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        <nestedClassifier xmi:type="uml:Class" xmi:id="_BZKqYc3tEeahpd1P9sS4xg" name="Identifier-1">
          <generalization xmi:id="_BZKqYs3tEeahpd1P9sS4xg">
            <general xmi:type="uml:Class" href="FHIR-Core.uml#_4ciwRMFMEea5pdrFDq-m2g"/>
          </generalization>
          <ownedAttribute xmi:id="_BZLRcM3tEeahpd1P9sS4xg" name="system" isOrdered="true">
            <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aMm5sFMEea5pdrFDq-m2g"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BZLRcc3tEeahpd1P9sS4xg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BZLRcs3tEeahpd1P9sS4xg" value="1"/>
            <redefinedProperty href="FHIR-Core.uml#_4cpd9MFMEea5pdrFDq-m2g"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_BZMflM3tEeahpd1P9sS4xg" name="Address-1">
          <generalization xmi:id="_BZMflc3tEeahpd1P9sS4xg">
            <general xmi:type="uml:Class" href="FHIR-Core.uml#_4arvFcFMEea5pdrFDq-m2g"/>
          </generalization>
          <ownedAttribute xmi:id="_BZNGoM3tEeahpd1P9sS4xg" name="line" isOrdered="true">
            <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aHuYcFMEea5pdrFDq-m2g"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BZNGoc3tEeahpd1P9sS4xg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BZNGos3tEeahpd1P9sS4xg" value="*"/>
            <redefinedProperty href="FHIR-Core.uml#_4avZeMFMEea5pdrFDq-m2g"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_BZNGpM3tEeahpd1P9sS4xg" name="city" isOrdered="true">
            <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aHuYcFMEea5pdrFDq-m2g"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BZNGpc3tEeahpd1P9sS4xg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BZNGps3tEeahpd1P9sS4xg" value="1"/>
            <redefinedProperty href="FHIR-Core.uml#_4awAhMFMEea5pdrFDq-m2g"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_BZNtsM3tEeahpd1P9sS4xg" name="state" isOrdered="true">
            <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aHuYcFMEea5pdrFDq-m2g"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BZNtsc3tEeahpd1P9sS4xg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BZNtss3tEeahpd1P9sS4xg" value="1"/>
            <redefinedProperty href="FHIR-Core.uml#_4awnmcFMEea5pdrFDq-m2g"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_Bgah4M3tEeahpd1P9sS4xg" name="postalCode" isOrdered="true">
            <ownedComment xmi:id="_Bgah5M3tEeahpd1P9sS4xg">
              <body>US Zip Codes</body>
            </ownedComment>
            <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aHuYcFMEea5pdrFDq-m2g"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Bgah4c3tEeahpd1P9sS4xg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Bgah4s3tEeahpd1P9sS4xg" value="1"/>
            <redefinedProperty href="FHIR-Core.uml#_4axOosFMEea5pdrFDq-m2g"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_BgbI9M3tEeahpd1P9sS4xg" memberEnd="_BgbI9c3tEeahpd1P9sS4xg _BgbI8M3tEeahpd1P9sS4xg">
        <ownedEnd xmi:id="_BgbI9c3tEeahpd1P9sS4xg" type="_BZIOIc3tEeahpd1P9sS4xg" association="_BgbI9M3tEeahpd1P9sS4xg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BgbI9s3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BgbI983tEeahpd1P9sS4xg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_BgbwAM3tEeahpd1P9sS4xg" name="USCoreProcedure">
        <ownedComment xmi:id="_BgcXE83tEeahpd1P9sS4xg">
          <body>The US Core Condition Profile is based upon the core FHIR Procedure Resource and created to meet the 2015 Edition Common Clinical Data Set 'Procedures' requirements.</body>
        </ownedComment>
        <ownedComment xmi:id="_BgcXEc3tEeahpd1P9sS4xg">
          <body>US Core Procedure Profile</body>
        </ownedComment>
        <generalization xmi:id="_BgcXEM3tEeahpd1P9sS4xg">
          <general xmi:type="uml:Class" href="FHIR-Core.uml#_5BBWV8FMEea5pdrFDq-m2g"/>
        </generalization>
        <ownedAttribute xmi:id="_Bgc-IM3tEeahpd1P9sS4xg" name="status" isOrdered="true">
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aUissFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Bgc-Ic3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Bgc-Is3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_5BDLicFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Bl9JMM3tEeahpd1P9sS4xg" name="code" type="_Bl9JNs3tEeahpd1P9sS4xg" isOrdered="true">
          <ownedComment xmi:id="_Bl9JNM3tEeahpd1P9sS4xg">
            <body>SNOMED-CT | ICD-10 | CPT-4</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Bl9JMc3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Bl9JMs3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_5BFnxcFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BmAMgM3tEeahpd1P9sS4xg" name="subject" type="_AJCfQM3tEeahpd1P9sS4xg" isOrdered="true" association="_BmAzkM3tEeahpd1P9sS4xg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BmAMgc3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BmAMgs3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_5BGO1cFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BmAzlM3tEeahpd1P9sS4xg" name="performed[x]" isOrdered="true">
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aEEAcFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BmAzlc3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BmAzls3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_5BHc8cFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_Bl9JNs3tEeahpd1P9sS4xg" name="CodeableConcept-1">
          <generalization xmi:id="_Bl9JN83tEeahpd1P9sS4xg">
            <general xmi:type="uml:Class" href="FHIR-Core.uml#_4ckleMFMEea5pdrFDq-m2g"/>
          </generalization>
          <ownedAttribute xmi:id="_Bl9wQM3tEeahpd1P9sS4xg" name="USCoreProcedureCode" isOrdered="true">
            <type xmi:type="uml:Class" href="FHIR-Core.uml#_4bBtUcFMEea5pdrFDq-m2g"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Bl9wQc3tEeahpd1P9sS4xg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Bl9wQs3tEeahpd1P9sS4xg" value="1"/>
            <subsettedProperty href="FHIR-Core.uml#_4clzk8FMEea5pdrFDq-m2g"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_Bl_lcM3tEeahpd1P9sS4xg" name="coding" isOrdered="true">
            <type xmi:type="uml:Class" href="FHIR-Core.uml#_4bBtUcFMEea5pdrFDq-m2g"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Bl_lcc3tEeahpd1P9sS4xg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Bl_lcs3tEeahpd1P9sS4xg" value="1"/>
            <subsettedProperty href="FHIR-Core.uml#_4clzk8FMEea5pdrFDq-m2g"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_BmAzkM3tEeahpd1P9sS4xg" memberEnd="_BmAzkc3tEeahpd1P9sS4xg _BmAMgM3tEeahpd1P9sS4xg">
        <ownedEnd xmi:id="_BmAzkc3tEeahpd1P9sS4xg" type="_BgbwAM3tEeahpd1P9sS4xg" association="_BmAzkM3tEeahpd1P9sS4xg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BmAzks3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BmAzk83tEeahpd1P9sS4xg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_BmBaoc3tEeahpd1P9sS4xg" name="USCorePract">
        <ownedComment xmi:id="_BmCBtM3tEeahpd1P9sS4xg">
          <body>This is basic constraint on provider for use in US Core resources.</body>
        </ownedComment>
        <ownedComment xmi:id="_BmCBss3tEeahpd1P9sS4xg">
          <body>US Core Practitioner</body>
        </ownedComment>
        <generalization xmi:id="_BmCBsc3tEeahpd1P9sS4xg">
          <general xmi:type="uml:Class" href="FHIR-Core.uml#_4a6_qMFMEea5pdrFDq-m2g"/>
        </generalization>
        <ownedAttribute xmi:id="_BmCowM3tEeahpd1P9sS4xg" name="identifier" type="_BmDP0c3tEeahpd1P9sS4xg" isOrdered="true">
          <ownedComment xmi:id="_BmCoxM3tEeahpd1P9sS4xg">
            <body>Either id or name is needed.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BmCowc3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BmCows3tEeahpd1P9sS4xg" value="*"/>
          <redefinedProperty href="FHIR-Core.uml#_4dRJCsFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BmEd8M3tEeahpd1P9sS4xg" name="name" type="_BmFFAM3tEeahpd1P9sS4xg" isOrdered="true">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BmEd8c3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BmEd8s3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_4dSXIMFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_BmDP0c3tEeahpd1P9sS4xg" name="Identifier-1">
          <generalization xmi:id="_BmDP0s3tEeahpd1P9sS4xg">
            <general xmi:type="uml:Class" href="FHIR-Core.uml#_4ciwRMFMEea5pdrFDq-m2g"/>
          </generalization>
          <ownedAttribute xmi:id="_BmDP083tEeahpd1P9sS4xg" name="system" isOrdered="true">
            <ownedComment xmi:id="_BmD24c3tEeahpd1P9sS4xg">
              <body>NPI could be used as the identifier system in the US.</body>
            </ownedComment>
            <ownedComment xmi:id="_BmD2483tEeahpd1P9sS4xg">
              <body>NPI could be used as the identifier system in the US.</body>
            </ownedComment>
            <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aMm5sFMEea5pdrFDq-m2g"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BmDP1M3tEeahpd1P9sS4xg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BmDP1c3tEeahpd1P9sS4xg" value="1"/>
            <redefinedProperty href="FHIR-Core.uml#_4cpd9MFMEea5pdrFDq-m2g"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_BmD25c3tEeahpd1P9sS4xg" name="value" isOrdered="true">
            <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aHuYcFMEea5pdrFDq-m2g"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BmD25s3tEeahpd1P9sS4xg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BmD2583tEeahpd1P9sS4xg" value="1"/>
            <redefinedProperty href="FHIR-Core.uml#_4cqFAMFMEea5pdrFDq-m2g"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_BmFFAM3tEeahpd1P9sS4xg" name="HumanName-1">
          <generalization xmi:id="_BmFFAc3tEeahpd1P9sS4xg">
            <general xmi:type="uml:Class" href="FHIR-Core.uml#_4c4HcMFMEea5pdrFDq-m2g"/>
          </generalization>
          <ownedAttribute xmi:id="_BmFFAs3tEeahpd1P9sS4xg" name="family" isOrdered="true">
            <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aHuYcFMEea5pdrFDq-m2g"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BmFFA83tEeahpd1P9sS4xg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BmFFBM3tEeahpd1P9sS4xg" value="1"/>
            <redefinedProperty href="FHIR-Core.uml#_4c6jtMFMEea5pdrFDq-m2g"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_BmFsEc3tEeahpd1P9sS4xg" name="USCoreObss">
        <ownedComment xmi:id="_BmJWcs3tEeahpd1P9sS4xg">
          <body>US Realm clinical coded results.</body>
        </ownedComment>
        <ownedComment xmi:id="_BmJWcM3tEeahpd1P9sS4xg">
          <body>US Core Result Observation</body>
        </ownedComment>
        <ownedRule xmi:id="_BmFsEs3tEeahpd1P9sS4xg" name="us-core-2" constrainedElement="_BmFsEc3tEeahpd1P9sS4xg">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_BmFsE83tEeahpd1P9sS4xg">
            <language>XPath</language>
            <body>exists(f:component) or exists(f:related) or exists(f:*[starts-with(local-name(.), 'value)]) or exists(f:dataAbsentReason)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_BmIIUM3tEeahpd1P9sS4xg" name="us-core-1" constrainedElement="_BxzM0M3tEeahpd1P9sS4xg">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_BmIIUc3tEeahpd1P9sS4xg">
            <language>XPath</language>
            <body>f:matches(effectiveDateTime,/\d{4}-[01]\d-[0-3]\dT[0-2]\d:[0-5]\d([+-][0-2]\d:[0-5]\d|Z)/)</body>
          </specification>
        </ownedRule>
        <generalization xmi:id="_BmIvYs3tEeahpd1P9sS4xg">
          <general xmi:type="uml:Class" href="FHIR-Core.uml#_47eH8MFMEea5pdrFDq-m2g"/>
        </generalization>
        <ownedAttribute xmi:id="_BmJWdM3tEeahpd1P9sS4xg" name="status" isOrdered="true">
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aUissFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BmJWdc3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BmJWds3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_47kOl8FMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Br1HsM3tEeahpd1P9sS4xg" name="category" isOrdered="true">
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4ckleMFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Br1Hsc3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Br1uwM3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_47lctcFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Br1uws3tEeahpd1P9sS4xg" name="code" type="_BxsfIM3tEeahpd1P9sS4xg" isOrdered="true">
          <ownedComment xmi:id="_Bxr4Es3tEeahpd1P9sS4xg">
