEd-WjrW-OJ9BNQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-xnv41-OEd-WjrW-OJ9BNQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ZibxoIx3EeCBU92aoqPk5w" name="primaryCareProvider" visibility="public" type="_W2UwsIx3EeCBU92aoqPk5w" association="_ZiYuUIx3EeCBU92aoqPk5w">
          <ownedComment xmi:id="_hAn18IyBEeCBU92aoqPk5w" annotatedElement="_ZibxoIx3EeCBU92aoqPk5w">
            <body>A pointer to the doctor selected by the patient to be the first physician contacted for any medical problem. The doctor acts as the patient's regular physician and coordinates any other care the patient needs, such as a visit to a specialist or hospitalization.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Zic_wIx3EeCBU92aoqPk5w"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Zidm0Ix3EeCBU92aoqPk5w" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_U3ehQKyOEeSUSIBAyhZNow" name="encounter" visibility="public" type="_qS7A8GitEeG3pKm-C5y0hA" association="_U3UwQKyOEeSUSIBAyhZNow">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_U3oSQKyOEeSUSIBAyhZNow"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_U3oSQayOEeSUSIBAyhZNow" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_tISoYPm_EeSJ3abZ9RQzyQ" name="careProvider" visibility="public" type="_aW26cBsbEd--ZY2-pbJ-Pw" association="_tIPlEPm_EeSJ3abZ9RQzyQ">
          <ownedComment xmi:id="_z9HLIPm_EeSJ3abZ9RQzyQ" annotatedElement="_tISoYPm_EeSJ3abZ9RQzyQ">
            <body>&quot;Patient's nominated care provider.&quot; - HL7 FHIR, Patient.careProvider.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_tITPcPm_EeSJ3abZ9RQzyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_tITPcfm_EeSJ3abZ9RQzyQ" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6425125E800E0" name="Person">
        <eAnnotations xmi:id="_NQ1sRuLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_i9W_ABqTEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6425125E800E0">
          <body>This class represents a human being of interest to the enterprise.  The person may potentially play many different roles, including those of a patient, a provider, or an employee.  It is noted that the same person may play different roles at different times.  For example, an employee may also be a licensed healthcare provider and may also at times be a patient.&#xD;
&#xD;
Notes:&#xD;
Removed educationLevel (4/4/2013) until we have a clear use case for it.  It's in the HL7 RIM, but not in V2.  Note that education information for provider credentialling is in Provider.&#xD;
We had an ethnicityGroup and raceCategory to handle more coarse-grained codesets, but removed them as the ethnicity and race codes are expected to use hierarchical fine-grained codesets.  The groups or categories can be calculated from the fine ones.</body>
        </ownedComment>
        <generalization xmi:id="_Z5rJgBA2Ed-2E9qx-lgHBg" general="_KBfhMOEVEd6EKMSYA1gKjA"/>
        <ownedAttribute xmi:id="_BfKyMBAlEd-2E9qx-lgHBg" name="address" visibility="public" type="_420A62FD03B6418A8DCD02C2">
          <ownedComment xmi:id="_Z8iewBqTEd-j8JC21F3W2A" annotatedElement="_BfKyMBAlEd-2E9qx-lgHBg">
            <body>A physical address at which the person is located or can be reached. The datatype for this property is Address which contains a type code to indicate what kind of address is being referenced. Note that this property can contain more than one entry.&#xD;
&#xD;
&quot;Contains the address of the patient.  Multiple addresses for the same person may be sent.&quot; - HL7 Version 2.8, PID-11.&#xD;
&quot;One or more addresses for the person.&quot; - HL7 FHIR, Person.address.&#xD;
&quot;Addresses for the individual.&quot; - HL7 FHIR, Patient.address.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_YLf-UCKUEeCBocG0Z_rtrQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_YLpIQCKUEeCBocG0Z_rtrQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_LM4rUHwDEeCp-57mUxyZlg" name="administrativeGender" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_LM4rUXwDEeCp-57mUxyZlg" annotatedElement="_LM4rUHwDEeCp-57mUxyZlg">
            <body>&quot;Gender is used to refer to administrative sex rather than biological sex and therefore should easily be classified into female and male. It is included in the exchange for purposes of linking to insurance information and other patient identification linkages and the value chosen by the patient should reflect the information under which any insurance or financial information will be filed, as well as the same information given to other healthcare providers, institutions or health data exchange networks&quot; - HITSP C154&#xD;
&#xD;
&quot;The gender (i.e., the behavioral, cultural, or psychological traits typically associated with one sex) of a living subject as defined for administrative purposes.  This attribute does not include terms related to clinical gender.  Gender is a complex physiological, genetic, and sociological concept that requires multiple observations in order to be comprehensively described.  The purpose of this attribute is to provide a high-level classification that can also be used for the appropriate allocation of inpatient bed assignment. - HL7 Version 3 RIM.&#xD;
&#xD;
Note that the this concept is restricted to those societal roles as perceived in the United States and other Western cultures.&#xD;
&#xD;
&quot;The patient's sex.&quot; - HL7 Version 2.8, PID-8.&#xD;
&quot;The next of kin/associated party's sex.&quot; - HL7 Version 2.8, NK1-15.&#xD;
HL7 Version 2 has the following suggested values (table 1): Female; Male; Other; Unknown; Ambiguous; Not applicable.&#xD;
&quot;Administrative Gender.&quot; - HL7 FHIR, Person.gender.&#xD;
&quot;Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.&quot; - HL7 FHIR, Patient.gender.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645538E6E004F" name="birthAddress" visibility="public" type="_420A62FD03B6418A8DCD02C2">
          <eAnnotations xmi:id="_NQGFauLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_0d7SwBqTEd-j8JC21F3W2A" annotatedElement="_420A62FD03B645538E6E004F">
            <body>The city, state (or other designation such as province or region) and country where a person was born.  Used for both identification and statistical purposes.&#xD;
&#xD;
&quot;Indicates the location of the patient's birth&quot; - HL7 Version 2.8, PID-23.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evNLLOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evNLLeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_9TUx8GrUEeCJbfIpPWFXRg" name="birthName" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ">
          <eAnnotations xmi:id="_9TUx8WrUEeCJbfIpPWFXRg" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_9TUx8mrUEeCJbfIpPWFXRg" annotatedElement="_9TUx8GrUEeCJbfIpPWFXRg">
            <body>A name that a person had shortly after being born. Usually for family names but may be used to mark given names at birth that may have changed later.  In western cultures, this name can be used for &quot;maiden name.&quot;  Note that the data type for this property is a PersonName, which includes the various parts that make up a person's name such as family name, prefixes, suffixes, etc.    &quot;This field contains one or more of the names of the patient.&quot; - HL7 Version 2.8, PID-5  Note that in HL7, the PersonName data type contains a type code to indicate what kind of name is being referenced.  The FHIM explicitly models the name type, so in this case the attribute name is &quot;Birth Name&quot;, and the type code would be set to &quot;birth name&quot; when targeting an HL7 implementation.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_9TUx9GrUEeCJbfIpPWFXRg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_9TUx82rUEeCJbfIpPWFXRg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Y-OY0PkiEeGFnccz7SeroA" name="ethnicity" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Y-OY0_kiEeGFnccz7SeroA" annotatedElement="_Y-OY0PkiEeGFnccz7SeroA">