            <body>The test that was performed.  This is element is bound to LOINC.</body>
          </ownedComment>
          <ownedComment xmi:id="_Bxr4EM3tEeahpd1P9sS4xg">
            <body>US Realm Laboratory Test Name</body>
          </ownedComment>
          <ownedComment xmi:id="_Bxr4FM3tEeahpd1P9sS4xg">
            <body>UsageNote= The typical patterns for codes are:  1)  a LOINC code either as a  translation from a &quot;local&quot; code or as a primary code, or 2)  a local code only if no suitable LOINC exists,  or 3)  both the local and the LOINC translation.   Systems SHALL be capable of sending the local code if one exists.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Br2V0M3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Br2V0c3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_47mDycFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BxwJh83tEeahpd1P9sS4xg" name="subject" type="_AJCfQM3tEeahpd1P9sS4xg" isOrdered="true" association="_Bxwwk83tEeahpd1P9sS4xg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BxwwkM3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Bxwwkc3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_47nR48FMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_BxzM0M3tEeahpd1P9sS4xg" name="effective[x]" isOrdered="true">
          <ownedComment xmi:id="_Bxzz4M3tEeahpd1P9sS4xg">
            <body>For lab tests this is the specimen collection date.  For Ask at Order Entry Questions (AOE)'s this is the date the question was asked.</body>
          </ownedComment>
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aEEAcFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BxzM0c3tEeahpd1P9sS4xg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BxzM0s3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_47ogAsFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Bxzz483tEeahpd1P9sS4xg" name="USCoreValueType" isOrdered="true">
          <ownedComment xmi:id="_Bx3eQ83tEeahpd1P9sS4xg">
            <body>If codeableConcept, valueCodeableConcept *SHOULD*  be selected from [SNOMED CT](http://hl7.org/fhir/ValueSet/uslab-obs-codedresults).  If Quantity, valueQuantity units *SHALL* be selected from [UCUM](http://unitsofmeasure.org).</body>
          </ownedComment>
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aEEAcFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Bx23MM3tEeahpd1P9sS4xg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Bx3eQM3tEeahpd1P9sS4xg" value="1"/>
          <subsettedProperty href="FHIR-Core.uml#_47puLcFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Bx4FUs3tEeahpd1P9sS4xg" name="valueQuantity" isOrdered="true">
          <ownedComment xmi:id="_Bx4sY83tEeahpd1P9sS4xg">
            <body>If codeableConcept, valueCodeableConcept *SHOULD*  be selected from [SNOMED CT](http://hl7.org/fhir/ValueSet/uslab-obs-codedresults).  If Quantity, valueQuantity units *SHALL* be selected from [UCUM](http://unitsofmeasure.org).</body>
          </ownedComment>
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4a1gFMFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Bx4FU83tEeahpd1P9sS4xg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Bx4FVM3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_47puLcFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Bx5TcM3tEeahpd1P9sS4xg" name="valueCodeableConcept" isOrdered="true">
          <ownedComment xmi:id="_Bx56gs3tEeahpd1P9sS4xg">
            <body>If codeableConcept, valueCodeableConcept *SHOULD*  be selected from [SNOMED CT](http://hl7.org/fhir/ValueSet/uslab-obs-codedresults).  If Quantity, valueQuantity units *SHALL* be selected from [UCUM](http://unitsofmeasure.org).</body>
          </ownedComment>
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4ckleMFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Bx5Tcc3tEeahpd1P9sS4xg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Bx5Tcs3tEeahpd1P9sS4xg" value="1"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_Bx6hkM3tEeahpd1P9sS4xg" name="dataAbsentReason" isOrdered="true">
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4ckleMFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Bx6hkc3tEeahpd1P9sS4xg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Bx6hks3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_47qVOsFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_BxsfIM3tEeahpd1P9sS4xg" name="CodeableConcept-1">
          <generalization xmi:id="_BxsfIc3tEeahpd1P9sS4xg">
            <general xmi:type="uml:Class" href="FHIR-Core.uml#_4ckleMFMEea5pdrFDq-m2g"/>
          </generalization>
          <ownedAttribute xmi:id="_BxtGMM3tEeahpd1P9sS4xg" name="coding" type="_BxttQ83tEeahpd1P9sS4xg" isOrdered="true">
            <ownedComment xmi:id="_BxttQc3tEeahpd1P9sS4xg">
              <body>Standard and local codes may be included here by repeating the coding element with a different coding.system.</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BxtGMc3tEeahpd1P9sS4xg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BxtGMs3tEeahpd1P9sS4xg" value="*"/>
            <redefinedProperty href="FHIR-Core.uml#_4clzk8FMEea5pdrFDq-m2g"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_Bxvids3tEeahpd1P9sS4xg" name="text" isOrdered="true">
            <ownedComment xmi:id="_BxwJg83tEeahpd1P9sS4xg">
              <body>This is the laboratory defined display text for the lab test if different from the code display text(s).</body>
            </ownedComment>
            <ownedComment xmi:id="_BxwJgc3tEeahpd1P9sS4xg">
              <body>Display text</body>
            </ownedComment>
            <ownedComment xmi:id="_BxwJhc3tEeahpd1P9sS4xg">
              <body>If this exists, this is the text to be used for display.</body>
            </ownedComment>
            <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aHuYcFMEea5pdrFDq-m2g"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Bxvid83tEeahpd1P9sS4xg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BxvieM3tEeahpd1P9sS4xg" value="1"/>
            <redefinedProperty href="FHIR-Core.uml#_4cmaocFMEea5pdrFDq-m2g"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_BxttQ83tEeahpd1P9sS4xg" name="Coding-1">
            <generalization xmi:id="_BxttRM3tEeahpd1P9sS4xg">
              <general xmi:type="uml:Class" href="FHIR-Core.uml#_4bBtUcFMEea5pdrFDq-m2g"/>
            </generalization>
            <ownedAttribute xmi:id="_BxuUUM3tEeahpd1P9sS4xg" name="system" isOrdered="true">
              <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aMm5sFMEea5pdrFDq-m2g"/>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_BxuUUc3tEeahpd1P9sS4xg" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_BxuUUs3tEeahpd1P9sS4xg" value="1"/>
              <redefinedProperty href="FHIR-Core.uml#_4bCUasFMEea5pdrFDq-m2g"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_BxuUVM3tEeahpd1P9sS4xg" name="code" isOrdered="true">
              <ownedComment xmi:id="_Bxu7Y83tEeahpd1P9sS4xg">
                <body>Logical Observation Identifiers Names and Codes (LOINC) is a database and universal standard for identifying medical laboratory observations.</body>
              </ownedComment>
              <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aUissFMEea5pdrFDq-m2g"/>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Bxu7YM3tEeahpd1P9sS4xg" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Bxu7Yc3tEeahpd1P9sS4xg" value="1"/>
              <redefinedProperty href="FHIR-Core.uml#_4bDigsFMEea5pdrFDq-m2g"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_BxvicM3tEeahpd1P9sS4xg" name="display" isOrdered="true">
              <ownedComment xmi:id="_BxvidM3tEeahpd1P9sS4xg">
                <body>When using LOINC  'long common name' is preferred although the LOINC 'short name' or the LOINC 'fully-specified name can also be used.  ( http://lionc.org.terms-of-use).</body>
              </ownedComment>
              <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aHuYcFMEea5pdrFDq-m2g"/>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Bxvicc3tEeahpd1P9sS4xg"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Bxvics3tEeahpd1P9sS4xg" value="1"/>
              <redefinedProperty href="FHIR-Core.uml#_4bDijMFMEea5pdrFDq-m2g"/>
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          </nestedClassifier>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Bxwwk83tEeahpd1P9sS4xg" memberEnd="_Bxx-sM3tEeahpd1P9sS4xg _BxwJh83tEeahpd1P9sS4xg">
        <ownedEnd xmi:id="_Bxx-sM3tEeahpd1P9sS4xg" type="_BmFsEc3tEeahpd1P9sS4xg" association="_Bxwwk83tEeahpd1P9sS4xg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Bxx-sc3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Bxx-ss3tEeahpd1P9sS4xg" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_B3jPgM3tEeahpd1P9sS4xg" name="USCoreLocation">
        <ownedComment xmi:id="_B3j2ks3tEeahpd1P9sS4xg">
          <body>US Core Location Profile</body>
        </ownedComment>
        <generalization xmi:id="_B3j2kc3tEeahpd1P9sS4xg">
          <general xmi:type="uml:Class" href="FHIR-Core.uml#_4dfLecFMEea5pdrFDq-m2g"/>
        </generalization>
        <ownedAttribute xmi:id="_B3kdoM3tEeahpd1P9sS4xg" name="status" isOrdered="true">
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aUissFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_B3kdoc3tEeahpd1P9sS4xg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_B3kdos3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_4dgZncFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_B3lEsM3tEeahpd1P9sS4xg" name="name" isOrdered="true">
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aHuYcFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_B3lEsc3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_B3lEss3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_4dhnssFMEea5pdrFDq-m2g"/>
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        <ownedAttribute xmi:id="_B3lEtM3tEeahpd1P9sS4xg" name="telecom" isOrdered="true">
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4cwLocFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_B3lEtc3tEeahpd1P9sS4xg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_B3lEts3tEeahpd1P9sS4xg" value="*"/>
          <redefinedProperty href="FHIR-Core.uml#_4dkD98FMEea5pdrFDq-m2g"/>
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        <ownedAttribute xmi:id="_B3lrwM3tEeahpd1P9sS4xg" name="address" type="_B3lrxM3tEeahpd1P9sS4xg" isOrdered="true">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_B3lrwc3tEeahpd1P9sS4xg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_B3lrws3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_4dkrB8FMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_B9bOAM3tEeahpd1P9sS4xg" name="managingOrganization" type="_BZIOIc3tEeahpd1P9sS4xg" isOrdered="true" association="_B9bOBM3tEeahpd1P9sS4xg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_B9bOAc3tEeahpd1P9sS4xg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_B9bOAs3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_4dnuW8FMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_B3lrxM3tEeahpd1P9sS4xg" name="Address-1">
          <generalization xmi:id="_B3lrxc3tEeahpd1P9sS4xg">
            <general xmi:type="uml:Class" href="FHIR-Core.uml#_4arvFcFMEea5pdrFDq-m2g"/>
          </generalization>
          <ownedAttribute xmi:id="_B3mS0M3tEeahpd1P9sS4xg" name="line" isOrdered="true">
            <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aHuYcFMEea5pdrFDq-m2g"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_B3mS0c3tEeahpd1P9sS4xg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_B3mS0s3tEeahpd1P9sS4xg" value="*"/>
            <redefinedProperty href="FHIR-Core.uml#_4avZeMFMEea5pdrFDq-m2g"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_B3m54c3tEeahpd1P9sS4xg" name="city" isOrdered="true">
            <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aHuYcFMEea5pdrFDq-m2g"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_B3m54s3tEeahpd1P9sS4xg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_B3m5483tEeahpd1P9sS4xg" value="1"/>
            <redefinedProperty href="FHIR-Core.uml#_4awAhMFMEea5pdrFDq-m2g"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_B3m55c3tEeahpd1P9sS4xg" name="state" isOrdered="true">
            <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aHuYcFMEea5pdrFDq-m2g"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_B3m55s3tEeahpd1P9sS4xg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_B3ng8M3tEeahpd1P9sS4xg" value="1"/>
            <redefinedProperty href="FHIR-Core.uml#_4awnmcFMEea5pdrFDq-m2g"/>