            <body>A group of people whose members identify with each other, through a common heritage, often consisting of a common language, a common culture (often including a shared religion) and an ideology that stresses common ancestry or endogamy .  In addition, an ethnic group often shares an interest in a homeland connected with a specific geographical area and common traditions, including food preferences  (Wikipedia).  Note that unlike race, which concentrates on a person s physical heritage, ethnicity is concerned with the cultural heritage with which a person identifies themselves.  Examples of ethnicity include: German, Scandinavian, Italian, Irish, etc.  These ethnic groups are of the same race (Caucasian, or  white ).  Note also that the set of ethnicity values used may vary based on the purpose for collecting this information.  The U.S. Office of Management and Budget (OMB) issues a set to be used for census purposes.  See OMB publication 15.  This property may contain more than one ethnicity for a given person, identified in no particular order.&#xD;
&quot;This field further defines the patient's ancestry.&quot; - HL7 Version 2.8, PID-22.&#xD;
&quot;The next of kin/associated party's ethnic group.&quot; - HL7 Version 2.8, NK1-28.&#xD;
HL7 Version 2 has the following suggested values (table 189): Hispanic or Latino; Not Hispanic or Latino; Unknown.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Y-OY1fkiEeGFnccz7SeroA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Y-OY1PkiEeGFnccz7SeroA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_71p24GrQEeCJbfIpPWFXRg" name="fathersName" visibility="public">
          <ownedComment xmi:id="_AUQwQJX_EeCD7vwmJe8BlA" annotatedElement="_71p24GrQEeCJbfIpPWFXRg">
            <body>The name of the father of the person.  Used primarily for identification purposes.  Added for VRM, but other use cases are anticipated.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_LxgC8NmHEeChWYqvVB0Hpw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_LxgC8dmHEeChWYqvVB0Hpw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="___TaIMF0EeKM54AtDRfO0A" name="handicap" visibility="public">
          <ownedComment xmi:id="___TaIcF0EeKM54AtDRfO0A" annotatedElement="___TaIMF0EeKM54AtDRfO0A">
            <body>&quot;Indicates the nature of the patient's permanent handicapped condition (e.g., deaf, blind).  A handicapped condition is defined as a physical or mental disability that is permanent.&quot; - HL7 Version 2.8, PD1-6.&#xD;
&#xD;
Note that this property is included in the FHIM for compatibility to HL7 V2, although we have not yet identified a particular need for it by partner agencies.  It is therefore modeled as an optional element.  In addition, the potential values for this field are currently unknown.  Therefore we have modeled it as a String rather than a Code, because we currently do not have a use case which requires a particular set of values.  Note also that HL7 identifies a Code Table (Table 295) for this property, but does not provide any suggested values.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="___TaI8F0EeKM54AtDRfO0A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="___TaIsF0EeKM54AtDRfO0A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_nHLWMJNgEeCyufOLCDZkFA" name="identityReliabilityCode" visibility="public">
          <ownedComment xmi:id="_agf7AJX8EeCD7vwmJe8BlA" annotatedElement="_nHLWMJNgEeCyufOLCDZkFA">
            <body>&quot;Contains a coded value used to communicate information regarding the reliability of patient/person identifying data transmitted via a transaction.  Values could indicate that certain fields on a PID segment for a given patient/person are known to be false (e.g., use of default or system-generated values for Date of Birth or Social Security Number).&quot; - HL7 Version 2.8, PID-32.  HL7 Version 2 has the following suggested values (table 445): Unknown/Default Social Security Number; Unknown/Default Date of Birth; Unknown/Default Address; Patient/Person Name is an Alias.  Suggest that the FHIM use something like: Unreliable Social Security Number, Unreliable Date of Birth, Unreliable Address; Unreliable Name.&#xD;
&#xD;
Note that this property is included in the FHIM for compatibility to HL7 V2, although we have not yet identified a particular need for it by partner agencies.  It is therefore modeled as an optional element.  In addition, the potential values for this field are currently unknown.  Therefore we have modeled it as a String rather than a Code, because we currently do not have a use case which requires a particular set of values.  Note also that HL7 identifies a Code Table (Table 445) for this property, but does not provide any suggested values.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_bGQ6gJX8EeCD7vwmJe8BlA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_bGQ6gZX8EeCD7vwmJe8BlA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_4r-noPm3EeSJ3abZ9RQzyQ" name="isActive" visibility="public">
          <ownedComment xmi:id="_4r-nofm3EeSJ3abZ9RQzyQ" annotatedElement="_4r-noPm3EeSJ3abZ9RQzyQ">
            <body>This optional property can be used to indicate whether the Person's record is active. It is included for compatibility to FHIR.&#xD;
&quot;Whether this person's record is in active use.&quot; - HL7 FHIR, Person.active.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4r-no_m3EeSJ3abZ9RQzyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4r-novm3EeSJ3abZ9RQzyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_3YL9wJ2sEeCX5OUDTSXncA" name="isIdentityUnknown" visibility="public">
          <ownedComment xmi:id="_Xku9wJ2tEeCX5OUDTSXncA" annotatedElement="_3YL9wJ2sEeCX5OUDTSXncA">
            <body>&quot;Indicates whether or not the patient's/person's identity is known.&quot; - HL7 Version 2.8, PID-31.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_B2-FUMJEEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_B2-sYMJEEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QC-GALYvEeGWl-7OlqBMDw" name="isTranslatorNeeded" visibility="public">
          <ownedComment xmi:id="_bSrqQLYwEeGWl-7OlqBMDw" annotatedElement="_QC-GALYvEeGWl-7OlqBMDw">
            <body>Indicates whether this person needs translation services due to an inability to speak English.  Added for Public Health Reporting 6/14/2012.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#Boolean"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_c_7AcLY2EeGWl-7OlqBMDw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_c_7ngLY2EeGWl-7OlqBMDw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="__X8NIJ2tEeCX5OUDTSXncA" name="lastUpdateDateTime" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_U9vQ4J2uEeCX5OUDTSXncA" annotatedElement="__X8NIJ2tEeCX5OUDTSXncA">