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          <ownedAttribute xmi:id="_B9Z_4M3tEeahpd1P9sS4xg" name="postalCode" isOrdered="true">
            <ownedComment xmi:id="_B9am883tEeahpd1P9sS4xg">
              <body>US Zip Codes</body>
            </ownedComment>
            <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aHuYcFMEea5pdrFDq-m2g"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_B9am8M3tEeahpd1P9sS4xg"/>
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            <redefinedProperty href="FHIR-Core.uml#_4axOosFMEea5pdrFDq-m2g"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_B9bOBM3tEeahpd1P9sS4xg" memberEnd="_B9bOBc3tEeahpd1P9sS4xg _B9bOAM3tEeahpd1P9sS4xg">
        <ownedEnd xmi:id="_B9bOBc3tEeahpd1P9sS4xg" type="_B3jPgM3tEeahpd1P9sS4xg" association="_B9bOBM3tEeahpd1P9sS4xg">
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          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_B9bOB83tEeahpd1P9sS4xg" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_B9bOCM3tEeahpd1P9sS4xg" name="USCoreAllergyIntolerance">
        <ownedComment xmi:id="_B9b1FM3tEeahpd1P9sS4xg">
          <body>The US Core Allergies Profile is based upon the core FHIR AllergyIntolerance Resource and created to meet the 2015 Edition Common Clinical Data Set 'Medical allergies' requirements.</body>
        </ownedComment>
        <ownedComment xmi:id="_B9b1Es3tEeahpd1P9sS4xg">
          <body>US Core Allergies Profile</body>
        </ownedComment>
        <generalization xmi:id="_B9b1Ec3tEeahpd1P9sS4xg">
          <general xmi:type="uml:Class" href="FHIR-Core.uml#_47J-68FMEea5pdrFDq-m2g"/>
        </generalization>
        <ownedAttribute xmi:id="_B9ccIc3tEeahpd1P9sS4xg" name="clinicalStatus" isOrdered="true">
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aUissFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_B9ccIs3tEeahpd1P9sS4xg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_B9ccI83tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_47MbJsFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CDQwQM3tEeahpd1P9sS4xg" name="verificationStatus" isOrdered="true">
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aUissFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CDQwQc3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CDQwQs3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_47NCNsFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CIywgM3tEeahpd1P9sS4xg" name="code" isOrdered="true">
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4ckleMFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CIywgc3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CIywgs3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_47QslcFMEea5pdrFDq-m2g"/>
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        <ownedAttribute xmi:id="_CIz-oM3tEeahpd1P9sS4xg" name="patient" type="_AJCfQM3tEeahpd1P9sS4xg" isOrdered="true" association="_CIz-pM3tEeahpd1P9sS4xg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CIz-oc3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CIz-os3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_47R6sMFMEea5pdrFDq-m2g"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_CIz-pM3tEeahpd1P9sS4xg" memberEnd="_CIz-pc3tEeahpd1P9sS4xg _CIz-oM3tEeahpd1P9sS4xg">
        <ownedEnd xmi:id="_CIz-pc3tEeahpd1P9sS4xg" type="_B9bOCM3tEeahpd1P9sS4xg" association="_CIz-pM3tEeahpd1P9sS4xg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CIz-ps3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CIz-p83tEeahpd1P9sS4xg" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_CIz-qM3tEeahpd1P9sS4xg" name="USCoreMedicationStatement">
        <ownedComment xmi:id="_CI1Mw83tEeahpd1P9sS4xg">
          <body>The US Core Medication Statement Profile is based upon the core FHIR MedicationStatement Resource and created to meet the 2015 Edition Common Clinical Data Set 'Medications' requirements.</body>
        </ownedComment>
        <ownedComment xmi:id="_CI1Mwc3tEeahpd1P9sS4xg">
          <body>US Core Medication Statement Profile</body>
        </ownedComment>
        <generalization xmi:id="_CI1MwM3tEeahpd1P9sS4xg">
          <general xmi:type="uml:Class" href="FHIR-Core.uml#_4-HMS8FMEea5pdrFDq-m2g"/>
        </generalization>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CI1z0M3tEeahpd1P9sS4xg" value="1"/>
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        </ownedAttribute>
        <ownedAttribute xmi:id="_CSW8MM3tEeahpd1P9sS4xg" name="medication[x]" isOrdered="true">
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aDc8cFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CSW8Mc3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CSW8Ms3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_4-KPkcFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CSYKUM3tEeahpd1P9sS4xg" name="subject" type="_AJCfQM3tEeahpd1P9sS4xg" isOrdered="true" association="_CSYKVM3tEeahpd1P9sS4xg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CSYKUc3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CSYKUs3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_4-K2o8FMEea5pdrFDq-m2g"/>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CSYKWc3tEeahpd1P9sS4xg"/>
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      <packagedElement xmi:type="uml:Class" xmi:id="_CSUf8M3tEeahpd1P9sS4xg" name="USCoreMedication">
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          <body>The US Core Medication Profile is based upon the core FHIR Medication Resource and created to meet the 2015 Edition Common Clinical Data Set 'Medications' requirements.</body>
        </ownedComment>
        <ownedComment xmi:id="_CSVHAs3tEeahpd1P9sS4xg">
          <body>US Core Medication Profile</body>
        </ownedComment>
        <generalization xmi:id="_CSVHAc3tEeahpd1P9sS4xg">
          <general xmi:type="uml:Class" href="FHIR-Core.uml#_4ox1dsFMEea5pdrFDq-m2g"/>
        </generalization>
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          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CSVuEc3tEeahpd1P9sS4xg" value="1"/>
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      </packagedElement>
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        <ownedEnd xmi:id="_CSYKVc3tEeahpd1P9sS4xg" type="_CIz-qM3tEeahpd1P9sS4xg" association="_CSYKVM3tEeahpd1P9sS4xg">
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      <packagedElement xmi:type="uml:Class" xmi:id="_CSZYcM3tEeahpd1P9sS4xg" name="USCoreCareTeam">
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          <body>The US Core CareTeam Profile is based upon the core FHIR CareTeam Resource and created to meet the 2015 Edition Common Clinical Data Set 'Care team member(s)' requirements.</body>
        </ownedComment>
        <ownedComment xmi:id="_CSZ_gM3tEeahpd1P9sS4xg">
          <body>US Core CareTeam Profile</body>
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            <redefinedProperty href="FHIR-Core.uml#_49e6JsFMEea5pdrFDq-m2g"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_CSbNpM3tEeahpd1P9sS4xg" memberEnd="_CSbNpc3tEeahpd1P9sS4xg _CSbNoM3tEeahpd1P9sS4xg">
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_CSb0sc3tEeahpd1P9sS4xg" memberEnd="_CSb0ss3tEeahpd1P9sS4xg _CSbNqM3tEeahpd1P9sS4xg">
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_CSdp4c3tEeahpd1P9sS4xg" memberEnd="_CSdp4s3tEeahpd1P9sS4xg _CSdC0s3tEeahpd1P9sS4xg">
        <ownedEnd xmi:id="_CSdp4s3tEeahpd1P9sS4xg" type="_CSb0tc3tEeahpd1P9sS4xg" association="_CSdp4c3tEeahpd1P9sS4xg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CSdp483tEeahpd1P9sS4xg" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_CSdp5s3tEeahpd1P9sS4xg" name="USCoreDevice">
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          <body>The US Core Implanted Device Profile is based upon the core FHIR Device Resource and created to meet the 2015 Edition Common Clinical Data Set 'Unique device identifier(s) for a patient’s implantable device(s)' requirements.</body>
        </ownedComment>
        <ownedComment xmi:id="_CSeQ8s3tEeahpd1P9sS4xg">
          <body>US Core Implanted Device Profile</body>
        </ownedComment>
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          <redefinedProperty href="FHIR-Core.uml#_4lM9AMFMEea5pdrFDq-m2g"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_CXMY4M3tEeahpd1P9sS4xg" name="USCoreVitalSigns">
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          <body>The US Core Vital Signs Profile is based upon the core FHIR Observation Resource and created to meet the 2015 Edition Common Clinical Data Set 'Vital Signs' requirements.</body>
        </ownedComment>
        <ownedComment xmi:id="_CXO1Ic3tEeahpd1P9sS4xg">
          <body>US Core Vital Signs Profile</body>
        </ownedComment>
        <ownedRule xmi:id="_CXMY4c3tEeahpd1P9sS4xg" name="us-core-2" constrainedElement="_CXMY4M3tEeahpd1P9sS4xg">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_CXMY4s3tEeahpd1P9sS4xg">
            <language>XPath</language>
            <body>exists(f:component) or exists(f:related) or exists(f:*[starts-with(local-name(.), 'value)]) or exists(f:dataAbsentReason)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_CXM_8M3tEeahpd1P9sS4xg" name="us-core-1" constrainedElement="_CsWwlM3tEeahpd1P9sS4xg">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_CXM_8c3tEeahpd1P9sS4xg">
            <language>XPath</language>
            <body>f:matches(effectiveDateTime,/\d{4}-[01]\d-[0-3]\dT[0-2]\d:[0-5]\d([+-][0-2]\d:[0-5]\d|Z)/)</body>
          </specification>
        </ownedRule>
        <ownedRule xmi:id="_CXNnAc3tEeahpd1P9sS4xg" name="us-core-3" constrainedElement="_Fh7Phc3tEeahpd1P9sS4xg">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_CXNnAs3tEeahpd1P9sS4xg">
            <language>XPath</language>
            <body>exists(f:*[starts-with(local-name(.), 'value)]) or exists(f:dataAbsentReason)</body>
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        </ownedRule>
        <generalization xmi:id="_CXO1IM3tEeahpd1P9sS4xg">
          <general xmi:type="uml:Class" href="FHIR-Core.uml#_47eH8MFMEea5pdrFDq-m2g"/>
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          <redefinedProperty href="FHIR-Core.uml#_47kOl8FMEea5pdrFDq-m2g"/>
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        <ownedAttribute xmi:id="_CsR4EM3tEeahpd1P9sS4xg" name="category" isOrdered="true">
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4ckleMFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CsR4Ec3tEeahpd1P9sS4xg" value="1"/>
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        <ownedAttribute xmi:id="_CsSfIM3tEeahpd1P9sS4xg" name="code" isOrdered="true">
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            <body>Coded Responses from C-CDA Vital Sign Results</body>
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          <ownedComment xmi:id="_CsWJgc3tEeahpd1P9sS4xg">
            <body>5. SHALL contain exactly one [1..1] code, where the @code SHOULD be selected from ValueSet HITSP Vital Sign Result Type 2.16.840.1.113883.3.88.12.80.62 DYNAMIC (CONF:7301).</body>
          </ownedComment>
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4ckleMFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CsSfIc3tEeahpd1P9sS4xg" value="1"/>
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            <body>Often just a dateTime for Vital Signs</body>
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            <body>Vital Sign Value recorded with UCUM</body>
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          <ownedComment xmi:id="_DYO_Ic3tEeahpd1P9sS4xg">
            <body>9. SHALL contain exactly one [1..1] value with @xsi:type=&quot;PQ&quot; (CONF:7305).</body>
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          <redefinedProperty href="FHIR-Core.uml#_47qVOsFMEea5pdrFDq-m2g"/>
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            <body>Used when reporting systolic and diastolic blood pressure.</body>
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            <body>Used when reporting systolic and diastolic blood pressure.</body>
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        <nestedClassifier xmi:type="uml:Class" xmi:id="_DYO_I83tEeahpd1P9sS4xg" name="Quantity-1">
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            <general xmi:type="uml:Class" href="FHIR-Core.uml#_4a1gFMFMEea5pdrFDq-m2g"/>
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            <defaultValue xmi:type="uml:LiteralString" xmi:id="_DYQ0UM3tEeahpd1P9sS4xg" value="http://unitsofmeasure.org"/>
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          <ownedAttribute xmi:id="_DYQ0Uc3tEeahpd1P9sS4xg" name="code" isOrdered="true">
            <ownedComment xmi:id="_DYQ0Vc3tEeahpd1P9sS4xg">
              <body>Coded responses from the common UCUM units for vital signs value set.</body>
            </ownedComment>
            <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aUissFMEea5pdrFDq-m2g"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_DYQ0Us3tEeahpd1P9sS4xg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_DYQ0U83tEeahpd1P9sS4xg" value="1"/>
            <redefinedProperty href="FHIR-Core.uml#_4a5KfcFMEea5pdrFDq-m2g"/>
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        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_Fh6BZs3tEeahpd1P9sS4xg" name="Related-1">
          <generalization xmi:id="_Fh6BZ83tEeahpd1P9sS4xg">
            <general xmi:type="uml:Class" href="FHIR-Core.uml#_49MmRMFMEea5pdrFDq-m2g"/>
          </generalization>
          <ownedAttribute xmi:id="_Fh6ocM3tEeahpd1P9sS4xg" name="type" isOrdered="true" isReadOnly="true">
            <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aUissFMEea5pdrFDq-m2g"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Fh6occ3tEeahpd1P9sS4xg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Fh6ocs3tEeahpd1P9sS4xg" value="1"/>
            <defaultValue xmi:type="uml:LiteralString" xmi:id="_Fh6odM3tEeahpd1P9sS4xg" value="has-member"/>
            <redefinedProperty href="FHIR-Core.uml#_49N0ZcFMEea5pdrFDq-m2g"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_Fh6odc3tEeahpd1P9sS4xg" name="target" type="_CXMY4M3tEeahpd1P9sS4xg" isOrdered="true" association="_Fh7Pgc3tEeahpd1P9sS4xg">
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Fh6ods3tEeahpd1P9sS4xg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Fh6od83tEeahpd1P9sS4xg" value="1"/>
            <redefinedProperty href="FHIR-Core.uml#_5DTOQMFMEea5pdrFDq-m2g"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_Fh72mM3tEeahpd1P9sS4xg" name="Component-1">
          <generalization xmi:id="_Fh72mc3tEeahpd1P9sS4xg">
            <general xmi:type="uml:Class" href="FHIR-Core.uml#_5DT1UMFMEea5pdrFDq-m2g"/>
          </generalization>
          <ownedAttribute xmi:id="_Fh8doM3tEeahpd1P9sS4xg" name="code" isOrdered="true">
            <type xmi:type="uml:Class" href="FHIR-Core.uml#_4ckleMFMEea5pdrFDq-m2g"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Fh8doc3tEeahpd1P9sS4xg" value="1"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Fh8dos3tEeahpd1P9sS4xg" value="1"/>
            <redefinedProperty href="FHIR-Core.uml#_5DUcbMFMEea5pdrFDq-m2g"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_Fh9EsM3tEeahpd1P9sS4xg" name="valueQuantity" type="_Fmj34s3tEeahpd1P9sS4xg" isOrdered="true">
            <ownedComment xmi:id="_FmjQ0M3tEeahpd1P9sS4xg">
              <body>Vital Sign Value recorded with UCUM</body>
            </ownedComment>
            <ownedComment xmi:id="_Fmj34M3tEeahpd1P9sS4xg">
              <body>9. SHALL contain exactly one [1..1] value with @xsi:type=&quot;PQ&quot; (CONF:7305).</body>
            </ownedComment>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Fh9Esc3tEeahpd1P9sS4xg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Fh9Ess3tEeahpd1P9sS4xg" value="1"/>
            <redefinedProperty href="FHIR-Core.uml#_5DVDd8FMEea5pdrFDq-m2g"/>
          </ownedAttribute>
          <ownedAttribute xmi:id="_FmltFs3tEeahpd1P9sS4xg" name="dataAbsentReason" isOrdered="true">
            <type xmi:type="uml:Class" href="FHIR-Core.uml#_4ckleMFMEea5pdrFDq-m2g"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FmltF83tEeahpd1P9sS4xg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FmltGM3tEeahpd1P9sS4xg" value="1"/>
            <redefinedProperty href="FHIR-Core.uml#_5DVqi8FMEea5pdrFDq-m2g"/>
          </ownedAttribute>
          <nestedClassifier xmi:type="uml:Class" xmi:id="_Fmj34s3tEeahpd1P9sS4xg" name="Quantity-1">
            <generalization xmi:id="_Fmj3483tEeahpd1P9sS4xg">
              <general xmi:type="uml:Class" href="FHIR-Core.uml#_4a1gFMFMEea5pdrFDq-m2g"/>
            </generalization>
            <ownedAttribute xmi:id="_Fmke8M3tEeahpd1P9sS4xg" name="value" isOrdered="true">
              <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aapUcFMEea5pdrFDq-m2g"/>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Fmke8c3tEeahpd1P9sS4xg" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Fmke8s3tEeahpd1P9sS4xg" value="1"/>
              <redefinedProperty href="FHIR-Core.uml#_4a3VQMFMEea5pdrFDq-m2g"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_Fmke9M3tEeahpd1P9sS4xg" name="unit" isOrdered="true">
              <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aHuYcFMEea5pdrFDq-m2g"/>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Fmke9c3tEeahpd1P9sS4xg" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Fmke9s3tEeahpd1P9sS4xg" value="1"/>
              <redefinedProperty href="FHIR-Core.uml#_4a4jZ8FMEea5pdrFDq-m2g"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_FmlGAc3tEeahpd1P9sS4xg" name="system" isOrdered="true" isReadOnly="true">
              <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aMm5sFMEea5pdrFDq-m2g"/>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FmlGAs3tEeahpd1P9sS4xg" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FmlGA83tEeahpd1P9sS4xg" value="1"/>
              <defaultValue xmi:type="uml:LiteralString" xmi:id="_FmlGBc3tEeahpd1P9sS4xg" value="http://unitsofmeasure.org"/>
              <redefinedProperty href="FHIR-Core.uml#_4a5Kc8FMEea5pdrFDq-m2g"/>
            </ownedAttribute>
            <ownedAttribute xmi:id="_FmltEM3tEeahpd1P9sS4xg" name="code" isOrdered="true">
              <ownedComment xmi:id="_FmltFM3tEeahpd1P9sS4xg">
                <body>Coded responses from the common UCUM units for vital signs value set.</body>
              </ownedComment>
              <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aUissFMEea5pdrFDq-m2g"/>
              <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FmltEc3tEeahpd1P9sS4xg" value="1"/>
              <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FmltEs3tEeahpd1P9sS4xg" value="1"/>
              <redefinedProperty href="FHIR-Core.uml#_4a5KfcFMEea5pdrFDq-m2g"/>
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          </nestedClassifier>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_CsWwkM3tEeahpd1P9sS4xg" memberEnd="_CsWwkc3tEeahpd1P9sS4xg _CsWJg83tEeahpd1P9sS4xg">
        <ownedEnd xmi:id="_CsWwkc3tEeahpd1P9sS4xg" type="_CXMY4M3tEeahpd1P9sS4xg" association="_CsWwkM3tEeahpd1P9sS4xg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CsWwks3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CsWwk83tEeahpd1P9sS4xg" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Fh6BYM3tEeahpd1P9sS4xg" memberEnd="_Fh6BYc3tEeahpd1P9sS4xg _Fh5aUM3tEeahpd1P9sS4xg">
        <ownedEnd xmi:id="_Fh6BYc3tEeahpd1P9sS4xg" type="_CXMY4M3tEeahpd1P9sS4xg" association="_Fh6BYM3tEeahpd1P9sS4xg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Fh6BYs3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Fh6BY83tEeahpd1P9sS4xg" value="1"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Fh7Pgc3tEeahpd1P9sS4xg" memberEnd="_Fh7Pgs3tEeahpd1P9sS4xg _Fh6odc3tEeahpd1P9sS4xg">
        <ownedEnd xmi:id="_Fh7Pgs3tEeahpd1P9sS4xg" type="_Fh6BZs3tEeahpd1P9sS4xg" association="_Fh7Pgc3tEeahpd1P9sS4xg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Fh7Pg83tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Fh7PhM3tEeahpd1P9sS4xg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_Fh72ks3tEeahpd1P9sS4xg" memberEnd="_Fh72k83tEeahpd1P9sS4xg _Fh7Phc3tEeahpd1P9sS4xg">
        <ownedEnd xmi:id="_Fh72k83tEeahpd1P9sS4xg" type="_CXMY4M3tEeahpd1P9sS4xg" association="_Fh72ks3tEeahpd1P9sS4xg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Fh72lM3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Fh72lc3tEeahpd1P9sS4xg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_FtoJMM3tEeahpd1P9sS4xg" name="USCoreGoal">
        <ownedComment xmi:id="_FtpXU83tEeahpd1P9sS4xg">
          <body>The US Core Goal Profile is based upon the core FHIR Goal Resource and created to meet the 2015 Edition Common Clinical Data Set 'Goals' requirements.</body>
        </ownedComment>
        <ownedComment xmi:id="_FtpXUc3tEeahpd1P9sS4xg">
          <body>US Core Goal Profile</body>
        </ownedComment>
        <generalization xmi:id="_FtpXUM3tEeahpd1P9sS4xg">
          <general xmi:type="uml:Class" href="FHIR-Core.uml#_49-CXMFMEea5pdrFDq-m2g"/>
        </generalization>
        <ownedAttribute xmi:id="_FtpXVc3tEeahpd1P9sS4xg" name="status" isOrdered="true">
          <ownedComment xmi:id="_FzfgoM3tEeahpd1P9sS4xg">
            <body>Type of plan.</body>
          </ownedComment>
          <ownedComment xmi:id="_Fzfgos3tEeahpd1P9sS4xg">
            <body>Identifies what &quot;kind&quot; of plan this is to support differentiation between multiple co-existing plans; e.g. &quot;Home health&quot;, &quot;psychiatric&quot;, &quot;asthma&quot;, &quot;disease management&quot;, &quot;wellness plan&quot;, etc.</body>
          </ownedComment>
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aUissFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FtpXVs3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Ftp-YM3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_49_QfsFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FzgHsc3tEeahpd1P9sS4xg" name="description" isOrdered="true">
          <ownedComment xmi:id="_FzguwM3tEeahpd1P9sS4xg">
            <body>proposed | draft | active | completed | cancelled.</body>
          </ownedComment>
          <ownedComment xmi:id="_Fzguws3tEeahpd1P9sS4xg">
            <body>Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.</body>
          </ownedComment>
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4ckleMFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FzgHss3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FzgHs83tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_4-CTwMFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_FzguxM3tEeahpd1P9sS4xg" name="subject" type="_AJCfQM3tEeahpd1P9sS4xg" isOrdered="true" association="_FzhV083tEeahpd1P9sS4xg">
          <ownedComment xmi:id="_FzhV183tEeahpd1P9sS4xg">
            <body>Who care plan is for.</body>
          </ownedComment>
          <ownedComment xmi:id="_FzhV2c3tEeahpd1P9sS4xg">
            <body>Identifies the patient or group whose intended care is described by the plan.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FzhV0M3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FzhV0c3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_4-C61MFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_FzhV083tEeahpd1P9sS4xg" memberEnd="_FzhV1M3tEeahpd1P9sS4xg _FzguxM3tEeahpd1P9sS4xg">
        <ownedEnd xmi:id="_FzhV1M3tEeahpd1P9sS4xg" type="_FtoJMM3tEeahpd1P9sS4xg" association="_FzhV083tEeahpd1P9sS4xg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_FzhV1c3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_FzhV1s3tEeahpd1P9sS4xg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_Fzh84M3tEeahpd1P9sS4xg" name="USCoreSmookingStatus">
        <ownedComment xmi:id="_Fzij8s3tEeahpd1P9sS4xg">
          <body>The US Core Smoking Status Observation Profile is based upon the core FHIR Observation Resource and created to meet the 2015 Edition Common Clinical Data Set 'Smoking status' requirements.</body>
        </ownedComment>
        <ownedComment xmi:id="_Fzij8M3tEeahpd1P9sS4xg">
          <body>US Core Smoking Status Observation Profile</body>
        </ownedComment>
        <generalization xmi:id="_Fzh84s3tEeahpd1P9sS4xg">
          <general xmi:type="uml:Class" href="FHIR-Core.uml#_47eH8MFMEea5pdrFDq-m2g"/>
        </generalization>
        <ownedAttribute xmi:id="_Fzij9M3tEeahpd1P9sS4xg" name="status" isOrdered="true">
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aUissFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_Fzij9c3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_Fzij9s3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_47kOl8FMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_F5W4EM3tEeahpd1P9sS4xg" name="code" isOrdered="true">
          <ownedComment xmi:id="_F5XfIc3tEeahpd1P9sS4xg">
            <body>Smoking Status: Limited to fixed LOINC  value 72166-2  = Tobacco smoking status NHIS.</body>
          </ownedComment>
          <ownedComment xmi:id="_F5W4FM3tEeahpd1P9sS4xg">