            <body>&quot;Contains the last update date and time for the patient's/person's identifying and demographic data, as defined in the PID segment....&quot; - HL7 Version 2.8, PID-33.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_EzIUcMJEEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_EzI7gMJEEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_W35QcJ2uEeCX5OUDTSXncA" name="lastUpdateFacility" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_jGSf8J2uEeCX5OUDTSXncA" annotatedElement="_W35QcJ2uEeCX5OUDTSXncA">
            <body>&quot;Identifies the facility of the last update to a patient's/person's identifying and demographic data, as defined in the PID segment....&quot; - HL7 Version 2.8, PID-34.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Zeg20GyvEeKS_YH7dVt7vw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Zehd4GyvEeKS_YH7dVt7vw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6431DAFC00244" name="livingArrangement" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_NPDjneLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_KT_KoBqVEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6431DAFC00244">
            <body>&quot;The housing situation of a person.  This attribute is used for discharge planning, social service assessment, and psychosocial evaluation.&quot; - HL7 Version 3 RIM.&#xD;
&quot;The situation in which the patient lives at his residential address.  Examples might include Alone, Family, Relatives, Institution, etc.&quot; - HL7 Version 2.8, PD1-2.&#xD;
&quot;The situation that the associated party lives in at his/her residential address.&quot; - HL7 Version 2.8, NK1-21.&#xD;
Possible values include (from HL7 Table 220): Alone; Family; Institution; Relative; Unknown; Spouse Only.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evDaKOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evDaKeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_B1moAAQFEeKZsvne-rOhhA" name="livingDependency" visibility="public">
          <eAnnotations xmi:id="_B1moAQQFEeKZsvne-rOhhA" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_B1moAgQFEeKZsvne-rOhhA" annotatedElement="_B1moAAQFEeKZsvne-rOhhA">
            <body>&quot;Identifies specific living conditions (e.g., spouse dependent on patient, walk-up) that are relevant to an evaluation of the patient's healthcare needs.  This information can be used for discharge planning. This field repeats because, for example, &quot;spouse dependent&quot; and &quot;medical supervision required&quot; can apply at the same time.&quot; - HL7 Version 2.8, PD1-1.&#xD;
&#xD;
&quot;Identifies specific living conditions (e.g., spouse dependent on patient, walk-up) that are relevant to an evaluation of the patient's healthcare needs.  This information can be used for discharge planning.  Examples might include Spouse Dependent, Medical Supervision Required, Small Children Dependent.&quot; - HL7 Version 2.8, NK1-17.&#xD;
&#xD;
Possible values include (from HL7 V2 Table 223): Spouse Dependent; Medical Supervision Required; Small Children Dependent; Other; Unknown.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_B1moBAQFEeKZsvne-rOhhA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_B1moAwQFEeKZsvne-rOhhA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_6Hu-gPm4EeSJ3abZ9RQzyQ" name="managingOrganization" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <eAnnotations xmi:id="_6Hu-gfm4EeSJ3abZ9RQzyQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_KeFh4Pm5EeSJ3abZ9RQzyQ" annotatedElement="_6Hu-gPm4EeSJ3abZ9RQzyQ">
            <body>This optional property can be used to identify the organization or organizational component that owns or manages the record of the Person. This property has been included for compatibility with FHIR.&#xD;
&quot;The Organization that is the custodian of the person record.&quot; - HL7 FHIR, Person.managingOrganization.&#xD;
&quot;Organization that is the custodian of the patient record.&quot; - HL7 FHIR, Patient.managingOrganization.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6Hu-hPm4EeSJ3abZ9RQzyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6Hu-g_m4EeSJ3abZ9RQzyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645538E8A0291" name="maritalStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_QOezIBqVEd-j8JC21F3W2A" annotatedElement="_420A62FD03B645538E8A0291">
            <body>&quot;Contains the patient's marital (civil) status.&quot; - HL7 Version 2.8, PID-16.&#xD;
&quot;Contains the next of kin/associated party's marital status.&quot; - HL7 Version 2.8, NK1-14.&#xD;
HL7 Version 2 has the following suggested values (table 2): Separated; Divorced; Married; Single; Widowed; Common law; Living together; Domestic partner; Registered domestic partner; Legally Separated; Annulled; Interlocutory; Unmarried; Unknown; Other; Unreported.&#xD;
&quot;The domestic partnership status of a person.&quot; - HL7 Version 3 RIM.&#xD;
&quot;This field contains a patient's most recent marital (civil) status.&quot; - HL7 FHIR, Patient.maritalStatus.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evNLOOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evNLOeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645538E6E0030" name="mothersMaidenName" visibility="public">
          <eAnnotations xmi:id="_NQZAW-LiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_VfsOEBqVEd-j8JC21F3W2A" annotatedElement="_420A62FD03B645538E6E0030">
            <body>&quot;The family name under which the [person's] mother was born (i.e., before marriage). It is used to distinguish between patients with the same last name.&quot; - HL7 Version 2.8, PID-6.&#xD;
&quot;The maiden name of the next of kin/associated party's mother.&quot; - HL7 Version 2.8, NK1-26.&#xD;
This property is typically used for identity management purposes, especially to distinguish between persons who may have similar or identical names.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evNLOuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evNLO-LjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_oFBQoOwVEd6PwKowkorMOw" name="name" visibility="public" type="_3lzSEFVyEdyaooytdRFnxQ">
          <ownedComment xmi:id="_FeCvYBqVEd-j8JC21F3W2A" annotatedElement="_oFBQoOwVEd6PwKowkorMOw">
            <body>The name by which a person is known or legally identified such as the name on a driver's license or passport.  Note that the data type for this property is a PersonName, which includes the various parts that make up a person's name such as family name, prefixes, suffixes, etc.  Note that in HL7, the PersonName data type contains a type code to indicate what kind of name is being referenced.  The FHIM explicitly models the name type, so in this case the attribute name is &quot;Legal Name&quot;, and the type code would be set to &quot;Legal Name&quot; when targeting an HL7 implementation.&#xD;
&#xD;
&quot;Contains one or more of the names of the patient....&quot; - HL7 Version 2.8, PID-5.&#xD;
&quot;A name associated with the person.&quot; - HL7 FHIR, Person.name.&#xD;
&quot;A name associated with the individual.&quot; - HL7 FHIR, Patient.name</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_oFBQpOwVEd6PwKowkorMOw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_oFBQo-wVEd6PwKowkorMOw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Nj4b4Pm-EeSJ3abZ9RQzyQ" name="photo" visibility="public" type="_420A62FD03B64586C73900D7">
          <ownedComment xmi:id="_aINfIPm-EeSJ3abZ9RQzyQ" annotatedElement="_Nj4b4Pm-EeSJ3abZ9RQzyQ">
            <body>&quot;An image that can be displayed as a thumbnail of the person to enhance the identification of the individual.&quot; - HL7 FHIR, Person.photo.&#xD;
&quot;Image of the patient.&quot; - HL7 FHIR, Patient.photo.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_TDIS0Pm-EeSJ3abZ9RQzyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_TDJg8Pm-EeSJ3abZ9RQzyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_ReTt8FjtEeG6Pp3Py7p1bw" name="preferredContactMethod" visibility="public">
          <ownedComment xmi:id="_LBPucFjuEeG6Pp3Py7p1bw" annotatedElement="_ReTt8FjtEeG6Pp3Py7p1bw">
            <body>The preferred method by which this person should be contacted.  Possible values include: primaryHomePhone, temporaryEmail, etc.  Added for MyHealtheVet.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DPi1UKHYEeKOduW7gMYQuw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DPjcYKHYEeKOduW7gMYQuw" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_grY40PkiEeGFnccz7SeroA" name="race" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_grY40_kiEeGFnccz7SeroA" annotatedElement="_grY40PkiEeGFnccz7SeroA">
            <body>A classification of humans into large and distinct populations or groups by factors such as heritable phenotypic characteristics or geographic ancestry, but also often influenced by and correlated with traits such as appearance, culture, ethnicity, and socio-economic status.  (Wikipedia).  This property may contain more than one race for a given person, identified in no particular order.&#xD;
&quot;This field refers to the patient's race.&quot; - HL7 Version 2.8, PID-10.&#xD;
&quot;The race of the next of kin/associated party.&quot; - HL7 Version 2.8, NK1-35.&#xD;
HL7 Version 2 has the following suggested values (table 5): American Indian or Alaska Native; Asian; Black or African American; Native Hawaiian or Other Pacific Islander; White; Other Race.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_grY41fkiEeGFnccz7SeroA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_grY41PkiEeGFnccz7SeroA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645538EAA0000" name="religiousAffiliation" visibility="public">
          <eAnnotations xmi:id="_NQixUeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_y5ahIBqVEd-j8JC21F3W2A" annotatedElement="_420A62FD03B645538EAA0000">
            <body>Identifies a set of spiritual beliefs to which the person adheres.  This property is used primarily to accommodate the person's religious preferences in clinical settings.&#xD;
&quot;The ... religious preference of a person (e.g. Hinduism, Islam, Roman Catholic). - HL7 Version 3 RIM.&#xD;
&quot;Contains the patient's religion.&quot; - HL7 Version 2.8, PID-17.&#xD;
&quot;The type of religion practiced by the next of kin/associated party.&quot; - HL7 Version 2.8, NK1-25.&#xD;
Note that HL7 Version 2 table 6 lists 85 suggested values for this field.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evNLPuLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evNLP-LjEdutr_MT9HkPyQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6426E869603AC" name="ssn" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <eAnnotations xmi:id="_NQixWeLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_4fCs4BqVEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6426E869603AC">
            <body>A nine digit identification number assigned to a person by the US Social Security Administration.  Used primarily for identification purposes.  Note that HIPAA forbids the use of SSN as a primary identifier.  Maps to HL7 Version 2.8, PID-18.  Note that while Social Security Number is a type of Id, and could be modeled as simply one of the possible instances of the &quot;id&quot; property, it is explicitly modeled because it is a particular kind of identifier that is needed for various business processes.&#xD;
&quot;Identifier for a person within a particular scope.&quot; - HL7 FHIR, Person.identifier.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_evNLQOLjEdutr_MT9HkPyQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_evNLQeLjEdutr_MT9HkPyQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_7MEDIBApEd-2E9qx-lgHBg" name="telecom" visibility="public" type="_fImbAAEYEd-ZUM5xZsXWyw">
          <ownedComment xmi:id="_723EoBqSEd-j8JC21F3W2A" annotatedElement="_7MEDIBApEd-2E9qx-lgHBg">
            <body>Indicates how and at what address that the person can be reached via electronic communications. The datatype for this property is ContactPoint, which can be used for telephone numbers as well as email, etc.  The ContactPoint data  type contains a type code to indicate what kind of telecommunications address that is being referenced. Note that this property can contain more than one entry.&#xD;
&#xD;
&quot;Contains the patient's personal telecommunication contact information.&quot; - HL7 Version 2.8, PID-40.&#xD;
&quot;A contact detail for the person, e.g. a telephone number or an email address.&quot; - HL7 FHIR, Person.telecom.&#xD;
&quot;A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.&quot; - HL7 FHIR, Patient.telecom.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_V5QO4CKUEeCBocG0Z_rtrQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_V5Z_4CKUEeCBocG0Z_rtrQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0vtjkI0tEeCD3bb30FJGhQ" name="advanceDirective" visibility="public" type="_sdrb8I0tEeCD3bb30FJGhQ" association="_0vqgQI0tEeCD3bb30FJGhQ">
          <ownedComment xmi:id="_tRKPkJX6EeCD7vwmJe8BlA" annotatedElement="_0vtjkI0tEeCD3bb30FJGhQ">
            <body>A pointer to a set of instructions provided in advance by the person specifying what actions may be taken on their behalf.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_0vvYwI0tEeCD3bb30FJGhQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0vvYwY0tEeCD3bb30FJGhQ" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_2IvV4RsvEd--ZY2-pbJ-Pw" name="asCitizen" visibility="public" type="_rcGNABsvEd--ZY2-pbJ-Pw" association="_2IvV4BsvEd--ZY2-pbJ-Pw">
          <ownedComment xmi:id="_Wul1UDA6Ed-1aYBV65Lrnw" annotatedElement="_2IvV4RsvEd--ZY2-pbJ-Pw">
            <body>Pointer to a person's role as a &quot;native or naturalized member of a state or nation who owes allegiance to its government and is entitled to its protection&quot; - Dictionary.com.&#xD;
&quot;Information related to a person's country citizenship.  For country citizenship HL7 recommends using ISO table 3166....  This field repeats since persons can be citizens of more than one country.&quot; - HL7 Version 2.8, PID-26.&#xD;
&quot;Identif(ies) the next of kin/associated party's citizenship.&quot; - HL7 Version 2.8, NK1-19.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_2IvV4hsvEd--ZY2-pbJ-Pw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_2IvV4xsvEd--ZY2-pbJ-Pw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645633E3702BB" name="asEmployee" visibility="public" type="_420A62FD03B6418A501902C7" isUnique="false" association="_420A62FD03B645633E3601CF">
          <ownedComment xmi:id="_l6T4UBqTEd-j8JC21F3W2A" annotatedElement="_420A62FD03B645633E3702BB">
            <body>Pointer to the Role a Person plays as an Employee of some Organization.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NU3QpOLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NU3QpeLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B6456353DF00FA" name="asProvider" visibility="public" type="_420A62FD03B6418A6B760063" isUnique="false" association="_420A62FD03B6456353DE0213">
          <ownedComment xmi:id="_wwQuMBqTEd-j8JC21F3W2A" annotatedElement="_420A62FD03B6456353DF00FA">