            <body>Smoking Status: LOINC 72166-2  = Tobacco smoking status NHIS</body>
          </ownedComment>
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4ckleMFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F5W4Ec3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F5W4Es3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_47mDycFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_F5XfI83tEeahpd1P9sS4xg" name="subject" type="_AJCfQM3tEeahpd1P9sS4xg" isOrdered="true" association="_F5YGMM3tEeahpd1P9sS4xg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F5XfJM3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F5XfJc3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_47nR48FMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_F5YGNM3tEeahpd1P9sS4xg" name="issued" isOrdered="true">
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4ae6wMFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F5YGNc3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F5YGNs3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_47pHEcFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_F5YtQM3tEeahpd1P9sS4xg" name="valueCodeableConcept" isOrdered="true">
          <ownedComment xmi:id="_F5bJgs3tEeahpd1P9sS4xg">
            <body>Coded Responses from Smoking Status Value Set</body>
          </ownedComment>
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4ckleMFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F5YtQc3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F5YtQs3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_47puLcFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_F5YGMM3tEeahpd1P9sS4xg" memberEnd="_F5YGMc3tEeahpd1P9sS4xg _F5XfI83tEeahpd1P9sS4xg">
        <ownedEnd xmi:id="_F5YGMc3tEeahpd1P9sS4xg" type="_Fzh84M3tEeahpd1P9sS4xg" association="_F5YGMM3tEeahpd1P9sS4xg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F5YGMs3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F5YGM83tEeahpd1P9sS4xg" value="1"/>
        </ownedEnd>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_F5bJhM3tEeahpd1P9sS4xg" name="USCoreCarePlan">
        <ownedComment xmi:id="_F5cXoc3tEeahpd1P9sS4xg">
          <body>The US Core CarePlan Profile is based upon the core FHIR CarePlan Resource and created to meet the 2015 Edition Common Clinical Data Set 'Assessment and Plan of Treatment requirements.</body>
        </ownedComment>
        <ownedComment xmi:id="_F5bwks3tEeahpd1P9sS4xg">
          <body>US Core CarePlan Profile</body>
        </ownedComment>
        <generalization xmi:id="_F5bwkc3tEeahpd1P9sS4xg">
          <general xmi:type="uml:Class" href="FHIR-Core.uml#_49SF2cFMEea5pdrFDq-m2g"/>
        </generalization>
        <ownedAttribute xmi:id="_F5cXo83tEeahpd1P9sS4xg" name="text" type="_F5cXp83tEeahpd1P9sS4xg" isOrdered="true">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F5cXpM3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F5cXpc3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_4cgUAMFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_F5ez4s3tEeahpd1P9sS4xg" name="status" isOrdered="true">
          <ownedComment xmi:id="_F-X68M3tEeahpd1P9sS4xg">
            <body>Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.</body>
          </ownedComment>
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aUissFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F5ez483tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F5ez5M3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_49T7C8FMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_F-YiAc3tEeahpd1P9sS4xg" name="category" isOrdered="true">
          <ownedComment xmi:id="_F-ZJEc3tEeahpd1P9sS4xg">
            <body>Type of plan.</body>
          </ownedComment>
          <ownedComment xmi:id="_F-ZJE83tEeahpd1P9sS4xg">
            <body>Identifies what &quot;kind&quot; of plan this is to support differentiation between multiple co-existing plans; e.g. &quot;Home health&quot;, &quot;psychiatric&quot;, &quot;asthma&quot;, &quot;disease management&quot;, &quot;wellness plan&quot;, etc.</body>
          </ownedComment>
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4ckleMFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F-YiAs3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_F-YiA83tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_49VJJ8FMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_F-ZwIM3tEeahpd1P9sS4xg" name="subject" type="_AJCfQM3tEeahpd1P9sS4xg" isOrdered="true" association="_F-ZwJM3tEeahpd1P9sS4xg">
          <ownedComment xmi:id="_F-ZwKM3tEeahpd1P9sS4xg">
            <body>Who care plan is for.</body>
          </ownedComment>
          <ownedComment xmi:id="_F-aXMM3tEeahpd1P9sS4xg">
            <body>Identifies the patient or group whose intended care is described by the plan.</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F-ZwIc3tEeahpd1P9sS4xg" value="1"/>
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          <redefinedProperty href="FHIR-Core.uml#_49WXSsFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_F5cXp83tEeahpd1P9sS4xg" name="Narrative-1">
          <generalization xmi:id="_F5cXqM3tEeahpd1P9sS4xg">
            <general xmi:type="uml:Class" href="FHIR-Core.uml#_4bNTh8FMEea5pdrFDq-m2g"/>
          </generalization>
          <ownedAttribute xmi:id="_F5c-sM3tEeahpd1P9sS4xg" name="status" isOrdered="true">
            <ownedComment xmi:id="_F5ez4M3tEeahpd1P9sS4xg">
              <body>generated | additional.</body>
            </ownedComment>
            <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aUissFMEea5pdrFDq-m2g"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_F5c-sc3tEeahpd1P9sS4xg" value="1"/>
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            <redefinedProperty href="FHIR-Core.uml#_4bPItsFMEea5pdrFDq-m2g"/>
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        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_F-ZwJM3tEeahpd1P9sS4xg" memberEnd="_F-ZwJc3tEeahpd1P9sS4xg _F-ZwIM3tEeahpd1P9sS4xg">
        <ownedEnd xmi:id="_F-ZwJc3tEeahpd1P9sS4xg" type="_F5bJhM3tEeahpd1P9sS4xg" association="_F-ZwJM3tEeahpd1P9sS4xg">
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_F-aXMs3tEeahpd1P9sS4xg" name="USCoreDiagnosticReport">
        <ownedComment xmi:id="_F-blVM3tEeahpd1P9sS4xg">
          <body>The US Core Diagnostic Report Profile is based upon the core FHIR DiagnosticReport Resource and created to meet the 2015 Edition Common Clinical Data Set 'Laboratory test(s) and Laboratory value(s)/result(s)' requirements.</body>
        </ownedComment>
        <ownedComment xmi:id="_F-blUs3tEeahpd1P9sS4xg">
          <body>US Core Diagnostic Report Profile</body>
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        <ownedRule xmi:id="_F-aXM83tEeahpd1P9sS4xg" name="us-core-1" constrainedElement="_F-aXMs3tEeahpd1P9sS4xg">
          <specification xmi:type="uml:OpaqueExpression" xmi:id="_F-aXNM3tEeahpd1P9sS4xg">
            <language>XPath</language>
            <body>exists(f:result) or exists(f:presentedForm)</body>
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        </ownedRule>
        <generalization xmi:id="_F-blUc3tEeahpd1P9sS4xg">
          <general xmi:type="uml:Class" href="FHIR-Core.uml#_5BOxtcFMEea5pdrFDq-m2g"/>
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          <redefinedProperty href="FHIR-Core.uml#_5BQm4MFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_GFEY0M3tEeahpd1P9sS4xg" name="category" isOrdered="true">
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4ckleMFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GFE_4M3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GFE_4c3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_5BRN-MFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_GFE_483tEeahpd1P9sS4xg" name="code" isOrdered="true">
          <ownedComment xmi:id="_GJ2yMs3tEeahpd1P9sS4xg">
            <body>The test, panel or battery that was ordered.</body>
          </ownedComment>
          <ownedComment xmi:id="_GJ2yMM3tEeahpd1P9sS4xg">
            <body>US Realm Laboratory Report Order Code</body>
          </ownedComment>
          <ownedComment xmi:id="_GJ3ZQM3tEeahpd1P9sS4xg">
            <body>UsageNote= The typical patterns for codes are:  1)  a LOINC code either as a  translation from a &quot;local&quot; code or as a primary code, or 2)  a local code only if no suitable LOINC exists,  or 3)  both the local and the LOINC translation.   Systems SHALL be capable of sending the local code if one exists.</body>
          </ownedComment>
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4ckleMFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GFE_5M3tEeahpd1P9sS4xg" value="1"/>
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          <redefinedProperty href="FHIR-Core.uml#_5BScEMFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_GJ3ZQs3tEeahpd1P9sS4xg" name="subject" type="_AJCfQM3tEeahpd1P9sS4xg" isOrdered="true" association="_GJ4AUM3tEeahpd1P9sS4xg">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GJ3ZQ83tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GJ3ZRM3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_5BTDJMFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_GJ4AVM3tEeahpd1P9sS4xg" name="effective[x]" isOrdered="true">
          <ownedComment xmi:id="_GJ4nYs3tEeahpd1P9sS4xg">
            <body>This is the Specimen Collection Datetime or Period which is the physically relevent dateTime for laboratory tests.</body>
          </ownedComment>
          <ownedComment xmi:id="_GJ4nYM3tEeahpd1P9sS4xg">
            <body>Specimen Collection Datetime or Period</body>
          </ownedComment>
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aEEAcFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GJ4AVc3tEeahpd1P9sS4xg" value="1"/>
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          <redefinedProperty href="FHIR-Core.uml#_5BURScFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_GJ5OcM3tEeahpd1P9sS4xg" name="issued" isOrdered="true">
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4ae6wMFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GJ5Occ3tEeahpd1P9sS4xg" value="1"/>
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          <redefinedProperty href="FHIR-Core.uml#_5BU4WcFMEea5pdrFDq-m2g"/>
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        <ownedAttribute xmi:id="_GJ5OdM3tEeahpd1P9sS4xg" name="performer" isOrdered="true" association="_GJ51gM3tEeahpd1P9sS4xg">
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          <redefinedProperty href="FHIR-Core.uml#_5BVfaMFMEea5pdrFDq-m2g"/>
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        <ownedAttribute xmi:id="_GJ51hc3tEeahpd1P9sS4xg" name="result" type="_BmFsEc3tEeahpd1P9sS4xg" isOrdered="true" association="_GJ6ckc3tEeahpd1P9sS4xg">
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          <redefinedProperty href="FHIR-Core.uml#_5BXUnsFMEea5pdrFDq-m2g"/>
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        <ownedAttribute xmi:id="_GJ6clc3tEeahpd1P9sS4xg" name="presentedForm" isOrdered="true">
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          <redefinedProperty href="FHIR-Core.uml#_5CQsccFMEea5pdrFDq-m2g"/>
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_GJ51gM3tEeahpd1P9sS4xg" memberEnd="_GJ51gc3tEeahpd1P9sS4xg _GJ5OdM3tEeahpd1P9sS4xg">
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      </packagedElement>
      <packagedElement xmi:type="uml:Association" xmi:id="_GJ6ckc3tEeahpd1P9sS4xg" memberEnd="_GJ6cks3tEeahpd1P9sS4xg _GJ51hc3tEeahpd1P9sS4xg">
        <ownedEnd xmi:id="_GJ6cks3tEeahpd1P9sS4xg" type="_F-aXMs3tEeahpd1P9sS4xg" association="_GJ6ckc3tEeahpd1P9sS4xg">
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      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_GJ6cmc3tEeahpd1P9sS4xg" name="USCoreMedicationRequest">
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          <body>The US Core Medication Request (Order) Profile is based upon the core FHIR MedicationRequest Resource and created to meet the 2015 Edition Common Clinical Data Set 'Medications' requirements.</body>
        </ownedComment>
        <ownedComment xmi:id="_GJ7Dos3tEeahpd1P9sS4xg">
          <body>US Core Medication Request Profile</body>
        </ownedComment>
        <generalization xmi:id="_GJ7Doc3tEeahpd1P9sS4xg">
          <general xmi:type="uml:Class" href="FHIR-Core.uml#_4_8YQMFMEea5pdrFDq-m2g"/>
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          <redefinedProperty href="FHIR-Core.uml#_4_-0h8FMEea5pdrFDq-m2g"/>