            <body>Pointer to the role information of a person who is authorized to provide health care services.  The role of practitioner includes all functions performed for a health care provider organization in order to provide patient care and treatment.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NU3QteLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NU3QtuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_d_5MINgWEeG3E4mt6RKX5Q" name="asStudent" visibility="public" type="_aA2jsNgWEeG3E4mt6RKX5Q" association="_d_xQUNgWEeG3E4mt6RKX5Q">
          <ownedComment xmi:id="_221acKCeEeKNT6obAX9SKQ" annotatedElement="_d_5MINgWEeG3E4mt6RKX5Q">
            <body>Pointer to the Role a Person plays as a Student at some School.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_d_7oYNgWEeG3E4mt6RKX5Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_d_8PcNgWEeG3E4mt6RKX5Q" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64563698F035A" name="asUniformedServicePerson" visibility="public" type="_420A62FD03B6456362E4028D" isUnique="false" association="_420A62FD03B64563698F0166">
          <ownedComment xmi:id="_qRG5cBqTEd-j8JC21F3W2A" annotatedElement="_420A62FD03B64563698F035A">
            <body>Pointer to the role a person plays as a past or present member of a uniformed service.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NVBBseLiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NVBBsuLiEduGJrQyRGTO1A" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_rYIy4H2xEeGy1_tR17zNdw" name="birthCertificate" visibility="public" type="_BvzTEH2fEeGy1_tR17zNdw" association="_rYGWoH2xEeGy1_tR17zNdw">
          <ownedComment xmi:id="_YcQvYKCTEeKNT6obAX9SKQ" annotatedElement="_rYIy4H2xEeGy1_tR17zNdw">
            <body>A pointer to a record of the person's birth.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_rYJZ8H2xEeGy1_tR17zNdw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_rYKBAH2xEeGy1_tR17zNdw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_vVsMcAIPEd-VSqNkiZ4fOA" name="contactParty" visibility="public" type="_420A62FD03B64248829E032E" association="_vVibcAIPEd-VSqNkiZ4fOA">
          <ownedComment xmi:id="_2T8LcBqOEd-j8JC21F3W2A" annotatedElement="_vVsMcAIPEd-VSqNkiZ4fOA">
            <body>Pointer to the (Role of the) Person who should be contacted on the patients behalf under specified situations.&#xD;
&quot;A contact party (e.g. guardian, partner, friend) for the patient.&quot; - HL7 FHIR, Patient.contact.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_vVsMcQIPEd-VSqNkiZ4fOA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_vVsMcgIPEd-VSqNkiZ4fOA" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_T1AGsdmEEeChWYqvVB0Hpw" name="deathCertificate" visibility="public" type="_SNJ_INmEEeChWYqvVB0Hpw" association="_T1AGsNmEEeChWYqvVB0Hpw">
          <ownedComment xmi:id="_StrSoDGyEeGoIvbvHHPRDA" annotatedElement="_T1AGsdmEEeChWYqvVB0Hpw">
            <body>A pointer to a record of the person's death.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_T1AGstmEEeChWYqvVB0Hpw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_T1AGs9mEEeChWYqvVB0Hpw" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B645633C3803C4" name="languageCapability" visibility="public" type="_420A62FD03B6418A95BD037E" isUnique="false" association="_420A62FD03B645633C38002A">
          <ownedComment xmi:id="_APEJEBqVEd-j8JC21F3W2A" annotatedElement="_420A62FD03B645633C3803C4">
            <body>A pointer to information regarding the language communication capabilities for a Person.&#xD;
&quot;The patient's primary language.  HL7 recommends using ISO table 639&quot; - HL7 Version 2.8, PID-15.&#xD;
&quot;The next of kin/associated party's primary speaking language.&quot; - HL7 Version 2.8, NK1-20.&#xD;
&quot;Languages which may be used to communicate with the patient about his or her health&quot; - HL7 FHIR, Patient.communication.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_NUtft-LiEduGJrQyRGTO1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_NUtfuOLiEduGJrQyRGTO1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_cGTmAJ1jEeKGRqm0H7Eu1A" name="occupationalHistory" visibility="public" type="_Np3dgJ1WEeKGRqm0H7Eu1A" association="_cGP7oJ1jEeKGRqm0H7Eu1A">
          <ownedComment xmi:id="_HGqt4J1kEeKGRqm0H7Eu1A" annotatedElement="_cGTmAJ1jEeKGRqm0H7Eu1A">
            <body>Pointer to a set of observations regarding the usual occupation of a person, and what industries the person has worked in.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_cGU0IJ1jEeKGRqm0H7Eu1A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_cGU0IZ1jEeKGRqm0H7Eu1A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_72-3IEJbEeOM0Zvgf2xtag" name="relatedPerson" visibility="public" type="_PhnrMEJbEeOM0Zvgf2xtag" association="_727z0EJbEeOM0Zvgf2xtag">
          <ownedComment xmi:id="_MuQrYEJeEeOM0Zvgf2xtag" annotatedElement="_72-3IEJbEeOM0Zvgf2xtag">
            <body>Pointer to the (Role of the) Person to whom the originating Person is related in some way.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_73AsUEJbEeOM0Zvgf2xtag"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_73AsUUJbEeOM0Zvgf2xtag" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_QaaZIMFeEeKM54AtDRfO0A" name="organizationalRepresentative" visibility="public" type="_9_9I8AQAEeKZsvne-rOhhA" association="_QaXV0MFeEeKM54AtDRfO0A">
          <ownedComment xmi:id="_SrFbQMFeEeKM54AtDRfO0A" annotatedElement="_QaaZIMFeEeKM54AtDRfO0A">
            <body>&quot;The name of the organization that serves as a next of kin/associated party or as the next of kin of the patient.  This field may also be used to communicate the name of the organization at which the associated party works.&quot; - HL7 Version 2.8, NK1-13.&#xD;
&quot;Organization on behalf of which the contact is acting or for which the contact is working.&quot; - HL7 FHIR, Patient.contact.organization.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_QabnQMFeEeKM54AtDRfO0A"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_QacOUMFeEeKM54AtDRfO0A" value="*"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_RloSkZeJEeWqb554qzI9zg" name="link" visibility="public" type="_OrxwkJeJEeWqb554qzI9zg" association="_RloSkJeJEeWqb554qzI9zg">
          <ownedComment xmi:id="_squ3oJeJEeWqb554qzI9zg" annotatedElement="_RloSkZeJEeWqb554qzI9zg">
            <body>Pointer to a record that links this Person record with another Person record referring to the same real-world person.&#xD;
&quot;Link to a resource that concerns the same actual person&quot; - HL7 FHIR, Person.link</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_RlxcgJeJEeWqb554qzI9zg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_RlxcgZeJEeWqb554qzI9zg" value="*"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_am_CYGtbEeCaten32mlCMw" name="PowerOfAttorney">
        <ownedComment xmi:id="_6SU_0JX6EeCD7vwmJe8BlA" annotatedElement="_am_CYGtbEeCaten32mlCMw">
          <body>&quot;A power of attorney (POA) ... is an authorization to act on someone else's behalf in a legal or business matter.&quot; - wikipedia</body>
        </ownedComment>
        <generalization xmi:id="_ojN6wKBlEeKEjOzXDxf6EA" general="_sdrb8I0tEeCD3bb30FJGhQ"/>
        <ownedAttribute xmi:id="_qv_Q0GtcEeCaten32mlCMw" name="purpose" visibility="public">
          <ownedComment xmi:id="_R_NE0JX7EeCD7vwmJe8BlA" annotatedElement="_qv_Q0GtcEeCaten32mlCMw">
            <body>Categorizes the Power of Attorney</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_mCWScGtbEeCaten32mlCMw" name="attorney" visibility="public" type="_420A62FD03B6425125E800E0" association="_mCNIgGtbEeCaten32mlCMw">
          <ownedComment xmi:id="_mzfzIJX7EeCD7vwmJe8BlA" annotatedElement="_mCWScGtbEeCaten32mlCMw">
            <body>A pointer to the person authorized to act in the stead of the grantor.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mCWScWtbEeCaten32mlCMw"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mCWScmtbEeCaten32mlCMw" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_aA2jsNgWEeG3E4mt6RKX5Q" name="Student">
        <eAnnotations xmi:id="_cmCdQNgWEeG3E4mt6RKX5Q" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_3ZbxMKCeEeKNT6obAX9SKQ" annotatedElement="_aA2jsNgWEeG3E4mt6RKX5Q">
          <body>A student is someone who is formally engaged in learning, especially on enrolled in an educational institution.  This class represents information about a Person actively playing the Role of a Student, but is not intended to be used to determine one's cumulative or highest level of educational achievement.  While one could theoretically arrive at these data by examining a longitudinal collection of every instance of Person's scholastic activity, we do not require nor anticipate that such information be available.  The primary use case for this Student and associated School information is to support Immunization tracking of school-age children, but it is also used for financial purposes, including adults who are in school rather than employed.  If the Student is attending a higher-learning institution (i.e., college, post-graduate), the grade property is not used.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_qIEe4NgWEeG3E4mt6RKX5Q" name="departDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_CsNtAKCfEeKNT6obAX9SKQ" annotatedElement="_qIEe4NgWEeG3E4mt6RKX5Q">
            <body>The last date upon which the Person was a Student at the associated School.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_6QMZANgWEeG3E4mt6RKX5Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_6QNAENgWEeG3E4mt6RKX5Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_8f9cMNgWEeG3E4mt6RKX5Q" name="enrollDate" visibility="public" type="_420A62FD03B64244824602F5">
          <ownedComment xmi:id="_D-sBgKCfEeKNT6obAX9SKQ" annotatedElement="_8f9cMNgWEeG3E4mt6RKX5Q">
            <body>The first date upon which the Person was a Student at the associated School.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_8f9cMtgWEeG3E4mt6RKX5Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_8f9cMdgWEeG3E4mt6RKX5Q" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_KmM-INgXEeG3E4mt6RKX5Q" name="grade" visibility="public">
          <ownedComment xmi:id="_KF9hwKCfEeKNT6obAX9SKQ" annotatedElement="_KmM-INgXEeG3E4mt6RKX5Q">
            <body>&quot;A single division of a school classified according to the age or progress of the pupils. In the U.S., public schools are commonly divided into twelve grades below college.&quot; - Dictionary.com</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_g6-v8MJEEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_g6_-EMJEEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_lgRW4NgiEeG3E4mt6RKX5Q" name="id" visibility="public" type="_mZFS8ERREdyvWauSJSvkeQ">
          <ownedComment xmi:id="_S1FYkKCgEeKNT6obAX9SKQ" annotatedElement="_lgRW4NgiEeG3E4mt6RKX5Q">
            <body>An identifier assigned by the associated School to the Student.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_iIsgQMJEEeK_EPjbFxtubQ"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_iItHUMJEEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_0ih2IAQJEeKZsvne-rOhhA" name="studentCategory" visibility="public">
          <ownedComment xmi:id="_-G-F8AS7EeKZRNRj-xVwIw" annotatedElement="_0ih2IAQJEeKZsvne-rOhhA">
            <body>&quot;Indicates if the patient is currently a student or not, and whether the patient is a full-time or a part-time student.  This field does not indicate the student's degree level (high school, college, elementary) or the student's field of study (accounting, engineering, etc.).&quot; - HL7 Version 2.8, PD1-5.&#xD;
&quot;Identifies whether the next of kin/associated party is currently a student or not, and whether the next of kin/associated party is a full- or a part-time student.  This field does not indicate the degree (high school, college) of the student or the field of study.&quot; - HL7 Version 2.8, NK1-24.&#xD;
Possible values include (from HL7 Table 231):  Full-time student; Part-time student; Not a student.</body>
          </ownedComment>
          <type xmi:type="uml:PrimitiveType" href="pathmap://UML_LIBRARIES/UMLPrimitiveTypes.library.uml#String"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_4nHF4AQJEeKZsvne-rOhhA"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_4nHs8AQJEeKZsvne-rOhhA" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_j33sINgWEeG3E4mt6RKX5Q" name="school" visibility="public" type="_-PDq0BsxEd--ZY2-pbJ-Pw" association="_j3128NgWEeG3E4mt6RKX5Q">
          <ownedComment xmi:id="_Fk_CoMJZEeK_EPjbFxtubQ" annotatedElement="_j33sINgWEeG3E4mt6RKX5Q">
            <body>Pointer to the Institution at which the Person is a Student.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_j34TMNgWEeG3E4mt6RKX5Q"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_j34TMdgWEeG3E4mt6RKX5Q" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_420A62FD03B6456362E4028D" name="USUniformedServicesPerson">
        <eAnnotations xmi:id="_NRlTJOLiEduGJrQyRGTO1A" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_A9Is0BqREd-j8JC21F3W2A" annotatedElement="_420A62FD03B6456362E4028D">
          <body>This class represents information about a person while in the role of a member of the United States Uniformed Services, which includes military and Public Health Service members.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_420A62FD03B64563633000FE" name="grade" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_CQvCsBqREd-j8JC21F3W2A" annotatedElement="_420A62FD03B64563633000FE">
            <body>A military, naval, or civil service rank&#xD;
&quot;Identifies the military rank/grade of the patient.&quot; - HL7 Version 2.8, PD1-20.&#xD;
Possible values (from HL7 Table 141) include: E1...E9; O1...O9; W1...W4.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_420A62FD03B64563631702F4" name="rank" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_DsE_UBqREd-j8JC21F3W2A" annotatedElement="_420A62FD03B64563631702F4">
            <body>An official position or grade; e.g., the rank of sergeant.&#xD;
&quot;Identifies the military rank/grade of the patient.&quot; - HL7 Version 2.8, PD1-20.&#xD;
Possible values include: Sergeant, Captain, etc.  Note that HL7 references a user-defined table (Table 141) which lists possible grades, but not the corresponding ranks.</body>
          </ownedComment>
        </ownedAttribute>
        <ownedAttribute xmi:id="_-YUyMMJZEeK_EPjbFxtubQ" name="militaryStatus" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <eAnnotations xmi:id="_-YUyMcJZEeK_EPjbFxtubQ" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
          <ownedComment xmi:id="_-YUyMsJZEeK_EPjbFxtubQ" annotatedElement="_-YUyMMJZEeK_EPjbFxtubQ">
            <body>Indicates the latest known state of the USUniformedServicesPerson instance (i.e., the state of association (relationship) between the Person and the Uniformed Service).  Possible values include: Active duty, Reservist, Discharged.&#xD;