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        <ownedAttribute xmi:id="_GPk_sM3tEeahpd1P9sS4xg" name="medication[x]" isOrdered="true">
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aDc8cFMEea5pdrFDq-m2g"/>
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        <ownedAttribute xmi:id="_GPmN0M3tEeahpd1P9sS4xg" name="patient" type="_AJCfQM3tEeahpd1P9sS4xg" isOrdered="true" association="_GPmN1M3tEeahpd1P9sS4xg">
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          <redefinedProperty href="FHIR-Core.uml#_5ABQxcFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_GPmN2M3tEeahpd1P9sS4xg" name="dateWritten" isOrdered="true">
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aYNFcFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_GPmN2c3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_GPm04M3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_5ADF8cFMEea5pdrFDq-m2g"/>
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        <ownedAttribute xmi:id="_GPm04s3tEeahpd1P9sS4xg" name="requester" type="_BmBaoc3tEeahpd1P9sS4xg" isOrdered="true" association="_GPm05s3tEeahpd1P9sS4xg">
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          <redefinedProperty href="FHIR-Core.uml#_5ADF-cFMEea5pdrFDq-m2g"/>
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      <packagedElement xmi:type="uml:Association" xmi:id="_GPmN1M3tEeahpd1P9sS4xg" memberEnd="_GPmN1c3tEeahpd1P9sS4xg _GPmN0M3tEeahpd1P9sS4xg">
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      <packagedElement xmi:type="uml:Class" xmi:id="_GPnb8M3tEeahpd1P9sS4xg" name="USCoreCondition">
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          <body>The US Core Condition Profile is based upon the core FHIR Condition Resource and created to meet the 2015 Edition Common Clinical Data Set 'Problems' and 'Health Concerns' requirements.</body>
        </ownedComment>
        <ownedComment xmi:id="_GPoDAc3tEeahpd1P9sS4xg">
          <body>US Core Condition Profile</body>
        </ownedComment>
        <generalization xmi:id="_GPoDAM3tEeahpd1P9sS4xg">
          <general xmi:type="uml:Class" href="FHIR-Core.uml#_463D9sFMEea5pdrFDq-m2g"/>
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        <ownedAttribute xmi:id="_GWpRAM3tEeahpd1P9sS4xg" name="verificationStatus" isOrdered="true">
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aUissFMEea5pdrFDq-m2g"/>
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        <ownedAttribute xmi:id="_GfcAoM3tEeahpd1P9sS4xg" name="category" isOrdered="true">
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        <ownedAttribute xmi:id="_Gfd10M3tEeahpd1P9sS4xg" name="code" isOrdered="true">
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            <body>The verification status to support the clinical status of the condition.</body>
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          <ownedComment xmi:id="_bzGtklH6EeeCuJEqfDrLcQ">
            <body>provisional | differential | confirmed | refuted | entered-in-error | unknown</body>
          </ownedComment>
          <ownedComment xmi:id="_bzGtk1H6EeeCuJEqfDrLcQ">
            <body>verificationStatus is not required.  For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status.</body>
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          <body>Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race.  The race concepts are grouped by and pre-mapped to the 5 OMB race categories: - American Indian or Alaska Native - Asian - Black or African American - Native Hawaiian or Other Pacific Islander - White.</body>
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          <body>Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race.  The race concepts are grouped by and pre-mapped to the 5 OMB race categories: - American Indian or Alaska Native - Asian - Black or African American - Native Hawaiian or Other Pacific Islander - White.</body>
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          <body>Complies with 2015 Edition Common Clinical Data Set for patient race.</body>
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          <body>US Core Race Extension</body>
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            <body>The 5 race category codes according to the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards).</body>
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            <body>American Indian or Alaska Native|Asian|Black or African American|Native Hawaiian or Other Pacific Islander|White</body>
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            <body>The 900+ CDC race codes that are grouped under one of the 5 OMB race category codes:.</body>
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            <body>Extended race codes</body>
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            <body>Plain text representation of the race concept(s).</body>
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            <body>Race Text</body>
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            <redefinedProperty href="FHIR-Core.uml#_4lpo8cFMEea5pdrFDq-m2g"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_AJLCIc3tEeahpd1P9sS4xg" name="Extension-2">
          <generalization xmi:id="_AJLCIs3tEeahpd1P9sS4xg">
            <general xmi:type="uml:Class" href="FHIR-Core.uml#_4aLYwcFMEea5pdrFDq-m2g"/>
          </generalization>
          <ownedAttribute xmi:id="_AJLpMM3tEeahpd1P9sS4xg" name="value[x]" isOrdered="true">
            <type xmi:type="uml:Class" href="FHIR-Core.uml#_4bBtUcFMEea5pdrFDq-m2g"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AJLpMc3tEeahpd1P9sS4xg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AJLpMs3tEeahpd1P9sS4xg" value="1"/>
            <redefinedProperty href="FHIR-Core.uml#_4lpo8cFMEea5pdrFDq-m2g"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_AJM3V83tEeahpd1P9sS4xg" name="Extension-3">
          <generalization xmi:id="_AJM3WM3tEeahpd1P9sS4xg">
            <general xmi:type="uml:Class" href="FHIR-Core.uml#_4aLYwcFMEea5pdrFDq-m2g"/>
          </generalization>
          <ownedAttribute xmi:id="_AJNeYM3tEeahpd1P9sS4xg" name="value[x]" isOrdered="true">
            <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aHuYcFMEea5pdrFDq-m2g"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AJNeYc3tEeahpd1P9sS4xg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AJNeYs3tEeahpd1P9sS4xg" value="1"/>
            <redefinedProperty href="FHIR-Core.uml#_4lpo8cFMEea5pdrFDq-m2g"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_AJPTlM3tEeahpd1P9sS4xg" name="ethnicity">
        <ownedComment xmi:id="_AJQhtM3tEeahpd1P9sS4xg">
          <body>Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.</body>
        </ownedComment>
        <ownedComment xmi:id="_AJP6oc3tEeahpd1P9sS4xg">
          <body>Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.</body>
        </ownedComment>
        <ownedComment xmi:id="_AJP6o83tEeahpd1P9sS4xg">
          <body>Complies with 2015 Edition Common Clinical Data Set for patient race.</body>
        </ownedComment>
        <ownedComment xmi:id="_AJQhss3tEeahpd1P9sS4xg">
          <body>US Core ethnicity Extension</body>
        </ownedComment>
        <generalization xmi:id="_AJQhsc3tEeahpd1P9sS4xg">
          <general xmi:type="uml:Class" href="FHIR-Core.uml#_4aLYwcFMEea5pdrFDq-m2g"/>
        </generalization>
        <ownedAttribute xmi:id="_AJQhts3tEeahpd1P9sS4xg" name="extension" type="_AJRIxc3tEeahpd1P9sS4xg" isOrdered="true">
          <ownedComment xmi:id="_AJRIw83tEeahpd1P9sS4xg">
            <body>The 2 ethnicity category codes according to the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards).</body>
          </ownedComment>
          <ownedComment xmi:id="_AJRIwc3tEeahpd1P9sS4xg">
            <body>Hispanic or Latino|Not Hispanic or Latino</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AJQht83tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AJQhuM3tEeahpd1P9sS4xg" value="1"/>
          <subsettedProperty href="FHIR-Core.uml#_4lpo-sFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_AJTlAM3tEeahpd1P9sS4xg" name="extension" type="_AJTlCM3tEeahpd1P9sS4xg" isOrdered="true">
          <ownedComment xmi:id="_AJTlBs3tEeahpd1P9sS4xg">
            <body>The 41 CDC ethnicity codes that are grouped under one of the 2 OMB ethnicity category codes.</body>
          </ownedComment>
          <ownedComment xmi:id="_AJTlBM3tEeahpd1P9sS4xg">
            <body>Extended ethnicity codes</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AJTlAc3tEeahpd1P9sS4xg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AJTlAs3tEeahpd1P9sS4xg" value="*"/>
          <subsettedProperty href="FHIR-Core.uml#_4lpo-sFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_AJVaMM3tEeahpd1P9sS4xg" name="extension" type="_AJWBQs3tEeahpd1P9sS4xg" isOrdered="true">
          <ownedComment xmi:id="_AJWBQM3tEeahpd1P9sS4xg">
            <body>Plain text representation of the ethnicity concept(s).</body>
          </ownedComment>
          <ownedComment xmi:id="_AJVaNM3tEeahpd1P9sS4xg">
            <body>ethnicity Text</body>
          </ownedComment>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AJVaMc3tEeahpd1P9sS4xg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AJVaMs3tEeahpd1P9sS4xg" value="1"/>
          <subsettedProperty href="FHIR-Core.uml#_4lpo-sFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_AJWoVM3tEeahpd1P9sS4xg" name="url" isOrdered="true" isReadOnly="true">
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aMm5sFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AJWoVc3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AJWoVs3tEeahpd1P9sS4xg" value="1"/>
          <defaultValue xmi:type="uml:LiteralString" xmi:id="_AJXPYc3tEeahpd1P9sS4xg" value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"/>
          <redefinedProperty href="FHIR-Core.uml#_4aPDJcFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_AJXPYs3tEeahpd1P9sS4xg" name="value[x]">
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AJXPY83tEeahpd1P9sS4xg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AJXPZM3tEeahpd1P9sS4xg"/>
          <redefinedProperty href="FHIR-Core.uml#_4lpo8cFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_AJRIxc3tEeahpd1P9sS4xg" name="Extension-1">
          <generalization xmi:id="_AJRIxs3tEeahpd1P9sS4xg">
            <general xmi:type="uml:Class" href="FHIR-Core.uml#_4aLYwcFMEea5pdrFDq-m2g"/>
          </generalization>
          <ownedAttribute xmi:id="_AJRv0M3tEeahpd1P9sS4xg" name="value[x]" isOrdered="true">
            <type xmi:type="uml:Class" href="FHIR-Core.uml#_4bBtUcFMEea5pdrFDq-m2g"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AJRv0c3tEeahpd1P9sS4xg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AJRv0s3tEeahpd1P9sS4xg" value="1"/>
            <redefinedProperty href="FHIR-Core.uml#_4lpo8cFMEea5pdrFDq-m2g"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_AJTlCM3tEeahpd1P9sS4xg" name="Extension-2">
          <generalization xmi:id="_AJTlCc3tEeahpd1P9sS4xg">
            <general xmi:type="uml:Class" href="FHIR-Core.uml#_4aLYwcFMEea5pdrFDq-m2g"/>
          </generalization>
          <ownedAttribute xmi:id="_AJUMEM3tEeahpd1P9sS4xg" name="value[x]" isOrdered="true">
            <type xmi:type="uml:Class" href="FHIR-Core.uml#_4bBtUcFMEea5pdrFDq-m2g"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AJUMEc3tEeahpd1P9sS4xg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AJUMEs3tEeahpd1P9sS4xg" value="1"/>
            <redefinedProperty href="FHIR-Core.uml#_4lpo8cFMEea5pdrFDq-m2g"/>
          </ownedAttribute>
        </nestedClassifier>
        <nestedClassifier xmi:type="uml:Class" xmi:id="_AJWBQs3tEeahpd1P9sS4xg" name="Extension-3">
          <generalization xmi:id="_AJWBQ83tEeahpd1P9sS4xg">
            <general xmi:type="uml:Class" href="FHIR-Core.uml#_4aLYwcFMEea5pdrFDq-m2g"/>
          </generalization>
          <ownedAttribute xmi:id="_AJWoUM3tEeahpd1P9sS4xg" name="value[x]" isOrdered="true">
            <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aHuYcFMEea5pdrFDq-m2g"/>
            <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AJWoUc3tEeahpd1P9sS4xg"/>
            <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AJWoUs3tEeahpd1P9sS4xg" value="1"/>
            <redefinedProperty href="FHIR-Core.uml#_4lpo8cFMEea5pdrFDq-m2g"/>
          </ownedAttribute>
        </nestedClassifier>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_AJX2dM3tEeahpd1P9sS4xg" name="birthsex">
        <ownedComment xmi:id="_AJYdhM3tEeahpd1P9sS4xg">