&quot;This field is defined by CMS or other regulatory agencies.&quot; - HL7 Version 2.8, PD1-21.  Possible values include (from HL7 Table 142): Active duty; Retired; Deceased.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_-YUyNMJZEeK_EPjbFxtubQ" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_-YUyM8JZEeK_EPjbFxtubQ" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_uIQJ4MJBEeK_EPjbFxtubQ" name="uniformedService" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_Khf3YMJCEeK_EPjbFxtubQ" annotatedElement="_uIQJ4MJBEeK_EPjbFxtubQ">
            <body>Identifies the organization (uniformed service) for which the person holds a uniformed rank.&#xD;
&quot;This field is defined by CMS or other regulatory agencies.&quot; - HL7 Version 2.8, PD1-19.&#xD;
Possible values include (from HL7 Table 140): US Army; US Navy; US Air Force; US Marine Corps; US Coast Guard; US Public Health Service; National Oceanic and Atmospheric Administration.</body>
          </ownedComment>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_j3128NgWEeG3E4mt6RKX5Q" name="student_school" memberEnd="_j33sINgWEeG3E4mt6RKX5Q _j36IYNgWEeG3E4mt6RKX5Q">
        <ownedEnd xmi:id="_j36IYNgWEeG3E4mt6RKX5Q" name="" visibility="public" type="_aA2jsNgWEeG3E4mt6RKX5Q" association="_j3128NgWEeG3E4mt6RKX5Q"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_mCNIgGtbEeCaten32mlCMw" name="powerOfAttorney_designee" memberEnd="_mCWScGtbEeCaten32mlCMw _mCWSc2tbEeCaten32mlCMw">
        <ownedEnd xmi:id="_mCWSc2tbEeCaten32mlCMw" name="" visibility="public" type="_am_CYGtbEeCaten32mlCMw" association="_mCNIgGtbEeCaten32mlCMw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_mCWSdGtbEeCaten32mlCMw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_mCWSdWtbEeCaten32mlCMw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B6456353DE0213" name="person_asProvider" memberEnd="_420A62FD03B6456353DF00FA _420A62FD03B6456353DF00FC"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_d_xQUNgWEeG3E4mt6RKX5Q" name="person_asStudent" memberEnd="_d_5MINgWEeG3E4mt6RKX5Q _d__50NgWEeG3E4mt6RKX5Q">
        <ownedEnd xmi:id="_d__50NgWEeG3E4mt6RKX5Q" name="" visibility="public" type="_420A62FD03B6425125E800E0" association="_d_xQUNgWEeG3E4mt6RKX5Q"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64563698F0166" name="person_asUniformedServicePerson" memberEnd="_420A62FD03B64563698F035A _420A62FD03B64563698F035C">
        <ownedEnd xmi:id="_420A62FD03B64563698F035C" name="" visibility="public" type="_420A62FD03B6425125E800E0" isUnique="false" association="_420A62FD03B64563698F0166"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_THb5oFjGEeG6Pp3Py7p1bw" client="_420A62FD03B6425125E800E0" supplier="_IA_wsFjGEeG6Pp3Py7p1bw"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_vVibcAIPEd-VSqNkiZ4fOA" name="humanPatient_patientContactParty" memberEnd="_vVsMcAIPEd-VSqNkiZ4fOA _vVsMcwIPEd-VSqNkiZ4fOA">
        <ownedEnd xmi:id="_vVsMcwIPEd-VSqNkiZ4fOA" name="" visibility="public" type="_420A62FD03B6425125E800E0" association="_vVibcAIPEd-VSqNkiZ4fOA"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_T1AGsNmEEeChWYqvVB0Hpw" name="person_deathCertificate" memberEnd="_T1AGsdmEEeChWYqvVB0Hpw _T1cyoNmEEeChWYqvVB0Hpw">
        <ownedEnd xmi:id="_T1cyoNmEEeChWYqvVB0Hpw" name="" visibility="public" type="_420A62FD03B6425125E800E0" association="_T1AGsNmEEeChWYqvVB0Hpw">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_T1cyodmEEeChWYqvVB0Hpw" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_T1cyotmEEeChWYqvVB0Hpw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_2IvV4BsvEd--ZY2-pbJ-Pw" name="person_asCitizen" memberEnd="_2IvV4RsvEd--ZY2-pbJ-Pw _2IvV5BsvEd--ZY2-pbJ-Pw">
        <ownedEnd xmi:id="_2IvV5BsvEd--ZY2-pbJ-Pw" name="" visibility="public" type="_420A62FD03B6425125E800E0" association="_2IvV4BsvEd--ZY2-pbJ-Pw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B645633C38002A" name="person_languageCapability" memberEnd="_420A62FD03B645633C3803C4 _420A62FD03B645633C3803C6">
        <ownedEnd xmi:id="_420A62FD03B645633C3803C6" name="" visibility="public" type="_420A62FD03B6425125E800E0" isUnique="false" association="_420A62FD03B645633C38002A"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_rYGWoH2xEeGy1_tR17zNdw" name="person_birthCertificate" memberEnd="_rYIy4H2xEeGy1_tR17zNdw _rYL2MH2xEeGy1_tR17zNdw">
        <ownedEnd xmi:id="_rYL2MH2xEeGy1_tR17zNdw" name="" visibility="public" type="_420A62FD03B6425125E800E0" association="_rYGWoH2xEeGy1_tR17zNdw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B645633E3601CF" name="person_asEmployee" memberEnd="_420A62FD03B645633E3702BB _420A62FD03B645633E3702BD">
        <ownedEnd xmi:id="_420A62FD03B645633E3702BD" name="" visibility="public" type="_420A62FD03B6425125E800E0" isUnique="false" association="_420A62FD03B645633E3601CF"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Dependency" xmi:id="_Tuy0kFjGEeG6Pp3Py7p1bw" client="_420A62FD03B6425125E800E0" supplier="_E_Oo0FjGEeG6Pp3Py7p1bw"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_0vqgQI0tEeCD3bb30FJGhQ" name="person_advanceDirective" memberEnd="_0vtjkI0tEeCD3bb30FJGhQ _0vxN8I0tEeCD3bb30FJGhQ">
        <ownedEnd xmi:id="_0vxN8I0tEeCD3bb30FJGhQ" name="" visibility="public" type="_420A62FD03B6425125E800E0" association="_0vqgQI0tEeCD3bb30FJGhQ">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_0vycEI0tEeCD3bb30FJGhQ" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_8AmGANgeEeG3E4mt6RKX5Q" name="healthcareProvider_patient" memberEnd="_8AqXcNgeEeG3E4mt6RKX5Q _8Av3ANgeEeG3E4mt6RKX5Q"/>
      <packagedElement xmi:type="uml:Association" xmi:id="_-xnv4F-OEd-WjrW-OJ9BNQ" name="patient_healthRecord" memberEnd="_-xnv4V-OEd-WjrW-OJ9BNQ _-xnv5F-OEd-WjrW-OJ9BNQ">
        <ownedEnd xmi:id="_-xnv5F-OEd-WjrW-OJ9BNQ" name="" visibility="public" type="_420A62FD03B6418A4E500034" association="_-xnv4F-OEd-WjrW-OJ9BNQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_ZiYuUIx3EeCBU92aoqPk5w" name="patient_primaryCareProvider" memberEnd="_ZibxoIx3EeCBU92aoqPk5w _ZigDEIx3EeCBU92aoqPk5w">
        <ownedEnd xmi:id="_ZigDEIx3EeCBU92aoqPk5w" name="" visibility="public" type="_420A62FD03B6418A4E500034" association="_ZiYuUIx3EeCBU92aoqPk5w">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_ZigqIIx3EeCBU92aoqPk5w" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_ZihRMIx3EeCBU92aoqPk5w" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_cGP7oJ1jEeKGRqm0H7Eu1A" name="humanPatient_occupationalHistory" memberEnd="_cGTmAJ1jEeKGRqm0H7Eu1A _cGWCQJ1jEeKGRqm0H7Eu1A">
        <ownedEnd xmi:id="_cGWCQJ1jEeKGRqm0H7Eu1A" name="" visibility="public" type="_420A62FD03B6425125E800E0" association="_cGP7oJ1jEeKGRqm0H7Eu1A"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_dTbYsFLTEd-aupaAgPbDFw" name="humanPatient_subject" memberEnd="_dTlJsFLTEd-aupaAgPbDFw _dTlJs1LTEd-aupaAgPbDFw">
        <ownedEnd xmi:id="_dTlJs1LTEd-aupaAgPbDFw" name="" visibility="public" type="_l0XegO_4Ed6OG-vjYTopTQ" association="_dTbYsFLTEd-aupaAgPbDFw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_QaXV0MFeEeKM54AtDRfO0A" name="humanPatient_organizationalPatientRepresentative" memberEnd="_QaaZIMFeEeKM54AtDRfO0A _QajjEMFeEeKM54AtDRfO0A">
        <ownedEnd xmi:id="_QajjEMFeEeKM54AtDRfO0A" name="" visibility="public" type="_420A62FD03B6425125E800E0" association="_QaXV0MFeEeKM54AtDRfO0A"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_0eFZYLZJEeGWl-7OlqBMDw" name="employer_organization" memberEnd="_0eJq0LZJEeGWl-7OlqBMDw _0eOjULZJEeGWl-7OlqBMDw">
        <ownedEnd xmi:id="_0eOjULZJEeGWl-7OlqBMDw" name="" visibility="public" type="_rbFH0LZJEeGWl-7OlqBMDw" association="_0eFZYLZJEeGWl-7OlqBMDw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_zrp24LZJEeGWl-7OlqBMDw" name="employee_employer" memberEnd="_zruIULZJEeGWl-7OlqBMDw _zrzA0LZJEeGWl-7OlqBMDw">
        <ownedEnd xmi:id="_zrzA0LZJEeGWl-7OlqBMDw" name="" visibility="public" type="_420A62FD03B6418A501902C7" association="_zrp24LZJEeGWl-7OlqBMDw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_p3ZgUAMxEeKTM4I4vlc5xg" name="contactParty_asPerson" memberEnd="_p4Fc0AMxEeKTM4I4vlc5xg _p4MKgAMxEeKTM4I4vlc5xg">
        <ownedEnd xmi:id="_p4MKgAMxEeKTM4I4vlc5xg" name="" visibility="public" type="_420A62FD03B64248829E032E" association="_p3ZgUAMxEeKTM4I4vlc5xg"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_4x_3IBsvEd--ZY2-pbJ-Pw" name="citizen_nation" memberEnd="_4x_3IRsvEd--ZY2-pbJ-Pw _4x_3JBsvEd--ZY2-pbJ-Pw">
        <ownedEnd xmi:id="_4x_3JBsvEd--ZY2-pbJ-Pw" name="" visibility="public" type="_rcGNABsvEd--ZY2-pbJ-Pw" association="_4x_3IBsvEd--ZY2-pbJ-Pw"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_E2r6ANmUEeChWYqvVB0Hpw" name="causeOfDeathListEntry_causeOfDeath" memberEnd="_E2uWQNmUEeChWYqvVB0Hpw _E2wygNmUEeChWYqvVB0Hpw">
        <ownedEnd xmi:id="_E2wygNmUEeChWYqvVB0Hpw" name="" visibility="public" type="_KBfhMOEVEd6EKMSYA1gKjA" association="_E2r6ANmUEeChWYqvVB0Hpw">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_E2yAodmUEeChWYqvVB0Hpw" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_420A62FD03B64563398301DB" name="biologicalEntity_asPatient" memberEnd="_420A62FD03B6456339840258 _420A62FD03B645633984025A">
        <ownedEnd xmi:id="_420A62FD03B645633984025A" name="" visibility="public" type="_KBfhMOEVEd6EKMSYA1gKjA" isUnique="false" association="_420A62FD03B64563398301DB"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_CFWpcIVKEd-6PJo369YzhQ" name="animalPatient_subject" memberEnd="_CFWpcYVKEd-6PJo369YzhQ _CFWpdIVKEd-6PJo369YzhQ">
        <ownedEnd xmi:id="_CFWpdIVKEd-6PJo369YzhQ" name="" visibility="public" type="_oYIbwO_4Ed6OG-vjYTopTQ" association="_CFWpcIVKEd-6PJo369YzhQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_PhnrMEJbEeOM0Zvgf2xtag" name="PersonalRelationship">
        <eAnnotations xmi:id="_PhnrMUJbEeOM0Zvgf2xtag" source="http://www.eclipse.org/uml2/2.0.0/UML"/>
        <ownedComment xmi:id="_PhnrMkJbEeOM0Zvgf2xtag" annotatedElement="_PhnrMEJbEeOM0Zvgf2xtag">
          <body>This Role identifies a Person to whom the originating Person is related in some way.</body>
        </ownedComment>
        <ownedAttribute xmi:id="_PhnrR0JbEeOM0Zvgf2xtag" name="relationshipCategory" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_PhnrSEJbEeOM0Zvgf2xtag" annotatedElement="_PhnrR0JbEeOM0Zvgf2xtag">
            <body>Indicates how the target Person is related to the person identified in the owning Person class.  Examples include Spouse, Child, Parent, Legal Guardian, etc.&#xD;
&quot;The actual personal relationship that the next of kin/associated party has to the patient.&quot; - HL7 Version 2.8, NK1-3.  See HL7 Table 63 for suggested values.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PhnrSkJbEeOM0Zvgf2xtag"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PhnrSUJbEeOM0Zvgf2xtag" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_PhnrUEJbEeOM0Zvgf2xtag" name="asPerson" visibility="public" type="_420A62FD03B6425125E800E0" association="_PhrVkEJbEeOM0Zvgf2xtag">
          <ownedComment xmi:id="_PhnrUUJbEeOM0Zvgf2xtag" annotatedElement="_PhnrUEJbEeOM0Zvgf2xtag">
            <body>A pointer to a Person who is acting in the Role of a Related Person.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_PhnrU0JbEeOM0Zvgf2xtag" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_PhnrUkJbEeOM0Zvgf2xtag" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_loxAEEMtEeO6WpAQAnLQ-g" name="effectiveDateRange" visibility="public" type="_420A62FD03B642387187004E">
          <ownedComment xmi:id="_loxAEUMtEeO6WpAQAnLQ-g" annotatedElement="_loxAEEMtEeO6WpAQAnLQ-g">
            <body>The date range during which this person is a contact party for the patient.&#xD;
&quot;The start date of the contact role.&quot; - HL7 Version 2.8, NK1-8.&#xD;
&quot;The end date of the contact role.&quot; - HL7 Version 2.8, NK1-9.&#xD;
&quot;The period during which this contact person or organization is valid to be contacted relating to this patient.&quot; - HL7 FHIR, Patient.contact.period.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_loxAE0MtEeO6WpAQAnLQ-g"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_loxAEkMtEeO6WpAQAnLQ-g" value="1"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_PhrVkEJbEeOM0Zvgf2xtag" name="relatedPerson_asPerson" memberEnd="_PhnrUEJbEeOM0Zvgf2xtag _PhrVkUJbEeOM0Zvgf2xtag">
        <ownedEnd xmi:id="_PhrVkUJbEeOM0Zvgf2xtag" name="" visibility="public" type="_PhnrMEJbEeOM0Zvgf2xtag" association="_PhrVkEJbEeOM0Zvgf2xtag"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_727z0EJbEeOM0Zvgf2xtag" memberEnd="_72-3IEJbEeOM0Zvgf2xtag _73B6cEJbEeOM0Zvgf2xtag">
        <ownedEnd xmi:id="_73B6cEJbEeOM0Zvgf2xtag" name="" visibility="public" type="_420A62FD03B6425125E800E0" association="_727z0EJbEeOM0Zvgf2xtag"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_U3UwQKyOEeSUSIBAyhZNow" name="patient_encounter" memberEnd="_U3ehQKyOEeSUSIBAyhZNow _U3oSQqyOEeSUSIBAyhZNow">
        <ownedEnd xmi:id="_U3oSQqyOEeSUSIBAyhZNow" name="" visibility="public" type="_420A62FD03B6418A4E500034" association="_U3UwQKyOEeSUSIBAyhZNow"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_tIPlEPm_EeSJ3abZ9RQzyQ" memberEnd="_tISoYPm_EeSJ3abZ9RQzyQ _tIUdkPm_EeSJ3abZ9RQzyQ">
        <ownedEnd xmi:id="_tIUdkPm_EeSJ3abZ9RQzyQ" name="" visibility="public" type="_420A62FD03B6418A4E500034" association="_tIPlEPm_EeSJ3abZ9RQzyQ"/>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_OrxwkJeJEeWqb554qzI9zg" name="Link">
        <ownedComment xmi:id="_m0F-8JeKEeWqb554qzI9zg" annotatedElement="_OrxwkJeJEeWqb554qzI9zg">
          <body>This class is used to associate two (or more) Person records that refer to the same real-world person.  This class is included for compatibility with FHIR, although we would expect that other attributes such as the date/time the association (or &quot;link&quot;) was made, who made the link, and some explanatory text would necessary in real-world implementations.  In addition, we would expect some kind of &quot;unlink&quot; action to be possible, and metadata about that action would also be recorded.&#xD;
&quot;Link to a resource that concerns the same actual person&quot; - HL7 FHIR, Person.link</body>
        </ownedComment>
        <ownedAttribute xmi:id="_cWOccJeLEeWqb554qzI9zg" name="assurance" visibility="public" type="_GmKqYGAfEd6a0qoC8Dh7hA">
          <ownedComment xmi:id="_ptk4EJeLEeWqb554qzI9zg" annotatedElement="_cWOccJeLEeWqb554qzI9zg">
            <body>&quot;Level of assurance that this link is actually associated with the target resource.&quot; - HL7 FHIR, Person.assurance</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_fufYwJeLEeWqb554qzI9zg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_fufYwZeLEeWqb554qzI9zg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_5KZA0ZeKEeWqb554qzI9zg" name="target" visibility="public" type="_420A62FD03B6425125E800E0" association="_5KZA0JeKEeWqb554qzI9zg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_5KZA0peKEeWqb554qzI9zg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_5KZA05eKEeWqb554qzI9zg" value="1"/>
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