          <body>A code classifying the person's sex assigned at birth  as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc).</body>
        </ownedComment>
        <ownedComment xmi:id="_AJYdgc3tEeahpd1P9sS4xg">
          <body>A code classifying the person's sex assigned at birth  as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc).</body>
        </ownedComment>
        <ownedComment xmi:id="_AJZEkc3tEeahpd1P9sS4xg">
          <body>The codes required are intended to present birth sex (i.e., the sex recorded on the patient’s birth certificate) and not gender identity or reassigned sex.</body>
        </ownedComment>
        <generalization xmi:id="_AJYdg83tEeahpd1P9sS4xg">
          <general xmi:type="uml:Class" href="FHIR-Core.uml#_4aLYwcFMEea5pdrFDq-m2g"/>
        </generalization>
        <ownedAttribute xmi:id="_AJZEk83tEeahpd1P9sS4xg" name="url" isOrdered="true" isReadOnly="true">
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aMm5sFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AJZElM3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AJZElc3tEeahpd1P9sS4xg" value="1"/>
          <defaultValue xmi:type="uml:LiteralString" xmi:id="_AJZEl83tEeahpd1P9sS4xg" value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex"/>
          <redefinedProperty href="FHIR-Core.uml#_4aPDJcFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_AJZroM3tEeahpd1P9sS4xg" name="value[x]" isOrdered="true">
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aUissFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_AJZroc3tEeahpd1P9sS4xg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_AJZros3tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_4lpo8cFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
      </packagedElement>
      <packagedElement xmi:type="uml:Class" xmi:id="_CXJ8qM3tEeahpd1P9sS4xg" name="direct">
        <ownedComment xmi:id="_CXLKxM3tEeahpd1P9sS4xg">
          <body>This email address is associated with a &quot;direct&quot; service - e.g. http://wiki.directproject.org/Addressing+Specification.</body>
        </ownedComment>
        <ownedComment xmi:id="_CXKjsc3tEeahpd1P9sS4xg">
          <body>This email address is associated with a &quot;direct&quot; service - e.g. http://wiki.directproject.org/Addressing+Specification.</body>
        </ownedComment>
        <ownedComment xmi:id="_CXLKws3tEeahpd1P9sS4xg">
          <body>Email is a &quot;direct&quot; email</body>
        </ownedComment>
        <ownedComment xmi:id="_CXLKxs3tEeahpd1P9sS4xg">
          <body>This extension can only be used on contact points where the system = 'email'.</body>
        </ownedComment>
        <generalization xmi:id="_CXLKwc3tEeahpd1P9sS4xg">
          <general xmi:type="uml:Class" href="FHIR-Core.uml#_4aLYwcFMEea5pdrFDq-m2g"/>
        </generalization>
        <ownedAttribute xmi:id="_CXLx0M3tEeahpd1P9sS4xg" name="url" isOrdered="true" isReadOnly="true">
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aMm5sFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CXLx0c3tEeahpd1P9sS4xg" value="1"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CXLx0s3tEeahpd1P9sS4xg" value="1"/>
          <defaultValue xmi:type="uml:LiteralString" xmi:id="_CXLx1M3tEeahpd1P9sS4xg" value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct"/>
          <redefinedProperty href="FHIR-Core.uml#_4aPDJcFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
        <ownedAttribute xmi:id="_CXLx1c3tEeahpd1P9sS4xg" name="value[x]" isOrdered="true">
          <type xmi:type="uml:Class" href="FHIR-Core.uml#_4aStgsFMEea5pdrFDq-m2g"/>
          <lowerValue xmi:type="uml:LiteralInteger" xmi:id="_CXLx1s3tEeahpd1P9sS4xg"/>
          <upperValue xmi:type="uml:LiteralUnlimitedNatural" xmi:id="_CXLx183tEeahpd1P9sS4xg" value="1"/>
          <redefinedProperty href="FHIR-Core.uml#_4lpo8cFMEea5pdrFDq-m2g"/>
        </ownedAttribute>
      </packagedElement>
    </packagedElement>
    <profileApplication xmi:id="_uxtyMC9SEeWIBNXd-hwrzA">
      <eAnnotations xmi:id="_uxvnYC9SEeWIBNXd-hwrzA" source="http://www.eclipse.org/uml2/2.0.0/UML">
        <references xmi:type="ecore:EPackage" href="http://www.openhealthtools.org/mdht/schema/profile/validation/1.0.0#/"/>
      </eAnnotations>
      <appliedProfile href="pathmap://MDHT_VALIDATION/Validation.profile.uml#profile"/>
    </profileApplication>
    <profileApplication xmi:id="_5Y4JIGIeEeWnPYecKg0Ttw">
      <eAnnotations xmi:id="_5Y-20GIeEeWnPYecKg0Ttw" source="http://www.eclipse.org/uml2/2.0.0/UML">
        <references xmi:type="ecore:EPackage" href="http://www.eclipse.org/mdht/schema/profile/fhir/1.0.0#/"/>
      </eAnnotations>
      <appliedProfile href="pathmap://MDHT_FHIR/FHIR.profile.uml#_dtdbUDDkEeWn6bT0Ftydnw"/>
    </profileApplication>
    <profileApplication xmi:id="_wP-H0NNdEead9pMnM0iBoA">
      <eAnnotations xmi:id="_wQDAUNNdEead9pMnM0iBoA" source="http://www.eclipse.org/uml2/2.0.0/UML">
        <references xmi:type="ecore:EPackage" href="http://org.mdmi.uml.profile/1#/"/>
      </eAnnotations>
      <appliedProfile href="pathmap://MDMI_PROFILE/mdmi.profile.uml#_cxOJEIEVEd6H8o-hO3-B4Q"/>
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  </uml:Package>
  <fhir:StructureDefinition xmi:id="_AHjRgM3tEeahpd1P9sS4xg" id="us-core-immunization" uri="http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" name="US Core Immunization Profile" publisher="Health Level Seven International (FHIR-Infrastructure)" base_Class="_AGPC4M3tEeahpd1P9sS4xg" isLogical="false" derivation="constraint"/>
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  <fhir:ElementDefinition xmi:id="_AHoKAc3tEeahpd1P9sS4xg" id="Immunization:uscoreimmunization.status" base_Property="_AHmU0M3tEeahpd1P9sS4xg" mustSupport="true" isModifier="false" isSummary="false"/>
  <fhir:ValueSetBinding xmi:id="_AHoxEM3tEeahpd1P9sS4xg" base_Property="_AHmU0M3tEeahpd1P9sS4xg" strength="required" description="Constrained list of immunizaiotn status" valueSetReference="_AHp_MM3tEeahpd1P9sS4xg"/>
  <fhir:ValueSet xmi:id="_AHp_MM3tEeahpd1P9sS4xg" id="us-core-immunization-status" uri="http://hl7.org/fhir/us/core/ValueSet/us-core-immunization-status" name="Immunization Status" publisher="FHIR Project Team" base_Enumeration="_AHpYIc3tEeahpd1P9sS4xg"/>
  <fhir:ValueSetMember xmi:id="_AHqmQc3tEeahpd1P9sS4xg" base_EnumerationLiteral="_AHqmQM3tEeahpd1P9sS4xg" display="Completed"/>
  <fhir:ValueSetMember xmi:id="_AHr0YM3tEeahpd1P9sS4xg" base_EnumerationLiteral="_AHrNUM3tEeahpd1P9sS4xg" display="Entered in Error"/>
  <fhir:ElementDefinition xmi:id="_AHtpkc3tEeahpd1P9sS4xg" id="Immunization:uscoreimmunization.date" base_Property="_AHtCgM3tEeahpd1P9sS4xg" mustSupport="true" isModifier="false" isSummary="false"/>
  <fhir:ElementDefinition xmi:id="_AHu3sM3tEeahpd1P9sS4xg" id="Immunization:uscoreimmunization.vaccineCode" base_Property="_AHuQoM3tEeahpd1P9sS4xg" mustSupport="true" isModifier="false" isSummary="false"/>
  <fhir:ShortDescription xmi:id="_AHu3ss3tEeahpd1P9sS4xg" base_Comment="_AHu3sc3tEeahpd1P9sS4xg"/>
  <fhir:ElementDefinition xmi:id="_AHxT8M3tEeahpd1P9sS4xg" id="Immunization:uscoreimmunization.vaccineCode.coding:uscorevaccinecodes" base_Property="_AHws4M3tEeahpd1P9sS4xg" mustSupport="true" isModifier="false" isSummary="false"/>
  <fhir:ValueSetBinding xmi:id="_AHxT8c3tEeahpd1P9sS4xg" base_Property="_AHws4M3tEeahpd1P9sS4xg" strength="required" description="The CVX (vaccine administered) code system" valueSetReference="_AHyiEM3tEeahpd1P9sS4xg"/>
  <fhir:ValueSet xmi:id="_AHyiEM3tEeahpd1P9sS4xg" id="us-core-cvx" uri="http://hl7.org/fhir/us/core/ValueSet/us-core-cvx" version="1.6.0" name="Vaccine Administered Value Set (CVX)" publisher="HL7 FHIR" base_Enumeration="_AHx7AM3tEeahpd1P9sS4xg"/>
  <fhir:ElementSlicing xmi:id="_AHzJIM3tEeahpd1P9sS4xg" rules="open" base_Property="_AHws4M3tEeahpd1P9sS4xg">
    <discriminator>code</discriminator>
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  <fhir:ElementDefinition xmi:id="_AH0-UM3tEeahpd1P9sS4xg" id="Immunization:uscoreimmunization.vaccineCode.coding" base_Property="_AH0XQM3tEeahpd1P9sS4xg" mustSupport="true" isModifier="false" isSummary="false"/>
  <fhir:ValueSetBinding xmi:id="_AH0-Uc3tEeahpd1P9sS4xg" base_Property="_AH0XQM3tEeahpd1P9sS4xg" strength="required" description="NDC codes to identify vaccines" valueSetReference="_AH1lYc3tEeahpd1P9sS4xg"/>
  <fhir:ValueSet xmi:id="_AH1lYc3tEeahpd1P9sS4xg" id="us-core-ndc-vaccine-codes" uri="http://hl7.org/fhir/us/core/ValueSet/us-core-ndc-vaccine-codes" name="Vaccine National Drug Code (NDC)" publisher="HL7 (FHIR Project)" base_Enumeration="_AH1lYM3tEeahpd1P9sS4xg"/>
  <fhir:ValueSetMember xmi:id="_AH2Mcc3tEeahpd1P9sS4xg" base_EnumerationLiteral="_AH2McM3tEeahpd1P9sS4xg" display="Menactra"/>
  <fhir:ValueSetMember xmi:id="_AH2zgM3tEeahpd1P9sS4xg" base_EnumerationLiteral="_AH2Mcs3tEeahpd1P9sS4xg" display="FLUZONE QUADRIVALENT"/>
  <fhir:ValueSetMember xmi:id="_AH3akM3tEeahpd1P9sS4xg" base_EnumerationLiteral="_AH2zgc3tEeahpd1P9sS4xg" display="Fluzone Quadrivalent, peds"/>
  <fhir:ValueSetMember xmi:id="_AH3aks3tEeahpd1P9sS4xg" base_EnumerationLiteral="_AH3akc3tEeahpd1P9sS4xg" display="Fluzone Quadrivalent PF"/>
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  <fhir:ValueSetMember xmi:id="_AJIl5M3tEeahpd1P9sS4xg" base_EnumerationLiteral="_AJIl483tEeahpd1P9sS4xg" display="Asian"/>
  <fhir:ValueSetMember xmi:id="_AJJM8c3tEeahpd1P9sS4xg" base_EnumerationLiteral="_AJJM8M3tEeahpd1P9sS4xg" display="Black or African American"/>
  <fhir:ValueSetMember xmi:id="_AJJM883tEeahpd1P9sS4xg" base_EnumerationLiteral="_AJJM8s3tEeahpd1P9sS4xg" display="Native Hawaiian or Other Pacific Islander"/>
  <fhir:ValueSetMember xmi:id="_AJJM9c3tEeahpd1P9sS4xg" base_EnumerationLiteral="_AJJM9M3tEeahpd1P9sS4xg" display="White"/>
  <fhir:ValueSetMember xmi:id="_AJJ0Ac3tEeahpd1P9sS4xg" base_EnumerationLiteral="_AJJ0AM3tEeahpd1P9sS4xg" display="Unknown"/>
  <fhir:ValueSetMember xmi:id="_AJJ0A83tEeahpd1P9sS4xg" base_EnumerationLiteral="_AJJ0As3tEeahpd1P9sS4xg" display="Asked but no answer"/>
  <fhir:ElementDefinition xmi:id="_AJKbE83tEeahpd1P9sS4xg" id="Extension:race.extension:detailed" base_Property="_AJKbEM3tEeahpd1P9sS4xg" isModifier="false"/>
  <fhir:ShortDescription xmi:id="_AJKbFc3tEeahpd1P9sS4xg" base_Comment="_AJKbFM3tEeahpd1P9sS4xg"/>
  <fhir:Definition xmi:id="_AJLCIM3tEeahpd1P9sS4xg" base_Comment="_AJKbFs3tEeahpd1P9sS4xg"/>
  <fhir:ElementDefinition xmi:id="_AJLpM83tEeahpd1P9sS4xg" id="Extension:race.extension:detailed.value[x]" base_Property="_AJLpMM3tEeahpd1P9sS4xg"/>
  <fhir:ValueSetBinding xmi:id="_AJLpNM3tEeahpd1P9sS4xg" base_Property="_AJLpMM3tEeahpd1P9sS4xg" strength="required" description="The [900+ CDC Race codes](http://www.cdc.gov/phin/resources/vocabulary/index.html) that are grouped under one of the 5 OMB race category codes." valueSetReference="_AJMQQc3tEeahpd1P9sS4xg"/>
  <fhir:ValueSet xmi:id="_AJMQQc3tEeahpd1P9sS4xg" id="detailed-race" uri="http://hl7.org/fhir/us/core/ValueSet/detailed-race" name="US-Core Detailed Race" publisher="USRealm Task Force" base_Enumeration="_AJMQQM3tEeahpd1P9sS4xg"/>
  <fhir:ElementDefinition xmi:id="_AJM3Us3tEeahpd1P9sS4xg" id="Extension:race.extension:text" base_Property="_AJMQQs3tEeahpd1P9sS4xg" isModifier="false"/>
  <fhir:ShortDescription xmi:id="_AJM3VM3tEeahpd1P9sS4xg" base_Comment="_AJM3U83tEeahpd1P9sS4xg"/>
  <fhir:Definition xmi:id="_AJM3Vs3tEeahpd1P9sS4xg" base_Comment="_AJM3Vc3tEeahpd1P9sS4xg"/>
  <fhir:ElementDefinition xmi:id="_AJOFcM3tEeahpd1P9sS4xg" id="Extension:race.extension:text.value[x]" base_Property="_AJNeYM3tEeahpd1P9sS4xg"/>
  <fhir:ElementDefinition xmi:id="_AJOFdM3tEeahpd1P9sS4xg" id="Extension:race.url" base_Property="_AJOFcc3tEeahpd1P9sS4xg"/>
  <fhir:ElementDefinition xmi:id="_AJOsg83tEeahpd1P9sS4xg" id="Extension:race.value[x]" base_Property="_AJOsgM3tEeahpd1P9sS4xg"/>
  <fhir:ElementDefinition xmi:id="_AJPTk83tEeahpd1P9sS4xg" id="Patient:uscorepatient.extension:race" base_Property="_AJPTkM3tEeahpd1P9sS4xg" mustSupport="true" isModifier="false" isSummary="false"/>
  <fhir:StructureDefinition xmi:id="_AJP6oM3tEeahpd1P9sS4xg" id="us-core-ethnicity" uri="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" name="US Core ethnicity Extension" publisher="Health Level Seven International (FHIR-Infrastructure)" base_Class="_AJPTlM3tEeahpd1P9sS4xg" display="US Core ethnicity Extension" contextType="resource" isLogical="false" derivation="constraint">
    <context>Patient</context>
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  <fhir:Description xmi:id="_AJP6os3tEeahpd1P9sS4xg" base_Comment="_AJP6oc3tEeahpd1P9sS4xg"/>
  <fhir:Requirements xmi:id="_AJQhsM3tEeahpd1P9sS4xg" base_Comment="_AJP6o83tEeahpd1P9sS4xg"/>
  <fhir:ShortDescription xmi:id="_AJQhs83tEeahpd1P9sS4xg" base_Comment="_AJQhss3tEeahpd1P9sS4xg"/>
  <fhir:Definition xmi:id="_AJQhtc3tEeahpd1P9sS4xg" base_Comment="_AJQhtM3tEeahpd1P9sS4xg"/>
  <fhir:ElementDefinition xmi:id="_AJRIwM3tEeahpd1P9sS4xg" id="Extension:ethnicity.extension:ombcategory" base_Property="_AJQhts3tEeahpd1P9sS4xg" isModifier="false"/>
  <fhir:ShortDescription xmi:id="_AJRIws3tEeahpd1P9sS4xg" base_Comment="_AJRIwc3tEeahpd1P9sS4xg"/>
  <fhir:Definition xmi:id="_AJRIxM3tEeahpd1P9sS4xg" base_Comment="_AJRIw83tEeahpd1P9sS4xg"/>
  <fhir:ElementDefinition xmi:id="_AJRv083tEeahpd1P9sS4xg" id="Extension:ethnicity.extension:ombcategory.value[x]" base_Property="_AJRv0M3tEeahpd1P9sS4xg"/>
  <fhir:ValueSetBinding xmi:id="_AJSW4M3tEeahpd1P9sS4xg" base_Property="_AJRv0M3tEeahpd1P9sS4xg" strength="required" description="The 2 ethnicity category codes according to the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards)." valueSetReference="_AJSW4s3tEeahpd1P9sS4xg"/>
  <fhir:ValueSet xmi:id="_AJSW4s3tEeahpd1P9sS4xg" id="omb-ethnicity" uri="http://hl7.org/fhir/us/core/ValueSet/omb-ethnicity" name="OMB Ethnicity Categories" publisher="USRealm Task Force" base_Enumeration="_AJSW4c3tEeahpd1P9sS4xg"/>
  <fhir:ValueSetMember xmi:id="_AJSW5M3tEeahpd1P9sS4xg" base_EnumerationLiteral="_AJSW483tEeahpd1P9sS4xg" display="Hispanic or Latino"/>
  <fhir:ValueSetMember xmi:id="_AJS98c3tEeahpd1P9sS4xg" base_EnumerationLiteral="_AJS98M3tEeahpd1P9sS4xg" display="Non Hispanic or Latino"/>
  <fhir:ElementDefinition xmi:id="_AJTlA83tEeahpd1P9sS4xg" id="Extension:ethnicity.extension:detailed" base_Property="_AJTlAM3tEeahpd1P9sS4xg" isModifier="false"/>
  <fhir:ShortDescription xmi:id="_AJTlBc3tEeahpd1P9sS4xg" base_Comment="_AJTlBM3tEeahpd1P9sS4xg"/>
  <fhir:Definition xmi:id="_AJTlB83tEeahpd1P9sS4xg" base_Comment="_AJTlBs3tEeahpd1P9sS4xg"/>
  <fhir:ElementDefinition xmi:id="_AJUzIM3tEeahpd1P9sS4xg" id="Extension:ethnicity.extension:detailed.value[x]" base_Property="_AJUMEM3tEeahpd1P9sS4xg"/>
  <fhir:ValueSetBinding xmi:id="_AJUzIc3tEeahpd1P9sS4xg" base_Property="_AJUMEM3tEeahpd1P9sS4xg" strength="required" description="The 41 [CDC ethnicity codes](http://www.cdc.gov/phin/resources/vocabulary/index.html) that are grouped under one of the 2 OMB ethnicity category codes." valueSetReference="_AJUzI83tEeahpd1P9sS4xg"/>
  <fhir:ValueSet xmi:id="_AJUzI83tEeahpd1P9sS4xg" id="detailed-ethnicity" uri="http://hl7.org/fhir/us/core/ValueSet/detailed-ethnicity" name="US-Core Detailed ethnicity" publisher="USRealm Task Force" base_Enumeration="_AJUzIs3tEeahpd1P9sS4xg"/>
  <fhir:ElementDefinition xmi:id="_AJVaM83tEeahpd1P9sS4xg" id="Extension:ethnicity.extension:text" base_Property="_AJVaMM3tEeahpd1P9sS4xg" isModifier="false"/>
  <fhir:ShortDescription xmi:id="_AJVaNc3tEeahpd1P9sS4xg" base_Comment="_AJVaNM3tEeahpd1P9sS4xg"/>
  <fhir:Definition xmi:id="_AJWBQc3tEeahpd1P9sS4xg" base_Comment="_AJWBQM3tEeahpd1P9sS4xg"/>
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  <fhir:ElementDefinition xmi:id="_AJXPZc3tEeahpd1P9sS4xg" id="Extension:ethnicity.value[x]" base_Property="_AJXPYs3tEeahpd1P9sS4xg"/>
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  <fhir:StructureDefinition xmi:id="_AJYdgM3tEeahpd1P9sS4xg" id="us-core-birthsex" uri="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex" name="US Core Birth Sex Extension" publisher="Health Level Seven International (FHIR-Infrastructure)" base_Class="_AJX2dM3tEeahpd1P9sS4xg" display="US Core Birth Sex Extension" contextType="resource" isLogical="false" derivation="constraint">
    <context>Patient</context>
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  <fhir:Description xmi:id="_AJYdgs3tEeahpd1P9sS4xg" base_Comment="_AJYdgc3tEeahpd1P9sS4xg"/>
  <fhir:Definition xmi:id="_AJZEkM3tEeahpd1P9sS4xg" base_Comment="_AJYdhM3tEeahpd1P9sS4xg"/>
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  <fhir:ElementDefinition xmi:id="_AJZEls3tEeahpd1P9sS4xg" id="Extension:birthsex.url" base_Property="_AJZEk83tEeahpd1P9sS4xg"/>
  <fhir:ElementDefinition xmi:id="_AJZro83tEeahpd1P9sS4xg" id="Extension:birthsex.value[x]" base_Property="_AJZroM3tEeahpd1P9sS4xg"/>
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  <fhir:ValueSetMember xmi:id="_AJaSss3tEeahpd1P9sS4xg" base_EnumerationLiteral="_AJaSsc3tEeahpd1P9sS4xg" display="Female"/>
  <fhir:ValueSetMember xmi:id="_AJa5wM3tEeahpd1P9sS4xg" base_EnumerationLiteral="_AJaSs83tEeahpd1P9sS4xg" display="Male"/>
  <fhir:ValueSetMember xmi:id="_AJa5ws3tEeahpd1P9sS4xg" base_EnumerationLiteral="_AJa5wc3tEeahpd1P9sS4xg" display="Unknown"/>
  <fhir:ElementDefinition xmi:id="_AJbg083tEeahpd1P9sS4xg" id="Patient:uscorepatient.extension:birthsex" base_Property="_AJbg0M3tEeahpd1P9sS4xg" mustSupport="true" isModifier="false" isSummary="false"/>
  <fhir:ValueSetBinding xmi:id="_AJcH4M3tEeahpd1P9sS4xg" base_Property="_AJbg0M3tEeahpd1P9sS4xg" strength="required" description="Code for sex assigned at birth" valueSetReference="_AJaSsM3tEeahpd1P9sS4xg"/>
  <fhir:ElementDefinition xmi:id="_AJcu883tEeahpd1P9sS4xg" id="Patient:uscorepatient.identifier" base_Property="_AJcu8M3tEeahpd1P9sS4xg" mustSupport="true" isModifier="false" isSummary="false"/>
  <fhir:ElementDefinition xmi:id="_AJdWA83tEeahpd1P9sS4xg" id="Patient:uscorepatient.identifier.system" base_Property="_AJdWAM3tEeahpd1P9sS4xg" mustSupport="true" isModifier="false" isSummary="false"/>
  <fhir:ElementDefinition xmi:id="_AJd9E83tEeahpd1P9sS4xg" id="Patient:uscorepatient.identifier.value" base_Property="_AJd9EM3tEeahpd1P9sS4xg" mustSupport="true" isModifier="false" isSummary="false"/>
  <fhir:ShortDescription xmi:id="_AJekIc3tEeahpd1P9sS4xg" base_Comment="_AJekIM3tEeahpd1P9sS4xg"/>
  <fhir:ElementDefinition xmi:id="_AJekJc3tEeahpd1P9sS4xg" id="Patient:uscorepatient.name" base_Property="_AJekIs3tEeahpd1P9sS4xg" mustSupport="true" isModifier="false" isSummary="false"/>
  <fhir:ElementDefinition xmi:id="_AJfyQ83tEeahpd1P9sS4xg" id="Patient:uscorepatient.name.family" base_Property="_AJfyQM3tEeahpd1P9sS4xg" mustSupport="true" isModifier="false" isSummary="false"/>
  <fhir:ElementDefinition xmi:id="_AJgZUM3tEeahpd1P9sS4xg" id="Patient:uscorepatient.name.given" base_Property="_AJfyRM3tEeahpd1P9sS4xg" mustSupport="true" isModifier="false" isSummary="false"/>
  <fhir:ElementDefinition xmi:id="_AJgZVM3tEeahpd1P9sS4xg" id="Patient:uscorepatient.gender" base_Property="_AJgZUc3tEeahpd1P9sS4xg" mustSupport="true" isModifier="false" isSummary="false"/>
  <fhir:ValueSetBinding xmi:id="_AJhAYM3tEeahpd1P9sS4xg" base_Property="_AJgZUc3tEeahpd1P9sS4xg" strength="required">
    <valueSetReference href="FHIR-Core.uml#_4dUMUsFMEea5pdrFDq-m2g"/>
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  <fhir:ElementDefinition xmi:id="_BOu8A83tEeahpd1P9sS4xg" id="Patient:uscorepatient.birthDate" base_Property="_BOu8AM3tEeahpd1P9sS4xg" mustSupport="true" isModifier="false" isSummary="false"/>
  <fhir:ElementDefinition xmi:id="_BOvjE83tEeahpd1P9sS4xg" id="Patient:uscorepatient.animal" base_Property="_BOvjEM3tEeahpd1P9sS4xg" mustSupport="false" isModifier="false" isSummary="false"/>
  <fhir:ElementDefinition xmi:id="_BOwKI83tEeahpd1P9sS4xg" id="Patient:uscorepatient.communication" base_Property="_BOwKIM3tEeahpd1P9sS4xg" mustSupport="true" isModifier="false" isSummary="false"/>
  <fhir:ElementDefinition xmi:id="_BOymYM3tEeahpd1P9sS4xg" id="Patient:uscorepatient.communication.language" base_Property="_BOx_UM3tEeahpd1P9sS4xg" mustSupport="true" isModifier="false" isSummary="false"/>
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    <valueSetReference href="FHIR-Core.uml#_4bGl2cFMEea5pdrFDq-m2g"/>
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  <fhir:ElementDefinition xmi:id="_BZFx4s3tEeahpd1P9sS4xg" id="Immunization:uscoreimmunization.patient" base_Property="_BZFK0M3tEeahpd1P9sS4xg" mustSupport="true" isModifier="false" isSummary="false"/>
  <fhir:ElementDefinition xmi:id="_BZHnEs3tEeahpd1P9sS4xg" id="Immunization:uscoreimmunization.wasNotGiven" base_Property="_BZHABM3tEeahpd1P9sS4xg" mustSupport="true" isModifier="false" isSummary="false"/>
  <fhir:ElementDefinition xmi:id="_BZIOIM3tEeahpd1P9sS4xg" id="Immunization:uscoreimmunization.primarySource" base_Property="_BZHnE83tEeahpd1P9sS4xg" mustSupport="true" isModifier="false" isSummary="false"/>
  <fhir:StructureDefinition xmi:id="_BZI1MM3tEeahpd1P9sS4xg" id="us-core-organization" uri="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization" name="US Core Organization Profile" publisher="Health Level Seven International (FHIR-Infrastructure)" base_Class="_BZIOIc3tEeahpd1P9sS4xg" isLogical="false" derivation="constraint"/>
  <fhir:ShortDescription xmi:id="_BZI1M83tEeahpd1P9sS4xg" base_Comment="_BZI1Ms3tEeahpd1P9sS4xg"/>
  <fhir:ElementDefinition xmi:id="_BZKDUs3tEeahpd1P9sS4xg" id="Organization:uscoreorganization.identifier" base_Property="_BZI1NM3tEeahpd1P9sS4xg" mustSupport="true" isModifier="false" isSummary="false"/>
  <fhir:ElementDefinition xmi:id="_BZKqYM3tEeahpd1P9sS4xg" id="Organization:uscoreorganization.active" base_Property="_BZKDU83tEeahpd1P9sS4xg" mustSupport="true" isModifier="false" isSummary="false"/>
  <fhir:ElementDefinition xmi:id="_BZLRc83tEeahpd1P9sS4xg" id="Organization:uscoreorganization.active.system" base_Property="_BZLRcM3tEeahpd1P9sS4xg" mustSupport="true" isModifier="false" isSummary="false"/>
  <fhir:ElementDefinition xmi:id="_BZL4gM3tEeahpd1P9sS4xg" id="Organization:uscoreorganization.name" base_Property="_BZLRdM3tEeahpd1P9sS4xg" mustSupport="true" isModifier="false" isSummary="false"/>
  <fhir:ElementDefinition xmi:id="_BZL4hM3tEeahpd1P9sS4xg" id="Organization:uscoreorganization.telecom" base_Property="_BZL4gc3tEeahpd1P9sS4xg" mustSupport="true" isModifier="false" isSummary="false"/>
  <fhir:ElementDefinition xmi:id="_BZMfk83tEeahpd1P9sS4xg" id="Organization:uscoreorganization.address" base_Property="_BZMfkM3tEeahpd1P9sS4xg" mustSupport="true" isModifier="false" isSummary="false"/>
  <fhir:ElementDefinition xmi:id="_BZNGo83tEeahpd1P9sS4xg" id="Organization:uscoreorganization.address.line" base_Property="_BZNGoM3tEeahpd1P9sS4xg" mustSupport="true" isModifier="false" isSummary="false"/>
  <fhir:ElementDefinition xmi:id="_BZNGp83tEeahpd1P9sS4xg" id="Organization:uscoreorganization.address.city" base_Property="_BZNGpM3tEeahpd1P9sS4xg" mustSupport="true" isModifier="false" isSummary="false"/>
  <fhir:ElementDefinition xmi:id="_BZNts83tEeahpd1P9sS4xg" id="Organization:uscoreorganization.address.state" base_Property="_BZNtsM3tEeahpd1P9sS4xg" mustSupport="true" isModifier="false" isSummary="false"/>
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  <fhir:ValueSetMember xmi:id="_BgJcIc3tEeahpd1P9sS4xg" base_EnumerationLiteral="_BgJcIM3tEeahpd1P9sS4xg" display="Alaska"/>
  <fhir:ValueSetMember xmi:id="_BgJcI83tEeahpd1P9sS4xg" base_EnumerationLiteral="_BgJcIs3tEeahpd1P9sS4xg" display="Alabama"/>
  <fhir:ValueSetMember xmi:id="_BgKDMc3tEeahpd1P9sS4xg" base_EnumerationLiteral="_BgKDMM3tEeahpd1P9sS4xg" display="Arkansas"/>
  <fhir:ValueSetMember xmi:id="_BgKDM83tEeahpd1P9sS4xg" base_EnumerationLiteral="_BgKDMs3tEeahpd1P9sS4xg" display="American Samoa"/>
  <fhir:ValueSetMember xmi:id="_BgKqQc3tEeahpd1P9sS4xg" base_EnumerationLiteral="_BgKqQM3tEeahpd1P9sS4xg" display="Arizona"/>
  <fhir:ValueSetMember xmi:id="_BgKqQ83tEeahpd1P9sS4xg" base_EnumerationLiteral="_BgKqQs3tEeahpd1P9sS4xg" display="California"/>
  <fhir:ValueSetMember xmi:id="_BgLRUc3tEeahpd1P9sS4xg" base_EnumerationLiteral="_BgLRUM3tEeahpd1P9sS4xg" display="Colorado"/>
  <fhir:ValueSetMember xmi:id="_BgL4YM3tEeahpd1P9sS4xg" base_EnumerationLiteral="_BgLRUs3tEeahpd1P9sS4xg" display="Connecticut"/>
  <fhir:ValueSetMember xmi:id="_BgL4Ys3tEeahpd1P9sS4xg" base_EnumerationLiteral="_BgL4Yc3tEeahpd1P9sS4xg" display="District of Columbia"/>
  <fhir:ValueSetMember xmi:id="_BgMfcM3tEeahpd1P9sS4xg" base_EnumerationLiteral="_BgL4Y83tEeahpd1P9sS4xg" display="Delaware"/>
  <fhir:ValueSetMember xmi:id="_BgMfcs3tEeahpd1P9sS4xg" base_EnumerationLiteral="_BgMfcc3tEeahpd1P9sS4xg" display="Florida"/>
  <fhir:ValueSetMember xmi:id="_BgNGgM3tEeahpd1P9sS4xg" base_EnumerationLiteral="_BgMfc83tEeahpd1P9sS4xg" display="Federated States of Micronesia"/>
  <fhir:ValueSetMember xmi:id="_BgNGgs3tEeahpd1P9sS4xg" base_EnumerationLiteral="_BgNGgc3tEeahpd1P9sS4xg" display="Georgia"/>
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  <fhir:ValueSetMember xmi:id="_BgNtkc3tEeahpd1P9sS4xg" base_EnumerationLiteral="_BgNtkM3tEeahpd1P9sS4xg" display="Hawaii"/>
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